Fertility Reproduction and Cancer Training Institute for Oncology Nursing (FRACTI

生育生殖和癌症肿瘤护理培训学院 (FRACTI

• 批准号: 8018424
• 负责人: Gwendolyn P Quinn
• 金额: $ 25.06万
• 依托单位: H. LEE MOFFITT CANCER CTR & RES INST
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-08-02 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8018424
• 关键词: Advocacy; Age; Area; Asses; Behavior; Behavioral; Cancer Patient; Cancer Survivor; Caring; Case Study; Communities; Congresses; Consultations; Data; Diagnosis; Discipline of Nursing; Distance Learning; Educational Activities; Educational Curriculum; Ensure; Evaluation; Female of child bearing age; Fertility; Freezing; Future; Goals; Grant; Health Educators; Health Personnel; Health Professional; Impact evaluation; Individual; Infertility; Institutes; Internet; Knowledge; Learning; Life; Malignant Neoplasms; Medical Care Team; Methods; Nurses; Oncologic Nursing; Oncology Nurse; Online Systems; Outcome; Ovarian Tissue; Participant; Patients; Performance; Persons; Physicians; Play; Positioning Attribute; Process; Publications; Quality of life; Radiation therapy; Readiness; Recruitment Activity; Reproduction; Reproductive Health; Research; Research Personnel; Resources; Series; Specialist; Sperm Banks; System; Testicular Tissue; Trainers Training; Training; Training Programs; Update; Woman; Work; Writing; base; cancer diagnosis; cancer therapy; chemotherapy; clinical practice; experience; improved; meetings; member; men; oncology; peer; portability; programs; satisfaction; symposium; tool; web site

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.

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（包括化疗和/或放疗）的预期后果。虽然在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的不孕症[2-7]。据估计，在15至45岁的男性和女性中，每年诊断出5，318种新的癌症[8]。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）有多种选择可用于帮助保留或维持生育能力，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[5]，但现有研究发现，与癌症患者讨论FP选项相关的推荐和实际临床实践之间存在很大差距[6，9-11]。最近的数据表明，医生非常支持他们的医疗保健团队中训练有素的成员，如护士，向患者提供这些信息[13，14]。肿瘤科护士在癌症患者的护理中发挥着关键作用，与其他医疗保健提供者相比，在开始癌症治疗之前更有可能与患者进行多次互动[15]。因此，肿瘤科护士处于与患者讨论生育和生殖健康等生活质量问题的理想位置[16]。然而，在这一内容领域，护士的正规教育计划有限。该项目的总体目的是提高癌症幸存者的生活质量。这一目标将通过为肿瘤护理环境中的护士提供的基于远程学习的教育计划-肿瘤护理生育生殖和癌症培训研究所实现（部分）将包括：a）一个基于网络的10个单元的培训课程; B）一个持续的基于网络的互动应用学习部分，包括参与者之间的互联网互动和讨论;（c）评估机构准备情况和培训培训员咨询的机会。我们的目标是在拨款的五年内培训总共250名护理癌症病人的护士。其他传播方法将记录这种培训的范围，重点是创造行为和体制变革。对培训计划的广泛和持续评估将不断更新课程和活动，并为在项目期后向护士和其他医疗保健专业人员分发该教育计划提供基础。 公共卫生关系：肿瘤护理生育生殖和癌症培训研究所（FRACTION）将包括a）基于网络的10个模块培训课程; B）基于网络的持续互动应用学习组件，包括参与者之间的互联网互动和讨论; c）评估机构准备情况和培训培训师咨询的机会。我们的目标是培训总共250名护理癌症病人的护士。