Tehran University of Medical Sciences Journal of Medical Ethics and History of Medicine 2008-0387 10 0 2018 01 03 295 295 EN Parvaneh Abazari Assistant Professor, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran Fariba Taleghani Professor, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran Simin Hematti Associate Professor, Department of Radiotherapy and Oncology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Azadeh Malekian Researcher, Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran fariborz Mokarian Assistant Professor, Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. Sayyed Mohammad Reza Hakimian Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. Maryam Ehsani Assistant Professor, Nursing Department, Islamic Azad University Complex, Tonekabon, Iran 2017 06 21 2017 12 05 In Iran, as in many Asian and Middle Eastern countries, a significant proportion of cancer patients are never informed of their illness. One of the proposed solutions to tackle this challenge is to develop a localized protocol based on the culture and values of community members about cancer and the truth-telling phenomenon, and training of health care team members to disclose the bad news using this protocol. In the same vein, this study also introduced a localized protocol for disclosure of bad news to cancer patients, resulting from a larger mixed study (qualitative-quantitative). The implementation of the present protocol demands a team work and its stages are as follows: assessment, planning, preparation, disclosure, support and conclusion. https://jmehm.tums.ac.ir/index.php/jmehm/article/view/295 https://jmehm.tums.ac.ir/index.php/jmehm/article/download/295/167