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Cancer patients' perceptions of the preparation process for early diagnosis awareness: A qualitative study
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Niloofar Oladrostam   , Mitra Khoobi * , Eesa Mohammadi |
| Tarbiat modares , m.khoobi@modares.ac.ir |
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Abstract: (258 Views) |
Background: The manner in which bad news is disclosed, such as the bad news of a cancer diagnosis, can have a profound impact on both the recipient (patient) and the giver (medical staff). Inappropriate and unstructured disclosure disrupts the patient's health and quality of life and negatively impacts subsequent interactions with health care professionals. However, what has received less attention in the literature is considering patients' perceptions and experiences of using bad news disclosure protocols among cancer patients.
Methods: The present study is a qualitative study using the conventional content analysis method that was conducted at the Cancer Institute of Imam Khomeini Hospital in Tehran during the period of April 2024 to March 2025. Data were collected through semi-structured interviews with 13 patients in the intervention group implementing the bad news disclosure protocol. Sampling was purposeful. Data analysis was performed using the Graneheim and Lundman 5-step method and managed through OpenCode software version 4.2.3.
Findings: The two main categories and four subcategories resulted from the explanation of the experiences of patients who participated in the bad news disclosure program. The first main category is strengthening self-control with two subcategories: managing psychological stress and strengthening spiritual connection, and the second main category is improving the quality of life with two subcategories: managing physical complications and returning to the flow of lif.
Conclusion: The preparation process in all three stages of bad news disclosure (before, during, and after) led to improved quality of life and better understanding and management of clinical challenges such as disease progression, treatment side effects, and clinical complications. Also, clinical settings focusing on the patient preparation process can improve the overall patient experience and increase patient satisfaction levels. This can lead to fewer complaints and improved treatment outcomes. |
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| Keywords: Nurse, Protocol, Truth-telling, Cancer Diagnosis, Qualitative Study |
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Full-Text [PDF 331 kb]
(43 Downloads)
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Type of Study: qualitative research |
Subject:
nursing
Received: 2025/07/9 | Accepted: 2025/07/25 | Published: 2025/08/1
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