Development of an Instrument to Examine Nursing Attitudes Toward Fertility Preservation in Oncology

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Abstract

Purpose/Objectives:

To develop an instrument to measure staff nurse perceptions of the barriers to and benefits of addressing fertility preservation (FP) with patients newly diagnosed with cancer.

Design:

A prospective, nonrandomized instrument development approach.

Setting:

Harold C. Simmons Comprehensive Cancer Center at the University of Texas Southwestern Medical Center in Dallas.

Sample:

224 RNs who care for patients with cancer.

Methods:

The instrument was developed with content experts and field-tested with oncology staff nurses. Responses to a web-based survey were used in exploratory factor analysis. After refining the instrument, the authors conducted a confirmatory factor analysis with 230 web-based survey responses.

Main Research Variables:

Self-perceived barriers to providing FP options to patients newly diagnosed with cancer.

Findings:

The results supported a 15-item instrument with five domains: (a) confidence, (b) self-awareness, (c) external barriers, (d) time barriers, and (e) perceived treatment barriers.

Conclusions:

This instrument can be used to explore oncology nurses' attitudes toward FP in newly diagnosed people with cancer in their reproductive years.

Implications for Nursing:

A more comprehensive understanding of attitudes and barriers related to FP will guide the building of optimal systems that support effective FP options, resources, and programs for individuals with cancer.

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