Fertility Reproduction and Cancer Training Institute for Oncology Nursing (FRACTI

描述（由申请人提供）：不孕症和生殖健康问题是大多数癌症治疗的预期后果，包括化疗和/或放疗。虽然一些癌症治疗后可以恢复生育能力，但50-95%的癌症幸存者会出现持续不孕[2-7]。据估计，在15岁至45岁的男性和女性中，每年有5318例新的癌症被诊断出来。鉴于过去几十年来癌症治疗和生存率的改善，必须考虑到这一群体独特的生殖健康需求——从最初诊断开始，确保诊断后的最佳生活质量。在开始癌症治疗之前，育龄男性和女性（CBA）有多种选择来帮助保存或维持生育能力，如精子库和睾丸和卵巢组织冷冻[6,7,9]。尽管有证据表明患者希望获得有关未来生育能力的信息，但现有研究发现，与癌症患者讨论计划生育方案相关的推荐和实际临床实践存在很大差距[6,9 -11]。最近的数据表明，医生高度支持其医疗团队中训练有素的成员，如护士，向患者提供这些信息[13,14]。肿瘤科护士在护理癌症患者方面发挥着关键作用，与其他医疗保健提供者相比，在癌症治疗开始之前，肿瘤科护士更有可能与患者进行多次互动。因此，肿瘤科护士在与患者讨论生育和生殖健康等生活质量问题方面处于理想地位。然而，在这一内容领域，护士的正规教育项目有限。这个项目的总体目的是提高癌症幸存者的生活质量。这一目标将通过一个基于远程学习的肿瘤护理护士教育项目来实现——肿瘤护理生育、生殖和癌症培训学院（FRACTION）将包括：a)一个基于网络的10个模块培训课程（PACT）；B)持续的基于网络的交互式应用学习组件，包括参与者之间的互联网互动和讨论；C)机构准备评估和培训师咨询的机会。我们的目标是在五年内培训总共250名护理癌症患者的护士。其他传播方法将记录这一培训的影响范围，重点是创造行为和体制变革。对培训方案进行的广泛和持续的评估将不断更新课程和活动，并为在项目期间之后向护士和其他保健专业人员分发这一教育方案提供基础。

DESCRIPTION (provided by applicant): Infertility and reproductive health issues are an expected consequence of most cancer treatments that include chemotherapy and/or radiotherapy. Although fertility may be regained after some cancer treatments, sustained infertility develops in 50-95% of cancer survivors [2-7]. There are an estimated 5,318 new cancers diagnosed each year among men and women between the age of 15 and 45 [8]. Given the improvements in cancer treatment and survival that have occurred over the past several decades, the unique reproductive health needs of this group must be considered - beginning at initial diagnosis, ensuring optimal quality of life post diagnosis. There are a variety of options available prior to initiation of cancer treatment for men and women of childbearing age (CBA) to assist in preserving or maintaining fertility such as sperm banking and testicular and ovarian tissue freezing [6, 7, 9]. Despite evidence that patients want information about future fertility [5], the existing research finds large gaps between recommended and actual clinical practice related to discussion of FP options with cancer patients [6, 9-11]. Recent data suggest physicians are highly supportive of a trained member of their health care team such as the nurse, providing this information to patients [13, 14]. Oncology nurses play a key role in the care of cancer patients and compared to other health care providers, are more likely to have multiple interactions with patients prior to the initiation of cancer treatment [15]. Therefore, oncology nurses are in an ideal position to discuss quality-of-life issues such as fertility and reproductive health with patients [16]. However, there are limited formal educational programs for nurses in this content area. The overall purpose of this project is to improve the quality of life for cancer survivors. The goal will be achieved through a distance learning based educational program for nurses in the oncology care setting - The Fertility Reproduction and Cancer Training Institute for Oncology Nursing (FRACTION) will include: a) a web based 10 module training curricula [PACT]; b) an on-going web based, interactive applied learning component including internet interactions and discussions among participants; c) opportunity for assessment of institutional readiness and train the trainer consultation. We aim to train a total of 250 nurses working with cancer patients during the five years of the grant. Additional dissemination methods will document the reach of this training with a focus on creating behavioral and institutional change. An extensive and on-going evaluation of the training program will continuously update the curricula and activities and provide the basis for the distribution of this educational program to nurses and other health care professionals beyond the project period. PUBLIC HEALTH RELEVANCE: The Fertility Reproduction and Cancer Training Institute for Oncology Nursing (FRACTION) will include a) a web based 10 module training curricula; b) an on-going web based, interactive applied learning component including internet interactions and discussions among participants; c) opportunity for assessment of institutional readiness and train the trainer consultation. We aim to train a total of 250 nurses working with cancer patients.