Adoption and XXXX survivors: Findings from a learning activity for oncology nurses.

@entity5 @entity1
BACKGROUND: To the authors' knowledge, little is known regarding the rate at which @entity5 survivors successfully adopt a @entity1 or about their experiences negotiating a costly, and perhaps discriminatory, process regarding the prospective parent's health history. The current study describes the results of a learning activity in which nurses contacted an adoption agency to learn more about the process for survivors with the goal of helping nurses provide @entity1 with accurate information for making a well-informed decision regarding adoption. METHODS: Training program @entity1 identified an adoption agency (local, state, or international) and conducted an interview using a semistructured guide. After the interview, @entity1 created a summary of responses to the questions. The authors examined responses to each question using qualitative content analysis. RESULTS: A total of 77 @entity1 (98% completion rate) across 15 states provided a summary. Responses were distributed across the following categories: adoption costs, steps required for survivors seeking adoption, challenges for survivors seeking adoption, birth parents' reservations, and planned institutional changes to increase adoption awareness. The majority of respondents reported improving their knowledge of adoption and @entity5 , increased challenges for survivors, and the need to educate @entity1 concerning the realities of adoption policies. The need for a letter stating the survivor was 5 years @entity5 free was identified as a significant obstacle for survivors. CONCLUSIONS: Nurses are charged with following practice guidelines that include recommendations for appropriate reproductive health referrals. @entity5 survivors would benefit from a health care provider who can provide education and concrete information when @entity1 are making a decision about fertility and adoption. @entity5 2015;121:2993-3000.    2015 American @entity5 Society.
