Educational needs of fertility healthcare professionals using ART: a multi-country mixed-methods study

Autor: Suzanne Murray, Guy de Mesmaeker, Laura Rienzi, Christophe Blockeel, Juan A. Garcia-Velasco, Patrice Lazure, Sophie Péloquin, Fabiola Beligotti
Přispěvatelé: Surgical clinical sciences, Reproduction and Genetics, Centre for Reproductive Medicine - Gynaecology
Rok vydání: 2021
Předmět:
Adult
Male
0301 basic medicine
Health Knowledge
Attitudes
Practice
Care gaps
Reproductive Techniques
Assisted
Health Personnel
media_common.quotation_subject
Exploratory research
Fertility
Context (language use)
Reproductive technology
Nonprobability sampling
Young Adult
03 medical and health sciences
Professional Competence
0302 clinical medicine
Ovulation Induction
Pregnancy
Humans
Research question
Mixed-methods study
educational needs
media_common
Medical education
030219 obstetrics & reproductive medicine
Geography
Infant
Newborn
Fertility Preservation
Obstetrics and Gynecology
Professional Practice
Middle Aged
Fertility care
030104 developmental biology
Reproductive Medicine
Infertility
Needs assessment
Female
Assisted reproductive technologies
Thematic analysis
Psychology
Delivery of Health Care
Needs Assessment
Developmental Biology
Zdroj: Reproductive BioMedicine Online. 43:434-445
ISSN: 1472-6483
Popis: Research question : What are the most pressing educational needs of fertility healthcare professionals using assisted reproductive technologies (ART)? Design : This mixed-methods study combined qualitative interviews with quantitative surveys. Participants included physicians and nurses specialised in reproductive endocrinology or in obstetrics/gynaecology, and laboratory specialists, with a minimum of three years of experience, practicing in Australia, Brazil, Canada, China, France, Germany, India, Italy, Japan, Mexico, Spain, or the UK. Maximum variation purposive sampling was used to ensure a mix of experience and settings. Interviews were transcribed and coded through thematic analysis. Quantitative data were analysed using frequency tables, cross-tabulations and Chi-square tests to compare results by reimbursement context. Results : A total of 535 participants were included (273 physicians, 145 nurses and 117 laboratory specialists). Knowledge gaps, skill gaps, and attitude issues were identified in relation to: 1) ovarian stimulation (e.g. knowledge of treatments and instruction protocols for ovarian stimulation), 2) embryo culture and cryopreservation / vitrification (e.g., diverging opinions on embryo freezing, 3) embryo assessment (e.g., performing genetic testing), 4) support of luteal phase and optimising pregnancy outcomes (e.g., knowledge of assessment methods for endometrial receptivity), and 5) communication with patients (e.g., reluctance to address emotional distress). Conclusions : This descriptive, exploratory study corroborates previously reported gaps in fertility care and identify potential causes of these gaps. Findings provide evidence to inform educational programmes for healthcare professionals who use ART in their practice and calls for the development of case-based education and interprofessional training program to improve care for patients with fertility issues.
Databáze: OpenAIRE
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