[This paper was originally published as Sandgren, A., Thulesius, H., Petersson, K. & Fridlund, B. (2007). Doing good care ? A study of palliative home nursing care. International Journal of Qualitative Studies on Health and Well-Being, 2:4, 227-235 and is reprinted here with the permission of the publisher] Anna Sandgren, RN, MSc, PhD Candidate; Hans Thulesius, MD, PhD; Kerstin Petersson, RNT, PhD; Bengt Fridlund, RNT, PhD Abstract Today, more and more people die in own homes and nursing homes, which fundamentally affects community nursing. The aim of this study was to develop a grounded theory of palliative home nursing care and we analyzed interviews and data related to the behavior of community nurses caring for palliative cancer patients. Doing Good Care emerged as the pattern of behavior through which nurses deal with their main concern, their desire to do good care. The theory Doing Good Care involves three caring behaviors; anticipatory caring, momentary caring and stagnated caring. In anticipatory caring, which is the optimal caring behavior, nurses are doing their best or even better than necessary, in momentary caring nurses are doing best momentarily and in stagnated caring nurses are doing good but from the perspective of what is expected of them. When nurses fail in doing good, they experience a feeling of letting the patient down, which can lead to frustration and feelings of powerlessness. Depending on the circumstances, nurses can hover between the three different caring behaviors. We suggest that healthcare providers increase the status of palliative care and facilitate for nurses to give anticipatory care by providing adequate resources and recognition. Introduction The demographics of dying have changed with more people dying at home or in nursing homes. The number of hospital beds has declined and homecare has increased, and more own home deaths are expected in the future (Burge, Lawson & Johnston, 2003; Higginson, Astin & Dolan, 1998; Socialstyrelsen, 2006). The extension of palliative care varies in different parts of Sweden (Socialstyrelsen, 2006) and fewer hospital beds increases the strain for both acute hospital care and homecare (Fürst, 2000). The acute hospital care has a high pace and a “culture of quickness” (Andershed & Ternestedt, 1997) and this high pace was found to be one explanation to why nurses suffered emotional overload while caring for palliative cancer patients in acute hospitals (Sandgren, Thulesius, Fridlund & Petersson, 2006). In the contrast to the high pace in the acute hospitals, the hospice philosophy has a “culture of slowness” (Andershed & Ternestedt, 1997) and it has thus been suggested that the hospice philosophy should be spread to all care settings with dying people (Clark, 1993). At the same time, it has been proposed that palliative care should be available wherever the patient is. In addition, the patients and their families should receive the same standard of care irrespective of domicile and source of service delivery (Dunne, Sullivan & Kernohan, 2005; SOU, 2001). In homecare, the community nurses have a central position (Wright, 2002), but their work is in a way an invisible work, predominantly conducted in the patients’ homes (Goodman, Knight, Machen & Hunt, 1998; Luker, Austin, Caress & Hallett, 2000). Community nursing has shown to offer stimulation and appreciation, especially from patients and relatives, but also a possibility for nurses to use all their professional skills (Dunne et al., 2005; Goodman et al., 1998). However caring for palliative cancer patients in their homes has also been shown to be stressful (Berterö, 2002; Dunne et al., 2005), emotionally...