Crespi C, Adams L, Gray TF, Azizoddin DR. An Integrative Review of the Role of Nurses in Fertility Preservation for Adolescents and Young Adults With Cancer.
Oncol Nurs Forum 2021;
48:491-505. [PMID:
34411081 DOI:
10.1188/21.onf.491-505]
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Abstract
PROBLEM IDENTIFICATION
Adolescents and young adults (AYAs) with cancer commonly report future fertility as an important issue in care. Despite long-standing guidelines on fertility counseling and the trusting relationship between nurses and patients, little is known about the nurse's role in fertility preservation (FP) for AYAs with cancer.
LITERATURE SEARCH
The authors conducted a literature search of articles published through 2020 focused on nursing involvement in FP for AYAs with cancer.
DATA EVALUATION
85 studies were identified. In total, 11 articles met inclusion criteria and were critically appraised in the review.
SYNTHESIS
Although well positioned to improve FP care among AYAs with cancer, nurses currently have a minimal role because of provider, institutional, and patient-related barriers.
IMPLICATIONS FOR PRACTICE
Interventions to enhance nurses' knowledge about FP, improvements in electronic health record documentation, and facilitation of institutional support are needed to support the nurse's role in FP for AYAs with cancer.
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