Effects of naturalistic decision-making model-based oncofertility care education for nurses and patients with breast cancer: a cluster randomized controlled trial

Sheng-Miauh Huang, Ling-Ming Tseng, Pei-Ju Lien, Sheng-Miauh Huang, Ling-Ming Tseng, Pei-Ju Lien

Abstract

Purpose: This study examined the effects of an oncofertility education program on decisional conflict in nurses and patients with breast cancer.

Methods: A cluster randomized controlled trial was conducted with 84 nurses of five breast care units. Three units were randomly selected from the five as the nurse experimental group. Nurses at the experimental group accepted the oncofertility education based on the naturalistic decision-making (NDM) model, while those at the control group accepted the other non-oncofertility education. We also collected data from female patients before and after the nurses' educational training, respectively. The decisional conflict was measured using the Chinese version of the decisional conflict scale.

Results: Nurses in the experimental group had less decisional conflict after the oncofertility educational intervention than those in the control group. After the intervention, nurses with higher infertility knowledge scores had significantly lower decisional conflict. Single nurses had significantly higher decisional conflict than married nurses. A higher perceived barrier score was significantly associated with a higher decisional conflict score. Among patients with the same fertility intention scores, those in the experimental group had lower decisional conflict scores than those in the control group.

Conclusions: Our work demonstrates that NDM-based oncofertility care education is feasible and acceptable to improve nurse and patient decisional conflict. Educational training based on the NDM model decreased the decisional conflict regarding oncofertility care.

Clinicaltrials: gov Identifier: NCT04600869.

Keywords: Breast cancer; Decisional conflict; Education; Nurse; Oncofertility.

Conflict of interest statement

The authors declare no competing interests.

