Development and validation of a nursing practice scale for supporting fertility preservation decision-making in women with cancer.

Mikako Yoshihara, Kazuaki Tanabe, Chie Teramoto, Hiroyuki Sawatari, Ruxin Lei, Hisae Nakatani

Abstract read

In one paragraph

Article in Asia-Pacific journal of oncology nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Mikako YoshiharaDepartment of Perioperative and Critical Care Management, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Kazuaki TanabeDepartment of Perioperative and Critical Care Management, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Chie TeramotoDepartment of Perioperative and Critical Care Management, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Hiroyuki SawatariDepartment of Perioperative and Critical Care Management, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Ruxin LeiDepartment of Perioperative and Critical Care Management, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Hisae NakataniDepartment of Perioperative and Critical Care Management, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: With increasing attention to fertility preservation (FP) among women with cancer, nursing support for FP decision-making remains insufficient and lacks standardization. Nurses often face challenges such as limited knowledge, inconsistent practices, and the absence of structured decision-support frameworks. This study aimed to develop and psychometrically validate a scale to assess nursing practices that support FP decision-making in women with cancer. Methods: The study comprised two phases: scale development and psychometric evaluation. In Phase 1, an initial item pool was generated through a literature review, expert consultation, and content validity assessment. In Phase 2, a cross-sectional survey was conducted among 600 nurses, who were divided into exploratory factor analysis (EFA; Results: The preliminary 22-item, four-factor scale demonstrated strong content validity. Subsequent analyses produced a refined 12-item scale comprising three factors: (1) providing professional support for patients'FP decision-making, (2) facilitating communication between patients and families, and (3) promoting system-based and team-oriented FP support. The scale demonstrated excellent internal consistency (Cronbach's α = 0.921). CFA indicated good model fit (Comparative Fit Index = 0.969, Tucker-Lewis Index = 0.960, Root Mean Square Error of Approximation = 0.077; Conclusions: This study developed a reliable and valid 12-item, three-factor scale to assess nursing practices supporting FP decision-making in women with cancer. The scale may serve as a useful tool for evaluating and enhancing patient-centered FP care in oncology nursing practice.

Indexed as

Decision-makingNursing careOncology nursingPatient-centered carePsychometricsValidation study

Identifiers

PMID41438345

DOI10.1016/j.apjon.2025.100808

PMCPMC12720104

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.