title: Enhancing Nurses' Oral Therapy Practice in 4 Latin American Countries: A Collaborative and Participatory Approach.
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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Author Affiliations: University of British Columbia, Vancouver (Ms Truant); and Canadian Partnership Against Cancer, Toronto (Ms Green), Canada; Asociación de Enfermería Oncológica Colombiana, Bogota, Colombia (Ms Ayala de Calvo); International Society of Nurses in Cancer Care, Vancouver (Ms McCarthy); and de Souza Institute (Mss MacDonald and Patel); University Health Network (Ms Patel); and Odette Cancer Centre, Sunnybrook Health Sciences Centre (Ms Stewart), Toronto, Canada; Austral University (Ms Brunelli); Hospital Tornú (Ms Cullen); and Argentina Society of Hematology (Ms Estrada de Ellis), Buenos Aires, Argentina; and Instituto Nacional Do Câncer, Rio de Janeiro (Ms Nunes); and Universidade Paulista, Sao Paulo (Ms Salles), Brazil.
authors.forename: Tracy L
authors.initials: TL
authors.lastname: Truant
authors.forename: Esther
authors.initials: E
authors.lastname: Green
authors.forename: Luz Esperanza
authors.initials: LE
authors.lastname: Ayala de Calvo
authors.forename: Sarah M
authors.initials: SM
authors.lastname: McCarthy
authors.forename: Donalda
authors.initials: D
authors.lastname: MacDonald
authors.forename: Komal
authors.initials: K
authors.lastname: Patel
authors.forename: Janice
authors.initials: J
authors.lastname: Stewart
authors.forename: Maria Victoria
authors.initials: MV
authors.lastname: Brunelli
authors.forename: Clara
authors.initials: C
authors.lastname: Cullen
authors.forename: Silvina
authors.initials: S
authors.lastname: Estrada de Ellis
authors.forename: Lailah M P
authors.initials: LMP
authors.lastname: Nunes
authors.forename: Patricia
authors.initials: P
authors.lastname: Salles
mesh_terms: D000284:Administration, Oral; D000328:Adult; D001688:Biological Products / Q000008:administration & dosage / Q000627:therapeutic use; D003479:Curriculum / Q000592:standards; D004358:Drug Therapy / Q000379:methods*; D004509:Education, Nursing, Continuing / Q000379:methods / Q000592:standards; D005260:Female; D006801:Humans; D007843:Latin America; D007858:Learning; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy*; D009859:Oncology Nursing / Q000193:education*; D011795:Surveys and Questionnaires; D000070260:Teacher Training / Q000592:standards*
chemical_list: D001688:Biological Products