“…Additionally, safety issues were expressly discussed by palliative care nurses as they related to difficult family situations, as well as for individual patients. Safety issues can have a major (negative) impact on hospice and palliative care units where open access for family and friends of patients is an important factor (Black, Hanson, Cutcliffe, & Goward, 2001; Bloomer & O’Brien, 2013) The shared value of both groups of nurses in the importance of the therapeutic relationship made this struggle with relating to difficult family situations more poignant.…”