Attitudes Some nurses mentioned they sometimes lack motivation themselves because they have to repeat the lifestyle message again and again, and they have little hope that the patient will change. That makes them feel very powerless. Other nurses did not like to be judgmental and were hesitant to discuss lifestyle behavior change if they thought that would put the relationship with the patient at stake. Another barrier nurses mentioned is lack of empathy. This can occur when nurses do not understand why it is so difficult to change a specific lifestyle which is not a barrier for themselves