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Abazari P, Taleghani F, Hematti S, et al. Breaking bad news protocol for cancer disclosure: an Iranian version. J Med Ethics Hist Med. 2017;10:13
Abazari, P., Taleghani, F., Hematti, S., Malekian, A., Mokarian, F., Hakimian, S. M. R., & Ehsani, M. (2017). Breaking bad news protocol for cancer disclosure: an Iranian version. Journal of medical ethics and history of medicine, 1013.
Abazari, Parvaneh, et al. "Breaking bad news protocol for cancer disclosure: an Iranian version." Journal of medical ethics and history of medicine vol. 10 (2017): 13.
Abazari P, Taleghani F, Hematti S, Malekian A, Mokarian F, Hakimian SMR, Ehsani M. Breaking bad news protocol for cancer disclosure: an Iranian version. J Med Ethics Hist Med. 2017 Dec 19;10:13. eCollection 2017. PMID: 30275940; PMCID: PMC6164186.
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J Med Ethics Hist Med. 2017 Dec 19;10:13. eCollection 2017.

Breaking bad news protocol for cancer disclosure: an Iranian version.

Journal of medical ethics and history of medicine

Parvaneh Abazari, Fariba Taleghani, Simin Hematti, Azadeh Malekian, Fariborz Mokarian, Sayyed Mohammad Reza Hakimian, Maryam Ehsani

Affiliations

  1. Assistant Professor, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
  2. Professor, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
  3. Associate Professor, Department of Radiotherapy and Oncology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
  4. Researcher, Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
  5. Assistant Professor, Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
  6. Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
  7. Assistant Professor, Nursing Department, Islamic Azad University Complex, Tonekabon, Iran.

PMID: 30275940 PMCID: PMC6164186

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.

Keywords: Breaking bad news; Cancer disclosure; Iranian version; Protocol

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