Enhancing Nurses’ Oral Therapy Practice in 4 Latin American Countries: A Collaborative and Participatory Approach

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Abstract

Background:

Oral therapy (OT) use for cancer is increasing globally. Yet, nurses in 4 Latin American countries lacked knowledge and educational opportunities to safely care for people receiving OTs. Global partnerships to contextualize education and create local capacity may enhance nursing practice.

Objective:

Within 4 Latin American countries, this study aims to (1) develop, deliver, and evaluate an OT cancer nursing education program and (2) evaluate the feasibility and efficacy of using an integrated knowledge translation (iKT) framework to develop the program and foster nurses’ capacity for OT care.

Methods:

Using the iKT framework, a “train the trainer” model was used to develop, contextualize, pilot test, implement, and evaluate the OT education program. An online survey evaluated nurses’ perceived benefits, ease of use, barriers, facilitators, and recommendations for improvement. Nurses’ self-reported OT practices were evaluated 9 months after the final workshop.

Results:

One hundred nineteen nurses across 4 countries participated in a pilot and/or final OT educational workshop, facilitated by 6 local nurse champions. The nurse champions found the program easy to use and modify. Participants reported using the curriculum to teach other nurses and patients and networking opportunities for problem solving. Barriers included nurses’ role clarity and time for education.

Conclusions:

The iKT approach was an effective method to develop the OT curriculum and build OT capacity among nurses and leaders within the 4 countries.

Implications for Practice:

The iKT approach may be useful in low- or middle-income countries to enhance nursing education and practice. Future OT education projects should strengthen strategies for ongoing support after education intervention.

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