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. Author manuscript; available in PMC: 2020 Feb 1.
Published in final edited form as: Clin J Oncol Nurs. 2019 Feb 1;23(1):82–91. doi: 10.1188/19.CJON.82-91
Comments from Reviewers Revisions made to manuscript
Need to clearly identify a research gap that this study addresses This manuscript addresses two research gaps:
  • 1-

    It addresses the knowledge gap in nursing education by exploring institutional course offerings related to communication

  • 2-

    It addresses the research gap on nurse communication by exploring communication training needs ‘across the continuum of cancer care’ rather than nurse communication in one aspect of cancer care


The last paragraph of the introduction prior to the methods shows this revision.
Abstract – the objective needs to be revised to match the introduction of the manuscript
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    Background explores nurse discomfort with communication, but objective of study is to report on communication training needs

We added a sentence in the background section of the abstract to acknowledge the introduction summary of nurse communication difficulties.
There is a lack of data analysis and a need to move beyond descriptive data and contextualize survey findings (e.g., NCI-designated cancer centers are different from ambulatory clinics) Based on the recommendations of reviewers we have re-analyzed the data and revised tables 14 to illustrate study findings by institutional type. Given that nurse teams (2 nurses from an institution) completed the survey we did not correlate findings for Table 3 by nurse age or years of clinical experience.
Survey is not a standard measure and there is concern over validity of the measure. The survey has been used in four prior National Cancer Institute (NCI) supported projects (R25CA132664, R25CA107109, R25CA101706, R25CA110454) conducted by City of Hope to ascertain oncology provider training needs. We have added a sentence in the first paragraph of the methods section.
Need to condense results section so that it is not redundant with Tables The results section has now been re-written to summarize findings by institution type. The results section now includes range of scores by institutional type rather than mean scores for the entire data set.
Discussion: Would like to hear more about success/unsuccess of other nurse training programs – ELNEC, what makes this program work well for nurses? We have added a sentence explaining that the End of Life Nursing Education Consortium is a successful train-the-trainer course yet only provides one hour of communication content.
Need better suggestions for implications for practice and conclusions drawn from data Based on the recommendations of reviewers, this section now summarizes areas for institutional change so nurses can support patient-centered communication and identifies topics needed for nurse communication training. We also added three additional references.
Study is limited by:
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    definition of colleague is vague in survey item regarding bad news and prognosis delivery

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    predominantly white sample

We added these study limitations in the discussion section.
APA editing needed; grammar problems; need to spell out all abbreviations; correction of “immuno-oncology” or “immunotherapy” We have edited the manuscript for APA style and grammar and highlighted portions of the introduction where this was done. We also edited as “immunotherapy agents”