Cancer is the second leading cause of death worldwide with approximately 18 million new cases and 9.6 million deaths in 2022. Mortality is high in low-resource middle-income countries. Poor outcomes are associated with delayed diagnosis, lack of oncology education, and treatment.1 This proposal explores the current state of oncology nursing education at the Binaytara Foundation Cancer Center (BTFCC) in Janakpurdham Nepal. This includes an initiative to expand healthcare services in partnership with Seattle area nurses at an academic teaching hospital and the BTFCC. Providing evidence-based oncology nursing education, will advance knowledge and minimize cancer disparities.


In this pilot program, a needs assessment was gathered from seven nurses at the BTFCC. Topics included peripheral IV insertion technique, proper vesicant IV administration, and review of lab values. Seattle nurses voluntarily provided oncology education to the nursing staff based on those needs. The program took place over five months including three virtual educational sessions. Each session was 30-45 minutes and recorded for future review.

Evaluation and Outcomes

Session included pre- and post-multiple-choice tests of the topics presented. Pre-test scores were 50-80 percent correct. Post test scores improved to 80-100 percent. Results for the end-users showed increased knowledge. The results for the nurse educator, were a better understanding of the needs.


The education sessions previously conducted, provided an increased oncology knowledge base for nurses to practice in Nepal. The proposal suggests providing eight virtual oncology educational sessions in collaboration with a Seattle academic teaching hospital and BTFCC. Expected results will enhance outcomes and quality of life for patients.