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Patient Educ Couns. 2016 Nov;99(11):1907-1910. doi: 10.1016/j.pec.2016.05.013. Epub 2016 May 17.

ENRICH: A promising oncology nurse training program to implement ASCO clinical practice guidelines on fertility for AYA cancer patients.

Author information

1
Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States; Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, Tampa, FL 33612, United States. Electronic address: susan.vadaparampil@moffitt.org.
2
Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States. Electronic address: clement.gwede@moffitt.org.
3
Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States. Electronic address: cathy.meade@moffitt.org.
4
Memorial Sloan Kettering Cancer Center, 1275 York Ave, NY, NY 10065, United States. Electronic address: kelvinj@MSKCC.ORG.
5
Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States; College of Arts and Sciences, University of South Florida Sarasota-Manatee, 8350 N Tamiami Trail, Sarasota, FL 34243, United States. Electronic address: richie.reich@moffitt.org.
6
Alliance for Fertility Preservation, Lafayette, CA, United States. Electronic address: joyce@allianceforfertilitypreservation.org.
7
Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States. Electronic address: meghan.bowman@moffitt.org.
8
Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States. Electronic address: Ivana.sehovic@moffitt.org.
9
Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States; Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, Tampa, FL 33612, United States. Electronic address: gwen.quinn@moffitt.org.

Abstract

OBJECTIVE:

We describe the impact of ENRICH (Educating Nurses about Reproductive Issues in Cancer Healthcare), a web-based communication-skill-building curriculum for oncology nurses regarding AYA fertility and other reproductive health issues.

METHODS:

Participants completed an 8-week course that incorporated didactic content, case studies, and interactive learning. Each learner completed a pre- and post-test assessing knowledge and a 6-month follow-up survey assessing learner behaviors and institutional changes.

RESULTS:

Out of 77 participants, the majority (72%) scored higher on the post-test. Fifty-four participants completed the follow-up survey: 41% reviewed current institutional practices, 20% formed a committee, and 37% gathered patient materials or financial resources (22%). Participants also reported new policies (30%), in-service education (37%), new patient education materials (26%), a patient navigator role (28%), and workplace collaborations with reproductive specialists (46%).

CONCLUSION:

ENRICH improved nurses' knowledge and involvement in activities addressing fertility needs of oncology patients. Our study provides a readily accessible model to prepare oncology nurses to integrate American Society of Clinical Oncology guidelines and improve Quality Oncology Practice Initiative measures related to fertility.

PRACTICE IMPLICATIONS:

Nurses will be better prepared to discuss important survivorship issues related to fertility and reproductive health, leading to improved quality of life outcomes for AYAs.

KEYWORDS:

AYA; Fertility; Fertility preservation; Nurses; Oncology; QOPI; Quality of life; Reproductive health; Training

PMID:
27241831
PMCID:
PMC5069115
DOI:
10.1016/j.pec.2016.05.013
[Indexed for MEDLINE]
Free PMC Article

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