Use of the 3 Wishes Project to Help Individualize End-of-Life Care in a Medical Intensive Care Unit

Author(s): Brittany H. Harrison, DNP, AG-ACNP, CNL, Elizabeth Hundt, PhD, NP-C, ACNS-BC, and Clareen Wiencek, PhD, RN, ACNP

Contact Hours 1.00

CERP A 1.00

Expires Jan 02, 2027

Topics: Family-Centered Care, Palliative/End-of-life Care

Member: Free
NonMember: $10.00

Added to Collection

Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Multiple organizations recommend that individualized end-of-life (EOL) care should be standard practice. However, a standardized approach does not exist because EOL care should be individually tailored. The 3 Wishes Project is an EOL intervention that provides direction for individualized care with 3 goals: dignify death, celebrate the patient’s life, and support family members and the intensive care unit clinicians caring for the patient. Patients and families are given the opportunity to choose 3 wishes during the dying process. This study ascertained if the implementation of the 3 Wishes Project allowed the medical team to provide individualized EOL care.


  • Describe the “3 Wishes Project” as a method of providing individualized end-of-life care in the ICU setting
  • Identify the 4 steps of implementation
  • Identify strengths and weaknesses of the "3 Wishes Project"

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

Accreditation refers to recognition of continuing education only and does not imply AACN, ANCC, or CBRN approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.


Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

Refund Policy

Continuing Education Activities are nonrefundable.