{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T20:43:56Z","timestamp":1792615436169,"version":"4.5.0"},"reference-count":27,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"10","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Glob Oncol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE<\/jats:title>\n                    <jats:p>Breast cancer mortality is highest in sub-Saharan Africa, where oncology nursing capacity is limited. A train-the-trainer strategy was used in Ethiopia to build regional capacity and support local sustainment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS<\/jats:title>\n                    <jats:p>\n                      An education intervention focused on breast cancer was purposely designed, implemented, and analyzed. Training materials included lectures, videos, discussions, and skills laboratories. Cohort 1 included nurses from an oncology unit and nursing faculty. Cohorts 2 and 3 nurses worked in peripheral hospitals. Participants completed demographic, precourse, and 6-month surveys. Chi square, repeated measured analysis of variance, and paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests were used for descriptive results and to assess changes in knowledge, confidence, motivation, and practices. A\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value of &lt;.05 determined statistical significance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>The intervention reached 79 nurses: 29 in cohort 1 and 50 in cohorts 2 and 3. In total, 65 (82%) completed baseline and 6-month surveys. Of these, 2 of 3 were male. The mean professional experience was 10 years. The majority had a bachelor's degree. The average percent of clinical time spent with patients with cancer was 62% for cohort 1 and 24% for cohorts 2 and 3. Cohort 1 more often provided spiritual care, discussed goals of care, performed clinical breast examination, and communicated to patients of different religious backgrounds. For all participants, there was a significant improvement in knowledge, confidence, and motivation at 6 months, with no differences between cohorts 1 and cohorts 2 and 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>The short-term breast cancer training program for nurses addressed barriers to providing comprehensive care in the local context. The multimodality course leveraged local resources and faculty expertise to build foundational knowledge and practical skills. The intervention can be scaled up regionally and adapted to reach other audiences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1200\/go-26-00239","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:59:08Z","timestamp":1792612748000},"update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Strengthening Nursing Capacity for Comprehensive Oncology Care in Sub-Saharan Africa: A Breast-Specific Training Intervention Focused on Sustainment in Ethiopia"],"prefix":"10.1200","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7301-4687","authenticated-orcid":true,"given":"Lesley","family":"Taylor","sequence":"first","affiliation":[{"name":"Department of Surgery, City of Hope National Medical Center, Duarte, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8078-548X","authenticated-orcid":true,"given":"Bedilu","family":"Deribe","sequence":"additional","affiliation":[{"name":"Hawassa University College of Medicine and Health Sciences, School of Nursing, Hawassa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0061-5235","authenticated-orcid":true,"given":"Betty","family":"Ferrell","sequence":"additional","affiliation":[{"name":"Division of Nursing Research and Education, City of Hope National Medical Center, Duarte, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"233","reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(22)00270-4"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(15)00144-8"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(20)30612-4"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(20)30605-7"},{"key":"e_1_3_7_6_2","volume-title":"iAHO Health Workforce Regional Factsheet","author":"WHO","unstructured":"WHO: iAHO Health Workforce Regional Factsheet. https:\/\/files.aho.afro.who.int\/afahobckpcontainer\/production\/files\/iAHO_HWF_regional_Factsheet.pdf"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2024.42.16_suppl.9026"},{"key":"e_1_3_7_8_2","first-page":"1209","article-title":"Strengthening of oncology nursing education and training in Africa in the year of the nurse and midwife: Addressing the challenges to improve cancer control in Africa","volume":"15","author":"Oti N","year":"2021","unstructured":"Oti N, de Villiers M, Adejumo P, et al: Strengthening of oncology nursing education and training in Africa in the year of the nurse and midwife: Addressing the challenges to improve cancer control in Africa. Ecancermedicalscience 15:1209, 2021","journal-title":"Ecancermedicalscience"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pdig.0000900"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(21)00254-0"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.21037\/apm-22-1120"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcpo.2017.03.013"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-085439"},{"key":"e_1_3_7_14_2","first-page":"944","article-title":"Cancer