Findings from the present study also show that being the child's advocate entails guiding the parents in being the child's representative as well as protecting and representing the child when the parents’ support is not sufficient, for example, when the parents may fear that the NRMP will hurt their child. Schechter et al. (2007) and Cohen, Manimala, and Blount (2000) maintain that non-helpful responses from parents towards the child can increase the stress in children during procedures. Examples of non-helpful responses include being extremely reassuring, criticizing, using excuses, and being empathetic. Schechter et al. (2007) also state that children's distress increases in relation to the degree of involvement from parents. It is interesting to note that, according to the review by Boudreaux, Francis, and Loyacano (2002) and the study by Waseem and Ryan (2003), health professionals’ perception of parents’ presence at different medical procedures varies greatly. This does not concur with the results from our study where nurses felt that parents should be present but that their “duty” could be different depending on their abilities. We thus state that a crucial task in the support to the children is the provision of the necessary information to the parents in order to enhance their involvement. This will facilitate a change of focus from protecting the child from the nurses to supporting care. Sometimes the nurses will take over and act as the child's advocate by supporting and representing the child. This must be done in a way that is not perceived shamefully for any of the involved and requires a sensitivity from the nurses. Once again it is the nurses’ ability to balance the diverse needs that is the key to the quality of care in order for the dignity for all involved to be maintained. MacDonald (2007) concludes that nurses have both an ethical and a moral obligation to act as the patient's advocate in different caring situations. We want to point out that nurses should also act as the parents’ advocate and thereby indirectly support the children during NRMP.