Oncology nurses' knowledge regarding fertility preservation for patients with cancer

Purpose: Cancer diagnosis and treatment affect patient fertility. Although the reproductive method has been well studied, early assessment of fertility and discussions of infertility-related issues are not very common. This study evaluated oncology nurses' knowledge regarding fertility preservation for patients with cancer. Methods: This study was conducted from March 11 to May 13, 2015 using a convenience sample of nurses who were caring for patients with cancer at a tertiary hospital in South Korea. We recruited 123 oncology nurses and used questionnaires to collect cross-sectional data regarding their knowledge about the causes of fertility impairment (Cause score), fertility preservation in general (General score), and methods of fertility preservation (Method score). Results: The mean total score of fertility preservation knowledge was 15.46±3.64, and the mean Cause, General, and Method scores were 6.28±1.86 out of 11, 5.72±1.50 out of 8, and 3.54±1.19 out of 6, respectively. Significant differences in knowledge levels were found according to nurses' marital status and total nursing experience. Nurses who assessed the issue of fertility upon the first encounter with patients and provided active nursing care had the greatest knowledge. Conclusion: Oncology nurses should have in-depth understanding of fertility preservation and must discuss the topic with patients with cancer. Nurses should also identify each patient's individual needs through continuous assessment and provide referrals to appropriate specialists both before and during treatment.