Development and evaluation of a competency-based nurse educator program for pediatric hematology-oncology centers in Latin America

Specialized nursing training remains insufficient in many countries, and clinical nurse educators are well-positioned to address this gap by providing targeted training and support. Effective clinical nurse educators must demonstrate core competencies, including evidence-based teaching, curriculum development, communication, and professionalism. Since 2007, nurses in Latin America have participated in training programs to become pediatric oncology nurse educators. This study reviewed the existing program and implemented a new model based on the World Health Organization nurse educator competencies to evaluate its effect on participants’ knowledge and skills. A mixed-methods approach was utilized to evaluate the program across three phases: a comprehensive review of the current program incorporating feedback from graduates, experts, and relevant literature; curriculum design based on these findings; and assessment of implementation and effectiveness using the Kirkpatrick model. Data analysis included descriptive statistics, paired t-tests, and thematic analysis. A six-month clinical nurse educator program was developed. Thirty-six pediatric hematology-oncology nurses completed the program between May 2023 and March 2025. Statistically significant improvements were observed in both pre- and posttest scores ( p < 0.001) and in pre- and post-competency assessments ( p < 0.001). Project implementation scores averaged 82% and 85% for cohorts 2 and 3, respectively. Identified areas for improvement included increasing time allocated for modules, providing additional preparatory readings, improving platform and internet support, and clarifying assignment instructions. The competency-based nurse educator program enhanced participants’ knowledge and competencies in teaching skills within a pediatric hematology-oncology setting. These findings underscore the program’s effectiveness and opportunities for future enhancement and expansion to the global pediatric hematology-oncology nursing community.