{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T07:06:51Z","timestamp":1788937611973,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Philosophy"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Confidential conversations constitute an important, still insufficiently explored, aspect of palliative care. While described as valuable in clinical practice, their relational and existential significance remains difficult to conceptualise. This article examines confidential conversations through a philosophical dialogue between empirical insights from specialised palliative care and Paul Ric\u0153ur's philosophy of Homo Capax. Ric\u0153ur is not applied as a theoretical framework; rather, confidential conversations both illuminate and invite further reflection on his understanding of capability, vulnerability, practical wisdom, solicitude, and narrative identity. The article is based on a philosophical reflection of a synthesis of four qualitative studies conducted in specialised palliative care. It begins from recurring tensions within confidential conversations concerning spontaneity and structure, safety and uncertainty, everyday small talk and existential disclosure, professional responsibility and interpersonal presence. These tensions remain unresolved and are understood as relational conditions through which confidential conversations become possible. Dialogue with Ric\u0153ur suggests that confidential conversations can be understood as fragile relational events in which capability and vulnerability are mutually constitutive rather than opposed. This interpretation invites further philosophical reflection on autonomy, asymmetrical vulnerability, and the limits of practical wisdom. To deepen these questions, perspectives from Martin Buber and Hartmut Rosa are brought into dialogue with Ric\u0153ur, illuminating how confidential conversations become encounters characterised by responsiveness and resonance while remaining situated within asymmetrical relationships of care. This article suggests that confidential conversations are less understood as communicative interventions or professional techniques than as relational events in which meaning emerges through responsiveness under conditions of suffering, finitude, and institutional constraint. Their significance lies in the possibility that patient and nurse become responsive to one another within a relationship that neither fully controls. The article offers a philosophical interpretation of confidential conversations grounded in empirical experience.<\/jats:p>","DOI":"10.1111\/nup.70115","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T06:27:38Z","timestamp":1788935258000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Confidential Conversations in Palliative Care: Capability, Vulnerability, and Relational Encounter"],"prefix":"10.1111","volume":"27","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 \u00d6stersund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/09697330211046651"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12506"},{"key":"e_1_2_14_4_1","volume-title":"Jag Och Du (Ich Und Du)","author":"Buber M.","year":"1994"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/medhum-2020-012129"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/26323524221083679"},{"issue":"1","key":"e_1_2_14_7_1","first-page":"87","article-title":"Dimensions of the Supportive Role of the Nurse in Palliative Care","volume":"17","author":"Davies B.","year":"1990","journal-title":"Oncology Nursing Forum"},{"key":"e_1_2_14_8_1","volume-title":"Mackenzie Rogers & Dodds (Red) Vulnerability. New Essey in Ethics and Feminist Philosophy","author":"Dodds S.","year":"2014"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/nup.12382"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11019-013-9532-y"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15548"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/nup.12385"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-025-01681-x"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333393616643201"},{"issue":"1","key":"e_1_2_14_15_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 = Revue Canadienne de Recherche en Sciences Infirmieres"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/nup.12432"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002820-200208000-00008"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01523-2"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732320938343"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.5575"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/13576275.2018.1530206"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0030222818797171"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/15524256.2023.2272590"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/15524256.2016.1200520"},{"key":"e_1_2_14_25_1","volume-title":"Oneself as Another","author":"Ric\u0153ur P.","year":"1992"},{"key":"e_1_2_14_26_1","volume-title":"Homo Capax: Texter av Paul Ric\u0153ur om etik och filosofisk antropologi","author":"Ric\u0153ur P.","year":"2011"},{"key":"e_1_2_14_27_1","volume-title":"Resonance: A Sociology of Our Relationship to the World","author":"Rosa H.","year":"2019"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732306298524"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.70119"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01228-y"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-01988-9"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.1709"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2021.04.040"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1023\/a:1012048907443"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1998.00741.x"},{"key":"e_1_2_14_36_1","volume-title":"Palliative care","author":"World Health Organization","year":"2020"},{"key":"e_1_2_14_37_1","volume-title":"Existential Psychotherapy","author":"Yalom I. D.","year":"1980"}],"container-title":["Nursing Philosophy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nup.70115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nup.70115","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nup.70115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T06:27:41Z","timestamp":1788935261000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nup.70115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,8]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/nup.70115"],"URL":"https:\/\/doi.org\/10.1111\/nup.70115","archive":["Portico"],"relation":{},"ISSN":["1466-7681","1466-769X"],"issn-type":[{"value":"1466-7681","type":"print"},{"value":"1466-769X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,8]]},"assertion":[{"value":"2026-04-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70115"}}