title: Challenging conversations with terminally ill patients and their loved ones: Strategies to improve giving information in palliative care.
abstract: OBJECTIVE
  The aim of the study was to explore the skills and strategies employed by professionals when having difficult conversations to provide information to loved ones as part of palliative care.
  
  
  METHODS
  A qualitative design was chosen with in-depth interviews with nurses, assistant nurses and doctors a Hospital in Sweden and were analysed using content analysis.
  
  
  RESULTS
  The interviews produced examples of strategies used by professionals when imparting difficult information to patient and loved ones. The results fell into three areas: 'Who is giving information', 'Structuring the conversation' and 'Different ways to convey a difficult message'.
  
  
  CONCLUSIONS
  Using conversational skills and strategies in combination with a carefully planned structure appeared to facilitate difficult conversations with patients and loved ones. Further research is required, related to the specific circumstances in which the conversation takes place.
authors.affiliation: Palliative Care Unit, Sahlgrenska University Hospital, Gothenburg, Sweden; Sahlgrenska Academy, Department of Geriatric Medicine, University of Gothenburg, Gothenburg, Sweden.
authors.forename: Inger
authors.initials: I
authors.lastname: Benkel
authors.affiliation: Sahlgrenska Academy, Department of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
authors.forename: Helle
authors.initials: H
authors.lastname: Wijk
authors.affiliation: Palliative Care Unit, Sahlgrenska University Hospital, Gothenburg, Sweden; Sahlgrenska Academy, Department of Geriatric Medicine, University of Gothenburg, Gothenburg, Sweden.
authors.forename: Ulla
authors.initials: U
authors.lastname: Molander
keywords: Conversation; caregivers; end-of-life questions; skills; strategies