title: ENRICH: A promising oncology nurse training program to implement ASCO clinical practice guidelines on fertility for AYA cancer patients.
abstract: We describe the impact of ENRICH (Educating Nurses about Reproductive Issues in Cancer Healthcare), a web-based communication-skill-building curriculum for oncology nurses regarding AYA fertility and other reproductive health issues.
  
  
  
  Participants completed an 8-week course that incorporated didactic content, case studies, and interactive learning. Each learner completed a pre- and post-test assessing knowledge and a 6-month follow-up survey assessing learner behaviors and institutional changes.
  
  
  
  Out of 77 participants, the majority (72%) scored higher on the post-test. Fifty-four participants completed the follow-up survey: 41% reviewed current institutional practices, 20% formed a committee, and 37% gathered patient materials or financial resources (22%). Participants also reported new policies (30%), in-service education (37%), new patient education materials (26%), a patient navigator role (28%), and workplace collaborations with reproductive specialists (46%).
  
  
  
  ENRICH improved nurses' knowledge and involvement in activities addressing fertility needs of oncology patients. Our study provides a readily accessible model to prepare oncology nurses to integrate American Society of Clinical Oncology guidelines and improve Quality Oncology Practice Initiative measures related to fertility.
  
  
  
  Nurses will be better prepared to discuss important survivorship issues related to fertility and reproductive health, leading to improved quality of life outcomes for AYAs.
authors.affiliation: Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States; Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, Tampa, FL 33612, United States. Electronic address: susan.vadaparampil@moffitt.org.
authors.forename: Susan T
authors.initials: ST
authors.lastname: Vadaparampil
authors.affiliation: Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States. Electronic address: clement.gwede@moffitt.org.
authors.forename: Clement K
authors.initials: CK
authors.lastname: Gwede
authors.affiliation: Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States. Electronic address: cathy.meade@moffitt.org.
authors.forename: Cathy
authors.initials: C
authors.lastname: Meade
authors.affiliation: Memorial Sloan Kettering Cancer Center, 1275 York Ave, NY, NY 10065, United States. Electronic address: kelvinj@MSKCC.ORG.
authors.forename: Joanne
authors.initials: J
authors.lastname: Kelvin
authors.affiliation: Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States; College of Arts and Sciences, University of South Florida Sarasota-Manatee, 8350 N Tamiami Trail, Sarasota, FL 34243, United States. Electronic address: richie.reich@moffitt.org.
authors.forename: Richard R
authors.initials: RR
authors.lastname: Reich
authors.affiliation: Alliance for Fertility Preservation, Lafayette, CA, United States. Electronic address: joyce@allianceforfertilitypreservation.org.
authors.forename: Joyce
authors.initials: J
authors.lastname: Reinecke
authors.affiliation: Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States. Electronic address: meghan.bowman@moffitt.org.
authors.forename: Meghan
authors.initials: M
authors.lastname: Bowman
authors.affiliation: Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States. Electronic address: Ivana.sehovic@moffitt.org.
authors.forename: Ivana
authors.initials: I
authors.lastname: Sehovic
authors.affiliation: Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States; Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, Tampa, FL 33612, United States. Electronic address: gwen.quinn@moffitt.org.
authors.forename: Gwendolyn P
authors.initials: GP
authors.lastname: Quinn
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D005260:Female; D059247:Fertility Preservation; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007246:Infertility / Q000517:prevention & control; D008297:Male; D009369:Neoplasms / Q000150:complications / Q000628:therapy; D009726:Nurses / Q000523:psychology*; D009741:Nursing Staff, Hospital / Q000193:education* / Q000523:psychology; D009859:Oncology Nursing / Q000193:education*; D017410:Practice Guidelines as Topic; D011788:Quality of Life; D060728:Reproductive Health
keywords: AYA; Fertility; Fertility preservation; Nurses; Oncology; QOPI; Quality of life; Reproductive health; Training