The Impact of Educational Package on Nursing Students' Knowledge towards Fertility Preservation, a Quasi-Experimental Study
Background: Recent advances in diagnosis and treatment of cancers have resulted in survival improvement in young patients with cancer. Given the side effects of cancer treatments on the function of the reproductive system, health care providers need to be educated about the side effects of cancer treatment and fertility preservation. The aim of this study was to explore the effect of education on nursing students' knowledge towards fertility preservation methods in patients with cancer.
Methodology: This was a quasi-experimental one-group pre-test post-test research study that was carried out by the nursing faculty at Islamic Azad University of Tonekabon in 2018. Data was collected through a two-part questionnaire, including demographic characteristics and 32 questions about the knowledge of fertility preservation in patients with cancer. The study intervention was an educational package which includes 8 sessions of small group education, planning questions, and a booklet. Students were asked to complete the questionnaire before starting an educational session and again two weeks after the last session.
Results: The difference in the mean score of the nursing students’ knowledge before and after the educational package intervention was significant (P= 0.0001). Also, the knowledge rank of nursing students after the intervention was significantly better than before (P = 0.0001). There was a significant difference between the mean score of knowledge based on gender (0.0001), marital status (0.0001) and residency (0.0001).
Conclusion: In conclusion, educational intervention towards fertility preservation had a positive effect on nursing students’ knowledge. Therefore, the importance of considering this new approach to fertility preservation in patients with cancer should be considered in the nursing curriculum as they consider as the main resource of the medical information to the patients
Green DM KT, Stovall M, Leisenring W, Sklar CA, Mertens AC, Donaldson SS, Byrne J, Robison LL. Fertility of male survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. Journal of Clinical Oncology. 2010 28(2):332.
Amidi F, Rashidi Z, Khosravizadeh Z, Khodamoradi K, Talebi A, Navid S, et al. Antioxidant effects of quercetin in freeze-thawing process of mouse spermatogonial stem cells. Asian Pacific Journal of Reproduction. 2019;8(1):7.
Ajala T RJ, Larsen-Disney P, Howell R. Fertility preservation for cancer patients: a review. Obstetrics and gynecology international. 2010;2010.
Duffy CM AS, Clark MA. Discussions regarding reproductive health for young women with breast cancer undergoing chemotherapy. Journal of Clinical Oncology. 2005;23(4):766-73.
Hickey M PM, Saunders CM, Friedlander M. Breast cancer in young women and its impact on reproductive function. Human reproduction update. 2009 15(3):323-39.
Schover LR BK, Lichtin A, Lipshultz LI, Jeha S. Knowledge and experience regarding cancer, infertility, and sperm banking in younger male survivors. Journal of clinical oncology. 2002;20 (7):1880-9.
Flink DM SJ, Kondapalli LA. A review of the oncology patient's challenges for utilizing fertility preservation services. Journal of adolescent and young adult oncology. 2017;6(1):31-44.
Lee SJ SL, Partridge AH, Patrizio P, Wallace WH, Hagerty K, Beck LN, Brennan LV, Oktay K. American Society of Clinical Oncology recommendations on fertility preservation in cancer patients. J Clin Oncol. 2006;24(18):2917-31.
Technology TPCotASfRMatSfAR. Mature oocyte cryopreservation: a guideline. Fertility Sterility. 2012;99(1):37-43.
Picton HM WC, Anderson RA, Goossens E, Jahnukainen K, Kliesch S, Mitchell RT, Pennings G, Rives N, Tournaye H, van Pelt AM. A European perspective on testicular tissue cryopreservation for fertility preservation in prepubertal and adolescent boys. Human reproduction. 2015;30(11):2463-75.
Jensen JR MD, Coddington III CC. Fertility preservation. Mayo Clin Proc
Anderson RA WA, Spoudeas HA, Douglas C, Shalet SM, Levitt G, Wallace WH. Do doctors discuss fertility issues before they treat young patients with cancer? Human reproduction. 2008;23(10):2246-51.
KhodaMoradi K, Amira liAkbari S, Jalali S, Mobini N. A Survey on knowledge of baccalaureate and master degree nursing students of patient rights. Medical Ethics Journal. 2010;4(12):133-48.
Cope D. Patients’ and physicians’ experiences with sperm banking and infertility issues related to cancer treatment. Clin J Oncol Nurs. 2002;6(5):293-309.
Quinn GP VS, Gwede CK, Miree C, King LM, Clayton HB, Wilson C, Munster P. Discussion of fertility preservation with newly diagnosed patients: oncologists’ views. Journal of cancer survivorship. 2007;1(2):146-55.
Reebals JF BR, Buckner EB. Nurse practice issues regarding sperm banking in adolescent male cancer patients. Journal of Pediatric Oncology Nursing. 2006 23(4):182-8.
