Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Breaking Bad News Protocol for Cancer Disclosure: An Iranian Version



Abazari P1 ; Taleghani F1 ; Hematti S2 ; Malekian A3 ; Mokarian F4 ; Hakimian SMR4 ; Ehsani M5
Authors
Show Affiliations
Authors Affiliations
  1. 1. Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Radiotherapy and Oncology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Nursing Department, Islamic Azad University Complex, Tonekabon, Iran

Source: Journal of Medical Ethics and History of Medicine Published:2017

Abstract

In Iran, as in many Asian and Middle Eastern countries, a significant proportion of cancer patients are never informed of their illness. One solution that has been proposed to tackle this challenge is to develop a localized protocol on cancer diagnosis disclosure based on the culture and values of community members, and train healthcare team members to deliver the bad news using this protocol. This article introduces a localized protocol for disclosure of bad news to cancer patients in Iran. This protocol consists of six steps, including assessment, planning, preparation, disclosure, support and conclusion. In the drafting of this protocol an attempt was made to meticulously consider the cultural features of the Iranian society. Although breaking bad news will never be easy, having an appropriate plan of action based on individual’s attitudes, considerably helps health-care professionals, and provides more satisfaction in patients. © 2017 Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences.
Related Docs
View other Related Docs
1. Exploring Perceptions and Preferences of Patients, Families, Physicians, and Nurses Regarding Cancer Disclosure: A Descriptive Qualitative Study, Supportive Care in Cancer (2016)
2. Perceptions of Patients, Families, Physicians and Nurses Regarding Challenges in Cancer Disclosure: A Descriptive Qualitative Study, European Journal of Oncology Nursing (2016)
3. Attitude of Cancer Patients Toward Diagnosis Disclosure and Their Preference for Clinical Decision-Making: A National Survey, Archives of Iranian Medicine (2014)
4. Iranian Physicians and Patients Attitude Toward Truth Telling of Cancer, Journal of Isfahan Medical School (2011)
5. Effect of Implementing Domestic Truth-Telling Protocol on Stress, Anxiety, and Depression in Cancer Patients, Middle East Journal of Cancer (2019)
6. Attitudes Toward Cancer and Cancer Patients in an Urban Iranian Population, Oncologist (2017)
7. Communication Culture in Cancer Nursing Care: An Ethnographic Study, Supportive Care in Cancer (2022)
8. Challanges of Meeting the Palliative Care Needs of Colorectal Cancer Patients in Iran: A Qualitative Research, Iranian Journal of Nursing and Midwifery Research (2022)
Experts (# of related papers)
View all Related Experts
Simin Hemati (5)
Masoud Bahrami (3)
Other Related Docs
9. Critical Analysis of Corruption in Iran’S Health Care System and Its Control Strategies, Shiraz E Medical Journal (2022)
10. Cancer Nurses’ Perspective of Error Disclosure From Nurses to Patients: A Qualitative Descriptive Study, European Journal of Oncology Nursing (2023)
11. Iranian Nurses Perceptions of Cancer Patients Quality of Life, International Journal of Cancer Management (2016)
12. A Scoping Review of 20 Years Breast Cancer Screening Programs in Iran, Iranian Journal of Public Health (2025)
13. Breast Cancer Screening and Early Detection Programs in Iran: A Health Policy Analysis and Recommendations, World Medical and Health Policy (2024)
14. The Level of Knowledge About Palliative Care in Iranian Patients With Cancer, BMC Palliative Care (2022)
15. A Qualitative Exploration of Personality Factors in Breast Cancer Screening Behavior, Social Behavior and Personality (2018)
16. Nurses’ Perspectives on Breaking Bad News to Patients and Their Families: A Qualitative Content Analysis, Journal of Medical Ethics and History of Medicine (2014)
17. Symptom Disclosure Process Among Iranian Women With Self-Discovered Breast Cancer, Cancer Nursing (2021)
18. Clinical Breast Cancer Registry of Ir. Iran (Cbcr-Ir): Study Protocol and First Results, Archives of Iranian Medicine (2023)
19. Medical Record Information Disclosure Laws and Policies Among Selected Countries; a Comparative Study, Journal of Research in Medical Sciences (2010)
20. Investigating the Challenges and Barriers of Palliative Care Delivery in Iran and the World: A Systematic Review Study, Journal of Education and Health Promotion (2021)
21. Covid-19 Information Seeking Needs and Behaviour Among Citizens in Isfahan, Iran: A Qualitative Study, Health Information and Libraries Journal (2023)
22. Living Under a Cloud of Threat: The Experience of Iranian Female Caregivers With a First-Degree Relative With Breast Cancer, Psycho-Oncology (2017)
23. Iran National Cancer Control Program (Irnccp): Goals, Strategies, and Programs, Medical Journal of the Islamic Republic of Iran (2022)
24. Relationships Between Physicians' Communication Skills, the Psychological Symptoms of Cancer Patients, and Their Satisfaction With the Treatment, International Journal of Body, Mind and Culture (2024)
25. Survey of Awareness and Beliefs About Cancer (Abc) in Tehran Province, Iran, BMC Cancer (2024)
26. Futures of Gastric Cancer: The Fundamental Level of Prevention in Health Promotion Using Casual Layered Analysis, Heliyon (2024)
27. I Didn’T Want to Remember Memories of Caring, But I Can’T Help It”: A Qualitative Study of the Experiences of Bereaved Iranian Carers With Elevated Levels of Prolonged Grief Symptoms, Death Studies (2023)
28. Transition to the New Role of Caregiving for Families of Patients With Breast Cancer: A Qualitative Descriptive Exploratory Study, Supportive Care in Cancer (2016)
29. Strategies to Overcome Type 1 Diabetes-Related Social Stigma in the Iranian Society, Iranian Journal of Nursing and Midwifery Research (2014)
30. A Modified Delphi Study to Identify Strategies to Promote Health Literacy in Parents of Children With Cancer, Journal of Education and Health Promotion (2022)
31. Dissemination and Acceptance of Covid-19 Misinformation in Iran: A Qualitative Study, International Quarterly of Community Health Education (2021)
32. Challenges Related to Health Care for Iranian Women With Breast Cancer During the Covid-19 Pandemic: A Qualitative Study, Asian Journal of Social Health and Behavior (2023)
33. Assessing Awareness Level About Warning Signs of Cancer and Its Determinants in an Iranian General Population, Journal of Health, Population and Nutrition (2011)