Background: Nurses have a central role in breaking-point discussions. When patient care transitions from curative to palliative, it is important that the process is carried out correctly and appropriately. Nurses´ participation in breaking-point discussions can provide security for patients, as nurses are familiar with their preferences. Aim: The purpose is to describe nurses' experiences of breakpoint conversations. Method: A general literature review based on twelve scientific articles, the majority of which have a qualitative approach. Result: Four main themes emerged: Support for patients, Support for relatives, Collaboration with other professions and Changing skills and conditions. Nurses build relationships with patients during the long and challenging process. They learn about patients´ preferences, which becomes a resource during breaking-point discussions when patients´ wishes and conditions for good care are considered. Nurses requested more training, as these discussions are demanding, and they feel stability in their role. They claimed that collaboration with physicians and clear patient communication is essential. Conclusion: Conversations in healthcare are crucial before breaking point discussions with patients and relatives. Training and experience are necessary for nurses to feel confident in their role and support both patients and relatives during breaking-point discussions. Nurses sometimes felt caught between patients and physicians, which is bad.

Key words: Decision making, End of life, Experiences, Nurses, Palliative care.