{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T01:21:10Z","timestamp":1768440070208,"version":"3.49.0"},"reference-count":23,"publisher":"Wiley","issue":"17","license":[{"start":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T00:00:00Z","timestamp":1436832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Cancer Institute R25 Training","award":["5R25CA142519-02"],"award-info":[{"award-number":["5R25CA142519-02"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>To the authors' knowledge, little is known regarding the rate at which cancer survivors successfully adopt a child 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 patients with accurate information for making a well\u2010informed decision regarding adoption.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Training program participants identified an adoption agency (local, state, or international) and conducted an interview using a semistructured guide. After the interview, participants created a summary of responses to the questions. The authors examined responses to each question using qualitative content analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>A total of 77 participants (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 cancer, increased challenges for survivors, and the need to educate patients concerning the realities of adoption policies. The need for a letter stating the survivor was 5 years cancer free was identified as a significant obstacle for survivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Nurses are charged with following practice guidelines that include recommendations for appropriate reproductive health referrals. Cancer survivors would benefit from a health care provider who can provide education and concrete information when patients are making a decision about fertility and adoption. <jats:bold><jats:italic>Cancer<\/jats:italic> 2015;121:2993\u20133000.<\/jats:bold> \u00a9 <jats:italic>2015 American Cancer Society<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.29322","type":"journal-article","created":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T17:27:30Z","timestamp":1436894850000},"page":"2993-3000","source":"Crossref","is-referenced-by-count":27,"title":["Adoption and cancer survivors: Findings from a learning activity for oncology nurses"],"prefix":"10.1002","volume":"121","author":[{"given":"Gwendolyn P.","family":"Quinn","sequence":"first","affiliation":[{"name":"Health Outcomes and Behavior Program H. Lee Moffitt Cancer Center and Research Institute Tampa Florida"},{"name":"Department of Oncologic Sciences Morsani College of Medicine University of South Florida Tampa Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley J.","family":"Zebrack","sequence":"additional","affiliation":[{"name":"School of Social Work University of Michigan School of Social Work Ann Arbor Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivana","family":"Sehovic","sequence":"additional","affiliation":[{"name":"Health Outcomes and Behavior Program H. Lee Moffitt Cancer Center and Research Institute Tampa Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan L.","family":"Bowman","sequence":"additional","affiliation":[{"name":"Health Outcomes and Behavior Program H. Lee Moffitt Cancer Center and Research Institute Tampa Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan T.","family":"Vadaparampil","sequence":"additional","affiliation":[{"name":"Health Outcomes and Behavior Program H. Lee Moffitt Cancer Center and Research Institute Tampa Florida"},{"name":"Department of Oncologic Sciences Morsani College of Medicine University of South Florida Tampa Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,7,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-014-0354-6"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(13)70251-1"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djj243"},{"key":"e_1_2_7_5_1","unstructured":"The LIVESTRONG Foundation. The Livestrong Young Adult Alliance. Available at:www.livestrong.org\/what\u2010we\u2010do\/our\u2010actions\/programs\u2010partnerships\/livestrong\u2010young\u2010adult\u2010alliance\/. Accessed December 11 2014."},{"key":"e_1_2_7_6_1","unstructured":"National Cancer Institute National Institutes of Health. Adolescents and Young Adults with Cancer. Available at:www.cancer.gov\/cancertopics\/aya. Accessed December 11 2014."},{"key":"e_1_2_7_7_1","unstructured":"Centers for Disease Control and Prevention. Adolescent and Young Adult Cancer Survivors. Available at:www.cdc.gov\/cancer\/survivorship\/what_cdc_is_doing\/research\/adolescent_young.htm2014. Accessed December 11 2014."},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.784"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.100.1.143"},{"key":"e_1_2_7_10_1","first-page":"697","article-title":"Having children after cancer","volume":"86","author":"Schover LR","year":"1999","journal-title":"A pilot survey of survivors' attitudes and experiences. Cancer"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/jncimonographs\/lgi021"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-72293-1_15"},{"key":"e_1_2_7_13_1","unstructured":".Child Welfare Information Gateway. The Costs of Adopting. Washington DC: US Department of Health and Human Services Administration for Children and Families Administration on Children Youth and Families Children's Bureau; 2011. Available at:www.childwelfare.gov\/pubPDFs\/s_costs.pdf. 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