Table 3.

Conditions Facilitating the Process of Exposure

1. Conditions for fruitful conversations with patient or family member
Q11	Suddenly another colleague and her student came in the room and sat down to listen. That was really annoying. The patient kept on telling her story. But for me, that was stressful and distracting. (…) You are talking about something very personal and when someone interrupts the conversation, you suddenly loose that moment of trust… (Male nurse—25 years, patient, reflection in pairs)
Q12	‘At a certain moment she [=patient] said very directly: ‘If that [=audio-recorder] wouldn’t be here, there wouldn’t be a problem. When I stopped recording, she needed some time to recover.’ (Female nurse — 47 years, patient, reflection in pairs)
2. Conditions for reflection
Q13	Reading the transcripts of the conversations is worthwhile. After the conversation, it seemed I couldn’t remember exactly what the patient and I really talked about. I was surprised reading the whole conversation. (Female Occupational therapist—41 years, patient and family, reflection in pairs)
Q14	… I just read the transcript quickly. I didn’t read it with my attention. I’d better done this. . . (Female nurse—38 years, patient, reflection in pairs)
3. Conditions for application in practice
Q15	During the program, you learn to know and to appreciate each other. You learn what’s important to your colleagues. The program creates a certain connection and that is good. (Female occupational therapist—41 years, patient and family, reflection in pairs)
Q16	Sometimes I miss a colleague to share these experiences with. I hear a lot from patients that really touches me. Sometimes I tell this to the nurses and then they look at me in a way “what is going on with you?” … That touches me, it makes me sad. (…) Sometimes I have the feeling that colleagues don’t understand why I do my job, the way I’m doing it. They think I’m busy for a long time with one patient. But it is my job to do that. (Female occupational therapist—41 years, patient and family, reflective group session)
Q17	(…) I wanted to take time and let the patient go deeper in his emotions, but I was worried because I had already spent quite some time. (…) there are other patients waiting. (Female occupational therapist—28 years, family, reflection in pairs)