{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T06:13:16Z","timestamp":1788415996798,"version":"build-2803163510"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>To investigate nurses\u2019 knowledge, attitudes, and practices regarding patient decision aids for fertility preservation in gynecologic oncology departments and to evaluate the associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study used a questionnaire survey and convenience sampling. A total of 201 nurses working in gynecologic oncology-related departments of tertiary first-class hospitals in Zhengzhou, China, were recruited. The questionnaire covered demographic information, knowledge of patient decision aids for fertility preservation, attitudes toward these aids, self-reported practice, and perceived barriers to their use. Data were analyzed using SPSS version 27.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nurses held positive attitudes toward fertility preservation decision aids, but their overall practice level was low. Only 52.8% of nurses frequently or always introduced the existence of these tools to patients; 56.2% never or rarely actively learned about them, and nearly half (49.8%) were unclear about the process for using them. Multiple linear regression analysis showed that reproductive specialist nurse status and years of work experience were independent positive predictors of knowledge scores, whereas an associate degree or below and nurse title were negative predictors. The title of associate chief nurse was positively associated with attitude scores; age and other professiona l titles had no significant predictive effects. Individual characteristics were not associated with practice scores. The main barriers were lack of operational knowledge and lack of training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nurses in gynecologic oncology-related departments need to improve their practice regarding fertility preservation decision aids practice, as positive attitudes were accompanied by relatively low reported practice levels. Bridging this gap requires standardized training, improved tool accessibility, and multifaceted efforts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1898056","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:21:36Z","timestamp":1788412896000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitudes, and practices of gynecologic oncology nurses toward patient decision aids for fertility preservation: a cross-sectional study in Zhengzhou, China"],"prefix":"10.3389","volume":"14","author":[{"given":"Xiaoyu","family":"Han","sequence":"first","affiliation":[{"name":"Department of Gynecology, The Third Affiliated Hospital of Zhengzhou University","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxue","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gynecology, The Third Affiliated Hospital of Zhengzhou University","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manman","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gynecology, The Third Affiliated Hospital of Zhengzhou University","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tian","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Henan Cancer Hospital","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaige","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Gynecology, The Third Affiliated Hospital of Zhengzhou University","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Gynecology, The Third Affiliated Hospital of Zhengzhou University","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengzhi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Third Affiliated Hospital of Zhengzhou University","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global Cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA Cancer J Clin"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"3456","DOI":"10.3390\/cancers16203456","article-title":"Quality of life and psychological distress related to fertility and pregnancy in AYAs treated for gynecological Cancer: a systematic review","volume":"16","author":"Stroeken","year":"2024","journal-title":"Cancer"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"34","DOI":"10.3870\/j.issn.1001-4152.2025.21.034","article-title":"Factors influencing fertility preservation decision-making among female cancer patients: a mixed methods systematic review","volume":"40","author":"Yuanyuan","year":"2025","journal-title":"J Nurs"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1007\/s11764-017-0649-5","article-title":"The pathways fertility preservation decision aid website for women with cancer: development and field testing","volume":"12","author":"Woodard","year":"2018","journal-title":"J Cancer Surviv"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"Cd001431","DOI":"10.1002\/14651858.CD001431","article-title":"Decision aids for people facing health treatment or screening decisions","volume":"4","author":"Stacey","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1724","DOI":"10.1093\/humrep\/deae121","article-title":"Eggsurance? 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