{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T18:13:21Z","timestamp":1789150401846,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100005376","name":"Mittuniversitetet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005376","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore and gain a deeper understanding of how registered nurses in palliative care develop personal and professional approaches in confidential conversations with patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative study using focus groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Between March and May 2024, 22 registered nurses working in specialised palliative care in the northern region of Sweden participated in five focus groups. The discussions were recorded, transcribed verbatim and analysed using interpretive description.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Registered nurses pursued meaningful, supportive interactions during confidential conversations. Their reflections revealed vulnerabilities and the importance of continuous self\u2010reflection, fostering growth, resilience and professional development. They sought ways to process emotional challenges, from individual reflection to peer discussions and structured supervision, refining their approaches. Four themes emerged: balancing external demands with inner motivation, recognising personal limitations, managing compassion with professional responsibility and gradually building trust.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Reflection and continuous professional development are essential for navigating confidential conversations in palliative care. These practices help registered nurses balance empathy with boundaries whilst managing emotional and professional challenges. Peer support and shared learning, as well as fostering self\u2010awareness and emotional resilience can enhance care quality and promote sustained professional growth across healthcare settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>This study highlights the emotional challenges registered nurses face in confidential conversations with patients at the end of life. Reflection and support help them handle these challenges and promote person\u2010centred care by enabling patients to express their inner thoughts and wishes. The findings apply to palliative care and other settings caring for patients at the end of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>Findings were reported following the Consolidated Criteria for Reporting Qualitative Research guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>This study did not include patient or public involvement in its design, conduct or reporting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.17098","type":"journal-article","created":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T10:51:40Z","timestamp":1749725500000},"page":"1628-1639","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Beyond Everyday Small Talk: A Qualitative Study on Registered Nurses' Confidential Conversations in Palliative Care"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1387-9152","authenticated-orcid":false,"given":"Tove","family":"Stenman","sequence":"first","affiliation":[{"name":"Department of Health Sciences; Nursing Science Mid Sweden University  Sundsvall Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0002-7866","authenticated-orcid":false,"given":"Ylva","family":"R\u00f6nngren","sequence":"additional","affiliation":[{"name":"Department of Health Sciences; Nursing Science Mid Sweden University  Sundsvall Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3075-0833","authenticated-orcid":false,"given":"Ulla","family":"N\u00e4pp\u00e4","sequence":"additional","affiliation":[{"name":"Department of Health Sciences; Nursing Science Mid Sweden University  Sundsvall Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9623-5813","authenticated-orcid":false,"given":"Christina","family":"Melin Johansson","sequence":"additional","affiliation":[{"name":"Department of Health Sciences; Nursing Science Mid Sweden University  Sundsvall Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,3]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.13163"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904\u2010021\u201000784\u20105"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102015\u2010009032"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/10499091231165013"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010022\u201001161\u20100"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/26323524221083679"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/njh.0000000000000477"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2020.101766"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17294"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2020.29.5.284"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010021\u201000803\u2010z"},{"key":"e_1_2_14_13_1","volume-title":"Focus Groups: A Practical Guide for Applied Research","author":"Krueger R.","year":"2015"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333393616643201"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010021\u201000579\u20102"},{"issue":"1","key":"e_1_2_14_16_1","first-page":"67","article-title":"An Exploration of Nursing Disillusionment","volume":"25","author":"Oberle K.","year":"1993","journal-title":"Canadian Journal of Nursing Research"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/nup.12432"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000428"},{"key":"e_1_2_14_19_1","volume-title":"Qualitative Research & Evaluation Methods","author":"Patton M. Q.","year":"2015"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692163221074547"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010023\u201001523\u20102"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2016.01.004"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904\u2010020\u20100531\u20105"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/13576275.2018.1530206"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951521001127"},{"key":"e_1_2_14_26_1","unstructured":"Statistics Sweden.2021.\u201cPopulation in the Country Counties and Municipalities.\u201dhttps:\/\/www.scb.se\/hitta\u2010statistik\/statistik\u2010efter\u2010amne\/befolkning\/befolkningens\u2010sammansattning\/befolkningsstatistik\/pong\/tabell\u2010och\u2010diagram\/helarsstatistik\u2010\u2010kommun\u2010lan\u2010och\u2010riket\/folkmangd\u2010i\u2010riket\u2010lan\u2010och\u2010kommuner\u201031\u2010december\u20102021\u2010och\u2010befolkningsforandringar\u20102021\/."},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904\u2010023\u201001228\u2010y"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010024\u201001988\u20109"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2021.04.040"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0844562119898554"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781315426259"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_14_33_1","volume-title":"Palliative Care\u2014The Essential Facts","author":"World Health Organization","year":"2020"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.21972"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.17098","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jan.17098","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.17098","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T15:26:18Z","timestamp":1769873178000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.17098"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,3]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1111\/jan.17098"],"URL":"https:\/\/doi.org\/10.1111\/jan.17098","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JAN.17098\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.17098\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.17098\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.17098\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.17098\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.17098\/v1\/review2","asserted-by":"object"}]},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,3]]},"assertion":[{"value":"2025-02-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}