Khodamoradi K, Seyed Zakerin M, Shahabi M, Yaghmaie F, Alavi Majd H. Comparing critical thinking skills of first- and last-term baccalaureate students of nursing, midwifery and occupational therapy of medical Universities of Tehran city. MEDICAL SCIENCES JOURNAL. 2011;21(2):134-40.
KHODA MODARDI K, SAEID ALZAKERIN M, ALAVI MAJD H, YAGHMAEI F, SHAHABI M, . TRANSLATION AND PSYCHOMETRIC PROPERTIES OF CALIFORNIA CRITICAL THINKING SKILLS TEST (FORM B). FACULTY OF NURSING OF MIDWIFERY QUARTERLY 2007;16(55):12- 9.
Medicine ECotASfR. Fertility preservation and reproduction in cancer patients. Fertility and sterility. 2005 83(6):1622-8.
Chehin MB BT, Serafini PC, Motta EL. Knowledge regarding fertility preservation in cancer patients: a population-based survey among Brazilian people during the Pink October awareness event. JBRA assisted reproduction. 2017;21(2):84.
Canada AL SL. Research promoting better patient education on reproductive health after cancer. JNCI Monographs. 2005 2005(34):98-100.
Tam S PN, Stephens D, Mitchell L, Giuliani M, Papadakos J, Gupta AA. . Improving Access to Standardized Fertility Preservation Information for Older Adolescents and Young Adults with Cancer: Using a User-Centered Approach with Young Adult Patients, Survivors, and Partners to Refine Fertility Knowledge Transfer. Journal of Cancer Education. 2018;33(3):528-35.
Mahesan AM. SS, Ramadan H, Bocca S, Paul AB, Stadtmauer L. Knowledge and attitudes regarding elective oocyte cryopreservation in undergraduate and medical students. Fertility research and practice. 2019;5(1):5.
Yu L PB, Inhorn MC, Boehm JK, Patrizio P. Knowledge, attitudes, and intentions toward fertility awareness and oocyte cryopreservation among obstetrics and gynecology resident physicians. Human reproduction. 2015;31(2):403-11.
Adams E HE, Watson E. Fertility preservation in cancer survivors: a national survey of oncologists’ current knowledge, practice and attitudes. British journal of cancer. 2013;108(8):1602.
Rabah DM WI, Merdawy A, Abourafe B, Arafa MA. Oncologists’ knowledge and practice towards sperm cryopreservation in Arabic communities. Journal of Cancer Survivorship. 2010;4(3):279-83.
Zapzalka DM RJ, Pryor JL. A survey of oncologists regarding sperm cryopreservation and assisted reproductive techniques for male cancer patients. Cancer: Interdisciplinary International Journal of the American Cancer Society. 1999;86(9):1812-7.
Allen C KD, Harrison RF. A survey of Irish consultants regarding awareness of sperm freezing and assisted reproduction. Irish medical journal. 2003 96(1):23-5.
Goodwin T EOB, Kiernan M, Hudson MM, Dahl GV. Attitudes and practices of pediatric oncology providers regarding fertility issues. Pediatric blood & cancer. 2007;48 (1):80-5.
Achille MA RZ, Robitaille R, Lebel S, Gouin JP, Bultz BD, TK Chan P. Facilitators and obstacles to sperm banking in young men receiving gonadotoxic chemotherapy for cancer: the perspective of survivors and health care professionals. Human reproduction. 2006;21(12):3206-16.
King L QG, Vadaparampil ST, Gwede CK, Miree CA, Wilson C, Clayton H, Perrin K Oncology nurses' perceptions of barriers to discussion of fertility preservation with patients with cancer. Clinical Journal of Oncology Nursing. 2008;12(3).
Heath JA SC. Fertility preservation in children newly diagnosed with cancer: existing standards of practice in Australia and New Zealand. Medical journal of Australia. 2006 185(10):538-41.
Schover LR RL, Martin BA, Bringelsen KA. Having children after cancer: a pilot survey of survivors' attitudes and experiences. Cancer. 1999;86(4):697-709.
Chung JP LT, Li TC. Evaluation of the awareness of, attitude to, and knowledge about fertility preservation in cancer patients among clinical practitioners in Hong Kong. Hong Kong Med J. 2017;23(6):556-61.
Jokar F HF. Nursing clinical education, the challenges facing: A Review Article. Iranian Journal of Medical Education. 2011;10(5):1153-60.
Kearney N MM, Paul J, Smith K, Rice AM. Oncology health care professionals’ attitudes to cancer: a professional concern. Annals of Oncology. 2003 14(1):57-61.
KHODAMORADI K, AMIR ALIAKBARI S, JALALI S, MOBINI N. EXPLORING THE EXTENT OF AWARENESS OF BS AND MS STUDENTS IN NURSING DISCIPLINE OF THE PATIENTS’RIGHTS. MEDICAL LAW. 2011;5(17):173-88.
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