Barriers to and Facilitators of Shared Decision‐Making Implementation in Fertility Preservation for Patients With Cancer: A Qualitative Study.
Introduction: To identify the barriers and facilitators in the implementation of fertility preservation (FP) shared decision‐making (SDM) in oncology care. Design: Qualitative descriptive study. Methods: Qualitative interviews with 16 female patients with cancer and seven healthcare providers were c...
| Publicado en: | Journal of Nursing Scholarship Vol. 57; no. 6; pp. 891 - 906 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189333823&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189333823 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15276546 6QP jtl: Journal of Nursing Scholarship issn: 15276546 maglogo: Y pubinfo: dt: Nov2025 vid: 57 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 189333823 187880777 189333823 189333823 10.1111/jnu.70014 189333823 ppf: 891 ppct: 15 formats: tig: atl: Barriers to and Facilitators of Shared Decision‐Making Implementation in Fertility Preservation for Patients With Cancer: A Qualitative Study. aug: au: Han, Jeehee Son, Youn‐Jung Jang, Mina Cho, Eunji Ahn, Jeonghee affil: Red Cross College of Nursing, Chung‐Ang University, Seoul, Korea sug: subj: Oncologic Care Cancer Patients Fertility Preservation Decision Making, Shared Program Implementation Patient Attitudes Evaluation Attitude of Health Personnel Evaluation Human Funding Source Female Adolescence Adult Middle Age Qualitative Studies Descriptive Research Purposive Sample Semi-Structured Interview Content Analysis Implementation Science Conceptual Framework Diffusion of Innovation Health Services Accessibility Interprofessional Relations Collaboration Quality Improvement Professional Knowledge Health Knowledge Support, Social Financial Support Patient Education Communication Skills Data Analysis Software Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female ab: Introduction: To identify the barriers and facilitators in the implementation of fertility preservation (FP) shared decision‐making (SDM) in oncology care. Design: Qualitative descriptive study. Methods: Qualitative interviews with 16 female patients with cancer and seven healthcare providers were conducted between July 2022 and April 2024. Data were analyzed using directed content analysis, guided by the implementation science framework. Results: We identified 22 categories comprising 38 codes as barriers to SDM implementation and 17 categories comprising 26 codes as facilitators. Findings revealed that, at the innovation level, accessibility, feasibility, interdisciplinary collaboration, and quality improvement efforts were decisive in the implementation of FP SDM. At the individual level, healthcare providers' awareness and attitudes towards FP and SDM, as well as patients' knowledge, attitudes, and capabilities in FP SDM, were crucial factors in the implementation of FP SDM. In social, economic, and organizational contexts, support from significant others, social awareness about FP, multidisciplinary care, financial assistance, and educational resources were determinants in implementing FP SDM. Conclusion: Implementing FP SDM among female patients with cancer necessitates a strategic approach that considers barriers and facilitators. Educating and promoting FP SDM among the public and healthcare providers, combined with incentivizing policies, can enhance individual knowledge and awareness while achieving systemic improvements, facilitating its successful implementation. Clinical Relevance: This study provides insights into barriers and facilitators and proposes strategic approaches to enhancing FP SDM implementation, contributing to improved quality of life for cancer survivors and advancements in clinical practice. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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