Building capacity for cervical cancer: a mixed-method evaluation of the training program for nursing professionals

Nurses play a critical role in patient care and health promotion. Enhancing their knowledge and capacity in cervical cancer prevention, screening, and early detection can improve patient outcomes and community awareness. This study provides the results of the assessment of an ECHO (Extension for Community Healthcare Outcomes) tele-mentoring program designed to build the capacities of nursing professionals in these domains. A mixed-methods study was conducted. Seven hubs delivered seven virtual sessions each, totalling 49 sessions and training 447 nursing professionals. The study consisted of three components: first, pre- and post-surveys ( n = 191) assessed changes in knowledge and attitudes; second, post-session surveys ( n = 1168) gathered participant perceptions after each session. Qualitative insights were obtained through the Most Significant Change (MSC) technique, capturing in-depth stories from the hub members who delivered the training. The pre- and post-assessments and the post-session survey were conducted with the training participants and included both quantitative and open-ended questions. The Wilcoxon signed-rank test was used to analyse the statistical significance of knowledge gains, while thematic analysis was applied to the qualitative data. The Institutional Review Board of the International Institute of Health Management Research (IIHMR), Delhi, granted ethical approval for the study. Informed consent was obtained separately for each tool from the study participants. The average knowledge score improved from 6.6 to 7.5 ( p < 0.001) post-intervention. A large proportion of participants reported an increased willingness to undergo cervical cancer screening (83.6%) and a commitment to promote screening and awareness among peers and communities (98%). Post-session responses found the content relevant to their clinical roles (77%) and expressed intentions to apply the learnings (78%). Feedback highlighted the need for improved session timing, internet connectivity, and inclusion of additional health topics. Qualitative stories through the Most Significant Change technique hinted that some participants had already begun fostering positive work environments and enhancing communication with patients and families. The ECHO training has strengthened the knowledge and attitudes of nursing professionals in cervical cancer prevention, detection and screening. The qualitative interviews from the stakeholders also suggest interest and motivation to continue this initiative. The findings demonstrated potential for scale-up and adaptation across other oncology-related topics, positioning nurses as catalysts for change in community health promotion.