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Figures

Fig. 1
Fig. 1
Flow chart of nursing participants and patients selection

References

    1. Kim H, Kim SK, Lee JR, Hwang KJ, Suh CS, Kim SH. Fertility preservation for patients with breast cancer: the Korean Society for Fertility Preservation clinical guidelines. Clin Exp Reprod Med. 2017;44(4):181–186. doi: 10.5653/cerm.2017.44.4.181.
    1. Oktay K, Harvey BE, Loren AW. Fertility preservation in patients with cancer: ASCO Clinical Practice Guideline Update Summary. J Oncol Pract. 2018;14(6):381–385. doi: 10.1200/JOP.18.00160.
    1. Takai Y. Recent advances in oncofertility care worldwide and in Japan. Reprod Med Biol. 2018;17(4):356–368. doi: 10.1002/rmb2.12214.
    1. Speller B, Sissons A, Daly C, Facey M, Kennedy E, Metcalfe K, Baxter NN. An evaluation of oncofertility decision support resources among breast cancer patients and health care providers. BMC Health Serv Res. 2019;19(1):101. doi: 10.1186/s12913-019-3901-z.
    1. Keim-Malpass J, Fitzhugh HS, Smith LP, Smith RP, Erickson J, Douvas MG, Thomas T, Petroni G, Duska L. What is the role of the oncology nurse in fertility preservation counseling and education for young patients? J Cancer Educ. 2018;33(6):1301–1305. doi: 10.1007/s13187-017-1247-y.
    1. Nibbelink CW, Brewer BB. Decision-making in nursing practice: an integrative literature review. J Clin Nurs. 2018;27(5–6):917–928. doi: 10.1111/jocn.14151.
    1. Nibbelink CW, Reed PG. Deriving the practice-primed decision model from a Naturalistic decision-making perspective for acute care nursing research. Appl Nurs Res. 2019;46:20–23. doi: 10.1016/j.apnr.2019.01.003.
    1. Kydonaki K, Huby G, Tocher J, Aitken LM. Understanding nurses’ decision-making when managing weaning from mechanical ventilation: a study of novice and experienced critical care nurses in Scotland and Greece. J Clin Nurs. 2016;25(3–4):434–444. doi: 10.1111/jocn.13070.
    1. Endsley MR. The role of situation awareness in naturalistic decision making. In: Zsambok CE, Klein G, editors. Naturalistic decision making. Hillsdale, NJ: Lawrence Erlbaum Associates; 1997. pp. 269–283.
    1. Goossens J, Delbaere I, Van Lancker A, Beeckman D, Verhaeghe S, Van Hecke A. Cancer patients’ and professional caregivers’ needs, preferences and factors associated with receiving and providing fertility-related information: a mixed-methods systematic review. Int J Nurs Stud. 2014;51(2):300–319. doi: 10.1016/j.ijnurstu.2013.06.015.
    1. van den Berg M, Baysal Ö, Nelen WLDM, Braat DDM, Beerendonk CCM, Hermens RPMG. Professionals’ barriers in female oncofertility care and strategies for improvement. Hum Reprod. 2019;34(6):1074–1082. doi: 10.1093/humrep/dez062.
    1. Zwingerman R, Melenchuk K, McMahon E, Liu KE, Siren A, Laferriere N, Greenblatt EM. Expanding urgent oncofertility services for reproductive age women remote from a tertiary level fertility centre by use of telemedicine and an on-site nurse navigator. J Cancer Educ. 2020;35(3):515–521. doi: 10.1007/s13187-019-01490-w.
    1. Quinn GP, Bowman Curci M, Reich RR, Gwede CK, Meade CD; ENRICH/ECHO Working Group, Vadaparampil ST (2019) Impact of a web-based reproductive health training program: ENRICH (Educating Nurses about Reproductive Issues in Cancer Healthcare) Psychooncology 28 5 1096 1101
    1. Rodrigo O, Caïs J, Monforte-Royo C (2017) Professional responsibility and decision-making in the context of a disease-focused model of nursing care: the difficulties experienced by Spanish nurses. Nurs Inq 24(4):10.1111/nin.12202.
    1. Klein G. Twenty questions: suggestions for research in naturalistic decision making. In: Klein GA, Orasanu J, Calderwood R, Zsambok CE, editors. Decision-making in action: models and methods. Norwood, NJ: Ablex Publishing Corporation; 1993. pp. 389–403.
    1. Kordi M, Riyazi S, Lotfalizade M, Shakeri MT, Suny HJ. A comparison of face to face and group education on informed choice and decisional conflict of pregnant women about screening tests of fetal abnormalities. J Educ Health Promot. 2018;7:6. doi: 10.4103/jehp.jehp_106_15.
    1. Lam WW, Kwok M, Liao Q, Chan M, Or A, Kwong A, Suen D, Fielding R. Psychometric assessment of the Chinese version of the decisional conflict scale in Chinese women making decision for breast cancer surgery. Health Expect. 2015;18(2):210–220. doi: 10.1111/hex.12021.
    1. Huang SM, Lai JCY, Li CC, Chen PH, Lien PJ, Lien CT. Development and validity testing of an assessment tool for the oncofertility barriers among multidisciplinary healthcare providers of the breast cancer patients. J Nurs Res. 2022;30(2):e195. doi: 10.1097/jnr.0000000000000479.
    1. Huang SM, Tseng LM, Lai JC, Lien PJ, Chen PH. Infertility-related knowledge in childbearing-age women with breast cancer after chemotherapy. Int J Nurs Pract. 2019;25(5):e12765. doi: 10.1111/ijn.12765.
    1. Li CC, Huang SM, Lai JC, Hsiung Y, Chen YH, Lee CF. Development and validation of a fertility intention scale in breast cancer survivors. J Nurs Res. 2018;26(3):177–184. doi: 10.1097/jnr.0000000000000223.
    1. Hammond KR, Kelly KJ, Schneider RJ, Vancini M. Clinical inference in nursing: revising judgments. Nurs Res. 1967;16(1):38–45. doi: 10.1097/00006199-196701610-00008.
    1. Hammond KR. How convergence of research paradigms can improve research on diagnostic judgment. Med Decis Making. 1996;16(3):281–287. doi: 10.1177/0272989X9601600313.
    1. Klein G, Calderwood R, Clinton-Cirocco A. Rapid decision making on the fire ground: the original study plus a postscript. J Cogn Eng Decis Mak. 2010;4(3):186–209. doi: 10.1518/155534310X12844000801203.
    1. Bucknall TK. Critical care nurses’ decision-making activities in the natural clinical setting. J Clin Nurs. 2000;9(1):25–35. doi: 10.1046/j.1365-2702.2000.00333.x.
    1. Covelli A, Facey M, Kennedy E, Brezden-Masley C, Gupta AA, Greenblatt E, Baxter NN. Clinicians’ perspectives on barriers to discussing infertility and fertility preservation with young women with cancer. JAMA Netw Open. 2019;2(11):e1914511. doi: 10.1001/jamanetworkopen.2019.14511.

Source: PubMed

Sponsors en medewerkers

Medische omstandigheden

Geneesmiddelinterventies

3
Abonneren