Nurse Perspectives on Referrals for Oncology Patients to Reproductive Endocrinologists: Results of a Learning Activity

Abstract

Background For adolescents and young adults (AYAs) with cancer, concern about future fertility is widespread. Yet, referrals rates to reproductive endocrinologists (REI) are low. Oncology nurses are in a prime position to make these referrals but may lack the knowledge to do so. This report describes the results of a learning activity in the Educating Nurses about Reproductive Issues in Cancer Healthcare (ENRICH) program whereby oncology nurses interviewed REIs. The goal is to present how a learning activity can influence knowledge gained by oncology nurses from discussions with REIs about FP procedures, barriers, and facilitators for AYA patients Method As one of two ENRICH learning assignments, participants were instructed to conduct an interview using a semi-structured guide and create a summary of responses. We examined responses to each question using qualitative content analysis. Results Seventy-seven participants (98% assignment completion rate) across 15 states provided a summary. Learner summaries highlighted four themes related to fertility preservation (FP), including cost, time, lack of information/referrals, and learning about available options. Conclusion Oncology nurses have a unique relationship and frequent interactions with AYA patients, thus placing them in a strategic position to educate about fertility and preservation. REIs are a critical partner to ensure all AYA oncology patients have considered current and future fertility.

Impact of a web‐based reproductive health training program: ENRICH (Educating Nurses about Reproductive Issues in Cancer Healthcare)

“…Ethical, legal, and psychosocial considerations were infused throughout all modules. Each module included a web‐based lecture, course textbook readings, case studies, and interview‐based learning assignments . The communication module provided specific strategies: allow the patient to ask questions, preview the main points to be covered, communicate uncertainty, and use of a two‐sided message and the three key time points to discuss fertility preservation with patients and health care team members.…”