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<h3>Background</h3> Evidence suggests renal clinicians find EOLC challenging due to mismatched patient expectations, medical complexity and assessment of quality of life. This project aimed to explore nursing views on provision of palliative care on a renal ward with the aim of improving the patient experience. <h3>Methods</h3> All nursing staff working on the three sampled days were invited to participate. Semi-structured interviews with CSWs, ward nurses and inpatient dialysis nurses were conducted. Open questions were used to explore confidence in provision of EOLC for patients and families, difficulties faced, and suggestions for improvement. 12 nurses and 3 CSWs were interviewed. Transcripts were analysed by two independent researchers. <h3>Themes</h3> Confidence with patients ‘I’m very confident. I know what the policies are. I know how to refer to palliative care.’ Less confidence with families ‘When I see the family, I always feel like, oh my God, I don’t know what they are going to ask me now.’ Emotional and practical difficulties ‘If you’re attached to the patient that’s the hardest thing, you see them on their last breath.’ ‘We need more training on syringe drivers and medications’ Uncertainty is challenging ‘We keep doing the observations because there’s no straightforward decision from the doctors.’ Communication difficulties ‘I don’t know the right words to say’ Cultural aspects ‘I come from a country where the EOLC is totally different.’ <h3>Discussion</h3> Nurses are largely confident in caring for patients but find communication with families challenging. The relationships renal nurses have fostered with patients over time results in high emotions at EOL. Nurses requested resources to share with patients and families; the trust ‘What to expect when someone is dying’ leaflet will be distributed on the ward. Nurses requested communication support for family discussions, which will be delivered in a dedicated workshop by palliative medicine.