Registered Nurses' Association of Ontario

Guiding Principles

Evidence-based practice is the guiding model for clinical best practice guidelines.

  • Evidence-based practice includes the application of the most current research evidence, sound clinical judgment and consideration of individuals’ values, preferences and goals of care.
  • Evidence-based practice will positively impact the quality of end-of-life care, and individual and system outcomes.
  • Each individual has a right to evidence-based quality care during the last days and hours of life.
  • Nurses are uniquely positioned, through their frequent therapeutic interactions with individuals and their families, to influence positive outcomes.
  • Health systems strategies are required to ensure that each person approaching the end of life has access to care regardless of sector or geographic location.
  • Education informed by the best available evidence is necessary for quality end-of-life care.
  • Organizational supports and strategies must be in place to translate knowledge into the practice environment.
Clinical Management
End-of-Life Care During the Last Days and Hours
Background Information