Several studies show that nurses tend to be the controlling part in nurse-patient interaction and refrain from investigating the patient’s point of view in health care matters. Literature point out to pay attention to nurses values, reflection, and communication competencies. The aim is to challenge this in a clinical setting – an acute cardiology unit receiving patients with STEMI undergoing primary PCI. Inspiration was drawn from Zoffmann’s nurse-patient interaction method, Guided Self-Determination (GSD). A pilot test of one semi-structured worksheet „The dialogue sheet“ was tested among 15 patients. The worksheet became a platform for the planning of the individually based care. The patients’ needs varied from practical implications relating to their diseases to coping and existential thoughts. The nurses had some barriers to overcome as they felt that by handing over the sheet, the power was transferred to the patient. Most of the patients gave positive feedback and felt more ready to cope with the situation.