Impact of a web-based reproductive health training program: ENRICH (Educating Nurses about Reproductive Issues in Cancer Healthcare)
Impact of a web-based reproductive health training program: ENRICH (Educating Nurses about Reproductive Issues in Cancer Healthcare)
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DOI：
10.1002/pon.5063
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发表时间：
2019-05-01
期刊：
影响因子：
3.6
通讯作者：
Vadaparampil, Susan T.
中科院分区：
文献类型：
--
作者：
Quinn, Gwendolyn P.;Curci, Meghan Bowman;Vadaparampil, Susan T.
目的教育护士关于生殖问题的癌症保健（ENRICH）是一个基于网络的培训计划，以帮助肿瘤科护士及时沟通和有关生殖健康问题（如，不孕症的风险，生育保护，性健康）的青少年和年轻成人（AYA）患者和幸存者。这份手稿描述了对知识，感知沟通技巧和实践行为的影响。方法八个模块的课程纳入了教学内容和互动应用学习组件以下生殖健康主题：概述，男性，女性，家庭建设的选择，儿科，性健康，沟通和实际应用。一个14个问题的前测和后测管理，以评估知识的变化。此外，参与者还接受了一项针对沟通技巧和实践行为的后续调查。结果经过3年的培训，233名护士完成了培训。前后测总分的平均值显著增加（P <0.001）。根据10分制，护士将其关于不孕风险的沟通技能评定为男性7.5分，女性7.4分。一半的参与者指出，他们经常或总是讨论不孕症的风险和生育能力的保留选择。三分之二的人表示他们将患者转诊给生殖专家，大多数人（72%）表示他们记录了这些转诊。结论ENRICH是一种成功的干预措施，肿瘤科护士照顾AYA患者和幸存者，增加知识，沟通技巧，生殖健康的讨论频率。
Objective Educating Nurses about Reproductive Issues in Cancer Healthcare (ENRICH) is a web-based training program to assist oncology nurses with timely communication and relevant information regarding reproductive health issues (eg, risk of infertility, fertility preservation, and sexual health) to adolescent and young adult (AYA) patients and survivors. This manuscript describes impact on knowledge, perceived communication skills, and practice behaviors. Methods The eight-module course incorporated didactic content and an interactive applied learning component on the following reproductive health topics: overview, men, women, family building options, pediatrics, sexual health, communication, and practical applications. A 14-question pretest and posttest was administered to assess changes in knowledge. Additionally, participants received a follow-up survey addressing communication skills and practice behaviors. Results Over a 3-year period, 233 nurses completed the training. The mean pretest to posttest total score increased significantly (P < .001). Nurses rated their communication skills regarding risk of infertility with males as 7.5 and females as 7.4, based on a 10-point scale. Half of participants noted that they often or always discuss risk of infertility and fertility preservation options. Two-thirds indicated they refer patients to reproductive specialists, and majority (72%) indicated they document those referrals. Conclusions ENRICH is a successful intervention for oncology nurses caring for AYA patients and survivors by increasing knowledge, communication skills, and frequency of discussion of reproductive health.