Poster can be found in location 133.

Background: Regardless of the tight schedule in outpatient settings caring should be based on patients believes of what is important in relation to maintain everyday life. Within the person-centred framework, Guided self-determination is a method that supports reflection, collaboration, personal decision-making and problem solving. The purpose of the study was to examine clinical nurses’ experience of facilitating Guided self-determination during radiation or outpatient chemotherapy treatment and the ward managers’ motivation for implementing Guided self-determination in their departments and their expectations of impact. Method: Qualitative Interview study using a phenomenological hermeneutic approach. Five nurses, who had completed a Guided self-determination certification course and their leaders’ were interviewed using individual semi structured- and focus group interviews. Analyses were conducted using thematic analysis according to Braun and Clarke’s six-phases. Findings: Two overall themes were generated ”GSD is meaningful to both clinical nurses, ward managers and patients” and ”GSD creates an extraordinary room for counselling incompatible with clinical practice in a short-term contact but causing moral distress”. Conclusion: All nurses experienced the Guided self-determination intervention to be meaningful, person-centred and of value but difficult to implement in a busy technical field. To the clinical nurses this created a dilemma in everyday practice when they had to treat their Guided self-determination patients with the risk of causing moral distress. The nurses used different strategies to cope with this. The ward managers emphasized the importance of GSD in this setting where information and accelerated treatment is in focus. By supporting the patients during treatment, they would potentially be better prepared to live with cancer. The ward managers also expected the GSD conversations to develop the nurses' professional competencies.