Table 1

Indicative quotations

ParticipantExample quotation
#9I think because us as nursing staff will spend the majority of time with them. Being here as well we do hourly roundings, so we are always in there, like at least every hour if not half-an-hour, doing things for these patients
#12So from a nursing perspective we're often encouraging early palliative care referrals, and one of the stumbling blocks we get is because often the patients have multiple practitioners involved in their care. So they can have surgeons, medical oncologists and radiation oncologists, it's quite difficult for us to deem who the appropriate person is to make that decision
#13I actually always go, when I find out a bit about the patient and what support they've got, I will say to the consultant or whoever “have you mentioned palliative care? This person could probably benefit from it. Is it alright if…”—no I just don't ask if it's alright actually
I:And can anyone do that?
#13Yeah. But I don't know if they're confident enough to do it…And it all depends on the person, how proactive and how confident they feel
#14The news is just devastating and it's hard for the patient to think about the future, and their family. And it's about trying to look ahead for the future, with increasing disabilities and how they're going to manage that and who's out there, and who can support them. So I think the nurse's role is absolutely crucial, you're chasing a doctor to go in with them to sit down and give news
  • Professional roles and relationships: the nursing role in the transition to palliative care.