Sharing news of a XXXX diagnosis with adult family members and friends: a qualitative study to inform a supportive intervention.

@entity1 @entity2 @entity5
OBJECTIVE: Extensive research exists on breaking bad news by clinicians. This study examines perspectives of @entity1 and those accompanying them at diagnosis-giving of subsequently sharing news of @entity2 with adult family/friends, and views of healthcare professionals, to inform development of a supportive intervention. METHODS: Qualitative interviews with 20 @entity1 , 17 accompanying @entity1 ; focus groups and interviews with 27 healthcare professionals from four Thoracic Oncology Units. Intervention development workshops with 24 healthcare professionals and six service users with experience of sharing a @entity5 diagnosis. Framework thematic analysis. RESULTS: @entity1 and accompanying @entity1 shared news of @entity2 whilst coming to terms with the diagnosis. They recalled general support from healthcare professionals but not support with sharing bad news. Six elements were identified providing a framework for a potential intervention: 1- @entity1 to be told, 2-information to be shared, 3-timing of sharing, 4-responsibility for sharing, 5-methods of telling others and 6-reactions of those told. CONCLUSION: This study identifies the challenge of sharing bad news and a potential framework to guide delivery of a supportive intervention tailored to individual needs of @entity1 . PRACTICE IMPLICATIONS: The identified framework could extend the portfolio of guidance on communication in @entity5 and potentially in other life-limiting conditions.
