They are truthfulness, autonomy and support. Truthfulness is the principle of telling the truth. An important part of open communication is being honest with patients and allowing them to give their input on their healthcare needs. This allows the patient to feel part of their care (Burkhardt and Nathaniel, 2014). As nurses we must recognize and respect patient autonomy. Patients should be able to communicate their wishes and we should listen and respect their decision (Burkhardt and Nathaniel, 2014). The advocacy principle is an important avenue for communication. Nurses should listen to their patients and speak on their behalf to ensure that the patient receives quality care (Burkhardt and Nathaniel,