How can acute nurses support families with end-of-life care? The purpose of this article is to provide information on how nurses can better support families during end-of-life care. Nurses are faced with multiple tasks and responsibilities as part of their career; However, are nurses fully prepared for the enormous amount of responsibility required to care for patients and their families during end-of-life care? I will use Ruland & Moore's (1998) Peaceful End of Life Theory to explore how this theory is relevant to my research topic of how nurses in acute settings can support families during end-of-life care. In the form of a literature review, I will outline common themes found throughout the literature and identify the most important barriers that nurses, patients and their families face during end-of-life care. I will describe limitations and gaps in the literature, provide some recommendations for continuing research, discuss nursing implications, and finally, the learning that has occurred. Nursing Theory Ruland and Moore (1998) state that clinical guidance is needed in the care of patients and their families who are approaching the end of their lives. By providing nurses with clinical guidance, they can provide patients and their families with quality care. This theory focuses on dying peacefully and meaningfully with family members present; However, there is great complexity in the care of patients who are approaching the end of life, and it is important that nurses have an adequate level of knowledge of end-of-life care (Ruland & Moore, 1998). It is essential that nurses help patients and their families during end-of-life care by providing them with peace, which involves feelings of calm, harmony... the center of the card... their families peace, dignity and respect. I identified numerous themes throughout the literature, such as nurses' role in end-of-life care, presence with patients and families, improving end-of-life care education, nurses' attitudes toward death, and finally, the importance of communication between nurses, patients and healthcare professionals. their families. The nursing implications are to provide nurses with greater awareness in end-of-life care, secondly, nurses need to become more comfortable with death and dying. This document provided information on how nurses in acute settings can support families with end-of-life care; however, the question of how to provide support still persists. The objective of this paper requires larger sample sizes and experienced nurses to improve the overall statistics of this study; however, there is still a lot of ambiguity on this particular topic.