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Background: The 3 Wishes Project (3WP) is an end-of-life program that aims to honor the dignity of dying patients by creating meaningful patient- and family-centered memories while promoting humanistic interprofessional care.Objective: To determine whether this palliative intervention could be successfully implemented-defined as demonstrating value, transferability, affordability, and sustainability-beyond the intensive care unit in which it was created.Design: Mixed-methods formative program evaluation. (ClinicalTrials.gov: NCT04147169).Setting: 4 North American intensive care units.Participants: Dying patients, their families, clinicians, hospital managers, and administrators.Intervention: Wishes from dying patients, family members, and clinicians were elicited and implemented.Measurements: Patient characteristics and processes of care; the number, type, and cost of each wish; and semistructured interviews and focus groups with family members, clinicians, and managers.Results: A total of 730 patients were enrolled, and 3407 wishes were elicited. Qualitative data were gathered from 75 family members, 72 clinicians, and 20 managers or hospital administrators. Value included intentional comforting of families as they honored the lives and legacies of their loved ones while inspiring compassionate clinical care. Factors promoting transferability included family appreciation and a collaborative intensive care unit culture committed to dignity-conserving end-of-life care. Staff participation evolved from passive support to professional agency. Program initiation required minimal investment for reusable materials; thereafter, the mean cost was $5.19 (SD, $17.14) per wish. Sustainability was demonstrated by the continuation of 3WP at each site after study completion.Limitation: This descriptive formative evaluation describes tertiary care center-specific experiences rather than aiming for generalizability to all jurisdictions.Conclusion: The 3WP is a transferrable, affordable, and sustainable program that provides value to dying patients, their families, clinicians, and institutions.Primary Funding Source: Greenwall Foundation. [ABSTRACT FROM AUTHOR]

This disrespect of my mother's wishes and assault on her body should never have happened. [ABSTRACT FROM AUTHOR]

"He's just a jail patient." That's a quote. I wish it weren't. [ABSTRACT FROM AUTHOR]

I wished I could experience the same constellation of events that had propelled those few exceptional patients into a new way of life. [ABSTRACT FROM AUTHOR]

With age its hazards written in the nondominant hand the pleasure of descending into a vale of concentration to practice despite the same mistakes the piano with love of repetition keeping full attention to attend to what is said in the midst of our conversation feeling the edge of delight over the back & forth surprises of little children speaking language holding a thought or its sequence whole when disturbed by a trivial something staying fearless should a cruel dead face be unleashed out of memory finding in the moment a few right words a measure of holy silence amazed always how this broken vessel is held together by breath & invisible light. [Extracted from the article]

You've done this before: cared for women whose wishes were warped by politics. [ABSTRACT FROM AUTHOR]