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Background: COVID-19 virus spread rapidly throughout the world. It caused the massive patients admitted to the hospitals with severe Acute Respiratory Distress Syndrome to exceed the capacity of beds in the ICU. It makes the hospital give priority to the ICU bed for the COVID-19 patient with the best prognosis or the decision to accelerate the withdrawal of life support. During this situation, pay attention for end of life decision-making in the ICU was important. The aim is to identify nurses' experiences in the intensive care unit regarding the involvement and expected outcome assessment in end-of-life care decision making in the Intensive care unit. Method: The research method of the study was a descriptive study using a questionnaire in the Google form. Results: The results showed that end of life decisions regarding withdrawal and withholding life support in COVID-19 patients based on several important consideration, including the ability to survive life (63,2%), neurological status (63,2%), and quality of life (86,8%) of patients after receiving treatment in the ICU. Furthermore, nurses are always actively involved in the goals of the care plan (60,5%) and considering the end of life decisions. This involvement affects job satisfaction (73,7%). A family member of COVID-19 patient is always involved in end of life discussions (76,3%). Conclusion: Our study indicates that end of life decisions regarding withdrawal and withholding life support in COVID-19 patients in the ICU are based on several considerations. The nurse is always actively involved in setting goals of care and facilitated family member in these decisions. The recommendation for future research is identifying the type of effective communication technologies and media to facilitate family members at the end of life process during the COVID-19 pandemic.

Nurses Experience in End of Life Decision-Making for Covid-19 Patients in the Intensive Care Unit