Palliative care is an active care for a person suffering from incurable diseases and it affirms life, while death is considered an integral part of life. Care is provided by a multidisciplinary team that seeks to achieve the basic goal of palliative care, increase quality of life, and eliminate pain and suffering. Beneficiaries of palliative care are people with different diseases that lead to the end of life. Every person has the right to choose the life he or she wants, and he or she also has the right to a dignified and peaceful death. Dealing with a diagnosis of a severe and incurable disease is not easy, and bad news is part of the process. The main tasks of the nurse / technician are, in addition to helping to meet basic needs and suppressing the symptoms of the disease, to satisfy the needs for communication. The nurse / technical spend most of the time with the patient and conveys good and bad news to the patient, provides compassion, shows understanding and empathy, and together with them we plan the further course of care. Palliative care not only cares for patients, but also for their family members and helps them to accept bad news. Providing information on changes in patients' health conditions supports and understands the time of mourning after the death of family members. The big challenge in palliative care is communicating bad news to the patient and / or his family. Communicating bad news involves adjusting patient data, striving to understand the patient’s perspective, and developing partnerships and collaborations. To make it easier to access bad news to the patient and / or his family, nurses / technicians often use protocols, including the SPIKES protocol. The key components of SPIKES ’strategy are providing empathy, acceptance and affirmation of the patient’s feelings, researching the patient’s understanding and acceptance of bad news, and providing information about possible interventions. The objectives of this paper described palliative care, the role of the nurse, communication in palliative care and the SPIKES protocol, explore how familiar nurses / technicians are with the SPIKES protocol and how much they use it in their daily work in palliative care.