Péloquin Sophie, Garcia-Velasco Juan A, Blockeel Christophe, Rienzi Laura, de Mesmaeker Guy, Lazure Patrice, Beligotti Fabiola, Murray Suzanne
AXDEV Group Inc., Brossard Québec J4W 3H2, Canada.
IVI RMA Madrid, Spain, Rey Juan Carlos University, Madrid, Spain.
Reprod Biomed Online. 2021 Sep;43(3):434-445. doi: 10.1016/j.rbmo.2021.06.020. Epub 2021 Jul 2.
What are the most pressing educational needs of fertility healthcare professionals using assisted reproductive technologies (ART)?
This mixed-methods study combined qualitative interviews with quantitative surveys. Participants included physicians and nurses specialized in reproductive endocrinology or in obstetrics/gynaecology, and laboratory specialists, with a minimum of 3 years of experience, practising 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-squared tests to compare results by reimbursement context.
A total of 535 participants were included (273 physicians, 145 nurses and 117 laboratory specialists). Knowledge gaps, skills gaps and attitude issues were identified in relation to: (i) ovarian stimulation (e.g. knowledge of treatments and instruction protocols for ovarian stimulation), (ii) embryo culture and cryopreservation/vitrification (e.g. diverging opinions on embryo freezing, (iii) embryo assessment (e.g. performing genetic testing), (iv) support of luteal phase and optimizing pregnancy outcomes (e.g. knowledge of assessment methods for endometrial receptivity), and (v) communication with patients (e.g. reluctance to address emotional distress).
This descriptive, exploratory study corroborates previously reported gaps in fertility care and identifies 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 programmes to improve care for patients with fertility issues.
使用辅助生殖技术（ART）的生育保健专业人员最迫切的教育需求是什么？
这项混合方法研究将定性访谈与定量调查相结合。参与者包括专门从事生殖内分泌学或妇产科的医生和护士，以及实验室专家，他们在澳大利亚、巴西、加拿大、中国、法国、德国、印度、意大利、日本、墨西哥、西班牙或英国执业，且至少有3年工作经验。采用最大差异目的抽样以确保经验和工作环境的多样性。访谈内容经转录后通过主题分析进行编码。定量数据通过频率表、交叉表和卡方检验进行分析，以比较不同报销背景下的结果。
共纳入535名参与者（273名医生、145名护士和117名实验室专家）。在以下方面发现了知识差距、技能差距和态度问题：（i）卵巢刺激（例如卵巢刺激的治疗方法和指导方案的知识），（ii）胚胎培养和冷冻保存/玻璃化（例如对胚胎冷冻的不同意见），（iii）胚胎评估（例如进行基因检测），（iv）黄体期支持和优化妊娠结局（例如子宫内膜容受性评估方法的知识），以及（v）与患者沟通（例如不愿处理情绪困扰）。
这项描述性探索性研究证实了先前报道的生育护理差距，并确定了这些差距的潜在原因。研究结果为为在实践中使用ART的医疗保健专业人员的教育计划提供了依据，并呼吁开发基于案例的教育和跨专业培训计划，以改善对有生育问题患者的护理。
