Behav. Sci., Volume 10, Issue 5 (May 2020) – 12 articles
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Sincere patient–healthcare professional communication (truth-telling) is still far from being a routine practice in many countries. This qualitative research explored the experiences of 47 Italian palliative care nurses and nursing students who confronted lack of truth-telling, highlighting the consequent serious impairment of their relationships with patients and their painful ethical dilemmas and emotional burdens. Lack of truth-telling often arises from conflicting belief systems among other colleagues and the patients’ relatives who fail to consider the patient’s wishes. End-of-life conversations may evoke their existential anxieties, fear of harming the patient or not knowing how to manage the resultant emotional content. Palliative care must adopt a patient-centered approach towards dying, respecting the patient’s right to self-determination. Healthcare providers need training in honest
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