Guidance for breaking bad news should encompass the whole process of doing this and acknowledge the challenges nurses face in the inpatient clinical area. Developments in education and support are required that reflect the challenges that nurses encounter in the inpatient care setting.

Learning practice of a breaking bad news exercise among nursing student presents a challenge. The aim of this study was to explored the nursing students to see the repeated their experience in giving nursing care on the patient and family. Analysis of nursing student learning practice may lead to improve their competency in breaking bad news. A purposive sampling with homogeneity category of 18 nursing students complete their experience through short writing during their learning practice in nursing diploma education. The qualitative data was explored by thematic content analysis method using NVivo. Three main learning practice themes were identified from the data of the nursing students through a reflecting emotions. The following themes emerged: preparation, communication and support. These themes reflected how learning practice of the nursing students when they applied breaking bad news exercise. Knowing the exercise is very important for successful a breaking bad news for nursing student.

BackgroundMalignant pleural mesothelioma (MPM) is an aggressive cancer linked to asbestos exposure and inhalation. As with other cancers, receiving a diagnosis of MPM is challenging and distressing. Particular challenges are associated with communicating a diagnosis of MPM, including explaining the disease and its prognosis, treatment options and legal and financial implications. Receiving A Diagnosis Of Mesothelioma (RADIO Meso) aimed to understand the experience of communicating a diagnosis of MPM from the perspective of patients, family carers and health professionals.MethodsThis qualitative study comprised 31 individual interviews with patients, family carers and health professionals. This was followed by two group interviews (n=42) and an electronic consultation exercise (n=39).ResultsThis study provides unique insight into the mesothelioma diagnostic experience of patients, family carers and health professionals. Key findings include the importance of regarding diagnosis as a process, and provision of continuity and consistency. The clinical nurse specialist and effective multidisciplinary team working provided vital contributions to successful mesothelioma diagnostic communication. Facilitators to diagnostic communication included honesty and timeliness in communication, partnership working and maintaining a patient-centred approach. Challenges to enhancing mesothelioma diagnosis communication included accessing ongoing training, ensuring a suitable clinical environment and being able to allocate appropriate time.ConclusionThe RADIO Meso study highlights factors that influence the communication of a diagnosis of MPM from the perspectives of individual patients and family carers. These findings provide the basis for a set of recommendations that can be used by health professionals to improve the MPM diagnostic experience.