Adoption and cancer survivors: Findings from a learning activity for oncology nurses.
Adoption and cancer survivors: Findings from a learning activity for oncology nurses.
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收养和癌症幸存者：肿瘤科护士学习活动的发现。
DOI：
10.1002/cncr.29322
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发表时间：
2015
期刊：
影响因子：
6.2
通讯作者：
Vadaparampil,SusanT
中科院分区：
文献类型：
--
作者：
Quinn,GwendolynP;Zebrack,BradleyJ;Sehovic,Ivana;Bowman,MeghanL;Vadaparampil,SusanT
背景据作者所知，人们对癌症幸存者成功收养儿童的成功率或他们在有关准父母健康史的昂贵且可能具有歧视性的过程中的谈判经历知之甚少。当前的研究描述了一项学习活动的结果，在该活动中，护士联系了收养机构，以了解有关幸存者流程的更多信息，目的是帮助护士为患者提供准确的信息，以便就收养做出明智的决定。方法培训计划参与者确定了收养机构（当地、州或国际），并使用半结构化指南进行了访谈。访谈结束后，参与者对问题的回答进行了总结。作者使用定性内容分析检查了每个问题的回答。结果来自 15 个州的总共 77 名参与者（完成率为 98%）提供了总结。答复分为以下几类：收养费用、寻求收养的幸存者所需采取的步骤、寻求收养的幸存者面临的挑战、亲生父母的保留意见以及旨在提高收养意识的计划机构改革。大多数受访者表示，他们对收养和癌症的了解有所提高，幸存者面临的挑战增加，并且需要教育患者了解收养政策的现实情况。需要一封证明幸存者五年未患癌症的信函被认为是幸存者的一个重大障碍。结论护士有责任遵循实践指南，其中包括适当生殖健康转诊的建议。癌症幸存者将受益于医疗保健提供者，当患者做出有关生育和收养的决定时，他们可以提供教育和具体信息。Cancer2015；121：2993–3000。©2015 美国癌症协会。
BACKGROUNDTo the authors' knowledge, little is known regarding the rate at which cancer survivors successfully adopt a child or about their experiences negotiating a costly, and perhaps discriminatory, process regarding the prospective parent's health history. The current study describes the results of a learning activity in which nurses contacted an adoption agency to learn more about the process for survivors with the goal of helping nurses provide patients with accurate information for making a well‐informed decision regarding adoption.METHODSTraining program participants identified an adoption agency (local, state, or international) and conducted an interview using a semistructured guide. After the interview, participants created a summary of responses to the questions. The authors examined responses to each question using qualitative content analysis.RESULTSA total of 77 participants (98% completion rate) across 15 states provided a summary. Responses were distributed across the following categories: adoption costs, steps required for survivors seeking adoption, challenges for survivors seeking adoption, birth parents' reservations, and planned institutional changes to increase adoption awareness. The majority of respondents reported improving their knowledge of adoption and cancer, increased challenges for survivors, and the need to educate patients concerning the realities of adoption policies. The need for a letter stating the survivor was 5 years cancer free was identified as a significant obstacle for survivors.CONCLUSIONSNurses are charged with following practice guidelines that include recommendations for appropriate reproductive health referrals. Cancer survivors would benefit from a health care provider who can provide education and concrete information when patients are making a decision about fertility and adoption.Cancer2015;121:2993–3000.©2015 American Cancer Society.