Nurses’ experiences of undertaking fertility‐related discussions with teenagers and young adults with cancer: An interpretive phenomenological analysis

Wright, Elaine; Norton, Wendy; Geary, Martyn

doi:10.1111/jan.13804

Cited by 12 publications

(5 citation statements)

References 48 publications

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“…Lack of enough information on oncofertility resources also could also lead to poor quality discussions of fertility issues. This result is consistent with previous studies, which indicate discomfort with recommending women to stop necessary cancer treatments to undergo fertility preservation therapy (Rosenberg et al., 2017; Wright et al., 2018). Other barriers to discussions that included concerns about exacerbating negative emotions and the decision‐making capacity of young patients were also the factors that have an impact on nurses’ attitudes toward oncofertility (Nobel Murray et al., 2016).…”

Section: Discussionsupporting

confidence: 92%

Evidenced‐based practice of decision‐making process in oncofertility care among registered nurses: A qualitative study

et al. 2020

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Aim The purpose of our study was to construct the context of the nursing action/role in oncofertility care. Design Qualitative research. Methods We applied grounded theory to guide the qualitative study. Data were collected through in‐depth interviews with 12 nurses in Taipei. The data were collected from August 2018 to February 2019. Results The core theme that described the role of nurses’ decision‐making in oncofertility care focused on understanding oncofertility from the self to the other. Care roles or actions in oncofertility that involved the process of psychological cognition were divided into four dimensions: perceiving the patient's changes and needs, triggering the self's emotions, empathizing with patient's situations and introspective care roles. Nurses who had experienced the phase of empathizing with the patient's situations developed more diverse roles and had positive actions toward oncofertility care. Based on the psychological changes for oncofertility decision‐making process, implementing contextual training in oncofertility could help nurses create more positive actions in oncofertility care.

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Section: Discussionsupporting

confidence: 92%

Evidenced‐based practice of decision‐making process in oncofertility care among registered nurses: A qualitative study

et al. 2020

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“…In addition, nurses who do not participate in the discussion may not understand the needs of AYA with cancer. Studies have demonstrated several challenges, including a lack of knowledge resulting in the avoidance of discussing fertility issues [ 15 ] and few opportunities for discussing fertility preservation immediately after diagnosis [ 16 ]. Moreover, a previous report has shown that nurses were concerned about exacerbating negative emotions and the decision-making capacity of young patients [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Nurse’s perceptions of support for sexual and reproductive issues in adolescents and young adults with cancer

Tomioka

Obama²,

Okada

et al. 2022

PLoS ONE

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Adolescent and young adult (AYA) with cancer are at risk for developing sexual and reproductive problems; therefore, they have special needs. AYA with cancer treated in both pediatric and adult wards are a minority in Japan; thus, accumulating experience for supporting this unique patient population is difficult for nurses. Hence, this study aimed to clarify nurses’ perceptions on support for sexual and reproductive issues among AYA with cancer. A questionnaire survey was administered to nurses at designated cancer hospitals across Japan who had been working for at least 1 year in a department involved in the treatment or follow-up of patients aged 15–39 years. Nurses were asked regarding their perceptions on support for sexual and reproductive issues faced by AYA with cancer. A total of 865 nurses responded to this survey; nurses affiliated with adult departments, those with more experience in cancer nursing, those affiliated with cancer-related academic and professional societies, and certified nurse specialists or certified nurses significantly recognized insufficient support for sexual and reproductive issues. However, nurses were hesitant and found it difficult to intervene in such issues. Nurses recognized the importance of providing support for sexual and reproductive issues but faced difficulties in addressing them. They need to discuss these issues and improve the care provided to AYA with cancer.

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“…Unfortunately, due to cancer treatment, women may be susceptible to reduced fertility. Moreover, some women lose ovarian function temporarily, and others lose it permanently (Wright et al, 2018). Treatment of cancer usually causes longstanding fertility complications, the statistical values with estimated that about thirty to seventy-five percentage of male cancer patients and forty to eighty percent of female patients becoming infertile due to the effect of chemotherapy and radiotherapy (Miok et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

An Educational Package for Oncology Nurses Regarding Fertility Preservation among Female Cancer Patients

Mansour

Hassan

2021

Egyptian Journal of Health Care

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Background: Advances in cancer treatment are significantly affecting the survival rate of females affected with cancer. However, chemo-radiotherapy regimens have a negative impact on future fertility. Oocyte cryopreservation is one of the available methods to females to preserve their fertility. Study Aimed to evaluate the effect of educational package for oncology nurses regarding fertility preservation among female cancer patients. Subjects and Method: A quasi-experimental pre and post-test design. Purposive sampling consisted of 61 nurses selected according to the inclusion criteria. The study conducted at oncology center, Mansoura University Hospital. Tools: Self-Administered Structured Questionnaire, Nurses' knowledge regarding fertility preservation, Nurse's attitude towards Fertility Preservation and Nurses Satisfaction Scale. Results: There was statistically significant improvement in the total knowledge score regarding fertility preservation from (8.2 ±3.1) pre-intervention to (12.3 ±5.4) post-intervention with highly significant difference (P= 0.001). The total attitude score of the study sample regarding fertility preservation were improved significantly from (26.5 ±4.9) preintervention to (40.4 ±4.6) post-intervention with highly significant difference (P= 0.001). Furthermore, the majority of nurses were satisfied, their satisfaction level reach 73.8%. There was significant association between the post-intervention total knowledge and attitude level among the nurses (X 2 7.389, p=0.025). Conclusion: Educational package was effective to improve the nurses' knowledge and attitudes towards fertility preservation as a novel method to sustain future reproductive capacity in newly diagnosed cancer female patients. Recommendations: The importance of considering this novel method to sustain fertility preservation in newly diagnosed cancer female patients as one of the main items in the nursing curriculum and evolve protocols and pathways to empower timely counselling and communication between health care team and the newly diagnosed cancer patients regarding fertility preservation options. Also, the need for a multidisciplinary collaboration between oncology health team and reproductive health care providers to improve awareness and availability of future fertility preservation in newly diagnosed cancer patients.

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Nurses’ experiences of undertaking fertility‐related discussions with teenagers and young adults with cancer: An interpretive phenomenological analysis

Cited by 12 publications

References 48 publications

Evidenced‐based practice of decision‐making process in oncofertility care among registered nurses: A qualitative study

Evidenced‐based practice of decision‐making process in oncofertility care among registered nurses: A qualitative study

Nurse’s perceptions of support for sexual and reproductive issues in adolescents and young adults with cancer

An Educational Package for Oncology Nurses Regarding Fertility Preservation among Female Cancer Patients

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