treatment in Africa: The importance of the role of nursing","volume":"13","author":"Mitema A","year":"2019","unstructured":"Mitema A, Maree L, Young A: Cancer treatment in Africa: The importance of the role of nursing. Ecancermedicalscience 13:944, 2019","journal-title":"Ecancermedicalscience"},{"key":"e_1_3_7_15_2","first-page":"1079","article-title":"Oncology nursing education and practice: Looking back, looking forward and Rwanda\u2019s perspective","volume":"14","author":"Uwayezu MG","year":"2020","unstructured":"Uwayezu MG, Sego R, Nikuze B, et al: Oncology nursing education and practice: Looking back, looking forward and Rwanda\u2019s perspective. Ecancermedicalscience 14:1079, 2020","journal-title":"Ecancermedicalscience"},{"key":"e_1_3_7_16_2","volume-title":"ELNEC (End-of-Life Nursing Education Consortium)","author":"American Association of Colleges of Nursing","unstructured":"American Association of Colleges of Nursing: ELNEC (End-of-Life Nursing Education Consortium). https:\/\/www.aacnnursing.org\/elnec"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.07.014"},{"key":"e_1_3_7_18_2","article-title":"Addressing global disparities in breast cancer by transforming surgical pathology in Ethiopia: Early implementation of immunohistochemistry","author":"Taylor L","unstructured":"Taylor L, Nelson RA, Geremew TT, et al: Addressing global disparities in breast cancer by transforming surgical pathology in Ethiopia: Early implementation of immunohistochemistry. JCO Glob Oncol 10.1200\/GO-25-00178","journal-title":"JCO Glob Oncol"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/10732748211009252"},{"key":"e_1_3_7_20_2","volume-title":"Sidama People in Ethiopia","author":"Joshua Project","unstructured":"Joshua Project: Sidama People in Ethiopia. https:\/\/www.joshuaproject.net\/people_groups\/14630\/ET"},{"key":"e_1_3_7_21_2","unstructured":"US Department of State. Ethiopia 2019 international religious freedom report. https:\/\/www.state.gov\/wp-content\/uploads\/2020\/06\/ETHIOPIA-2019-INTERNATIONAL-RELIGIOUS-FREEDOM-REPORT.pdf"},{"key":"e_1_3_7_22_2","first-page":"1704600","article-title":"Sacred sites and ancestor veneration in Sidama, southwest Ethiopia: A socio-ecological perspective","volume":"5","author":"Doffana ZD","year":"2019","unstructured":"Doffana ZD: Sacred sites and ancestor veneration in Sidama, southwest Ethiopia: A socio-ecological perspective. Cogent Soc Sci 5:1704600, 2019","journal-title":"Cogent Soc Sci"},{"key":"e_1_3_7_23_2","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2020.1833511"},{"key":"e_1_3_7_24_2","article-title":"Strengthening nursing capacity in comprehensive oncology care in Africa: Results of a pilot training program in Hawassa, Ethiopia","volume":"31","author":"Deribe B","year":"2024","unstructured":"Deribe B, Setiawan L, Bogale N, et al: Strengthening nursing capacity in comprehensive oncology care in Africa: Results of a pilot training program in Hawassa, Ethiopia. Ann Surg Oncol 31, 2024 (suppl 1; abstr Abstract 1683898)","journal-title":"Ann Surg Oncol"},{"key":"e_1_3_7_25_2","volume-title":"Global Breast Cancer Initiative Implementation Framework: Assessing, Strengthening and Scaling-Up of Services for the Early Detection and Management of Breast Cancer","author":"WHO","year":"2023","unstructured":"WHO: Global Breast Cancer Initiative Implementation Framework: Assessing, Strengthening and Scaling-Up of Services for the Early Detection and Management of Breast Cancer. Geneva, Switzerland, WHO, 2023"},{"key":"e_1_3_7_26_2","volume-title":"National Guidelines for Breast Health: Early Diagnosis and Timely Breast Cancer Management in Ethiopia (2024\u20132028)","author":"Federal Ministry of Health Ethiopia","unstructured":"Federal Ministry of Health Ethiopia: National Guidelines for Breast Health: Early Diagnosis and Timely Breast Cancer Management in Ethiopia (2024\u20132028). https:\/\/www.iccpportal.org\/sites\/default\/files\/resources\/FINAL%20Breast%20Cancer%20Guideline%20%20Ethiopia%202024.pdf"},{"key":"e_1_3_7_27_2","doi-asserted-by":"publisher","DOI":"10.1200\/GO.23.00137"},{"key":"e_1_3_7_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2009.02939.x"}],"container-title":["JCO Global Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ascopubs.org\/doi\/pdfdirect\/10.1200\/GO-26-00239","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:59:16Z","timestamp":1792612756000},"score":1,"resource":{"primary":{"URL":"https:\/\/ascopubs.org\/doi\/10.1200\/GO-26-00239"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":27,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1200\/GO-26-00239"],"URL":"https:\/\/doi.org\/10.1200\/go-26-00239","relation":{},"ISSN":["2687-8941"],"issn-type":[{"value":"2687-8941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-04-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-05","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e2600239"}}