• Steffen T Simon, Christina Ramsenthaler, Claudia Bausewein, Norbert Krischke, and Gerlinde Geiss.
• Department of Palliative Care, Policy and Rehabilitation, King's College London, UK. steffen@steffensimon.de
• Int J Palliat Nurs. 2009 Aug 1; 15 (8): 405-11.

IntroductionSelf-awareness of one's own reactions towards patients and their relatives is of paramount importance for all professionals in palliative care. 'Core attitude' describes the way in which a person perceives himself and the world, and forms the basis for his actions and thoughts.ObjectiveThe aim of this study is to explore what core attitude means for palliative care professionals and whether there is a specific core attitude in palliative care.MethodsQualitative study with 10 face-to-face in-depth interviews with experts in palliative care (nurses, physicians, social workers, psychologists, chaplain) in Germany.ResultsCore attitude in palliative care can be best described with the following three domains: 1) personal characteristics; 2) experience of care; and 3) competence in care. Authenticity is the most important characteristic of professionals, along with honesty and mindfulness. Core attitude primarily becomes apparent in the relationship with the patient. Perception and listening are key competences. The experts emphasized the universality of the core attitude in the care of ill people. They stressed the importance and relevance of teaching core attitudes in palliative care education.ConclusionIn the field of palliative care, core attitude consists predominately of authenticity, manifests itself in relationships, and requires a high degree of perceptiveness.

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