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Abstract Background Women with BRCA1/2 mutations are at high risk to develop breast and ovarian cancer. To support these women to participate in shared decision-making, structured nurse-led decision coaching combined with an evidence-based decision aid may be employed. In preparation of the interprofessional randomized controlled trial to evaluate a decision coaching program to support preventive decisions of healthy female BRCA 1/2 gene mutation carriers (EDCP-BRCA), we adapted and piloted an existing training program for specialized nurses and included elements from an existing physician communication training. Methods The training was adapted according to the six-step-approach for medical curriculum development. The educational design is based on experience- and problem-based learning. Subsequently, we conducted a qualitative pilot study. Nurses were recruited from six German centers for familial breast and ovarian cancer. The acceptability and feasibility were assessed by structured class observations, field notes and participants’ feedback. Data were analyzed using qualitative content analysis. The training was revised according to the results. Due to the COVID-19 pandemic, the patient intervention was adapted as a virtual coaching and a brief additional training for nurses was added. Results The training consists of two modules (2 + 1 day) that teach competences in evidence-based medicine and patient information, (risk) communication and decision coaching. One pilot test was conducted with six nurses of which three were specialized and experienced in patient counselling. A final set of eight main categories was derived from the data: framework conditions; interaction; schedule, transparency of goals, content, methods, materials and practical relevance and feasibility. Overall, the training was feasible and comprehensible. Decision coaching materials were awkward to handle and decision coaching role plays were set too short. Therefore, materials will be sent out in advance and the training was extended. Conclusions Specialized nurses are rarely available and nurse-led counselling is not routinely implemented in the centers of familial breast and ovarian cancer. However, training of less qualified nurses seems feasible. Decision coaching in a virtual format seems to be a promising approach. Further research is needed to evaluate its feasibility, acceptability and effectiveness. Trial registration The main trial is registered under DRKS-ID: DRKS00015527 .

The moon has been considered to be the driving force of natural rhythms of reproduction, female life cycles and birth. The Greco-Roman lunar goddesses of birth Diana, Luna and Lucina, in correlation with the moon, represent different phases and times of procreation and are still present in Spanish Early Modern testimonies of time. Different aspects of the goddesses’ and the moon’s influence on procreation are presented from an interdisciplinary point of view by gathering and analyzing evidence in: Alonso Carranza’s legal treatise Disputatio de vera humani partus naturalis et legitimi designatione, the moral treatise of Juan Pérez de Montalbán Ejemplos morales, humanos y divinos, a medical treatise of doctor Francisco Núñez Tratado sobre el uso de mujeres, poetry and theater, letters of the Emperor Leopold I, Juan Pérez de Moya, Fernando de Herrera, and others. The goddesses’ ambiguity serves as an expression of indetermination about procreation, which mankind tries to determine.

Life is God-given and to give birth begs for divine help. This article seeks to present new perspectives on selected appearances and apparitions of Lu­cina, the Roman goddess of birth, with respect to birth in the Golden Age of Spain. Ovid, antique’s best-known author, paints Lucina as an ambiguous sorceress, vol­atilely answering prayers. Still, allegoric representations of Lucina relating to the Spanish rulers and high society are found in Spanish literature, art, architecture and medical tractates. The pagan gods are revived in Renaissance art and do not fit into Christian moral codes nor qualify as praiseworthy saints, but nevertheless main­tain a prevailing source of allegories and figurative images. Lucina’s appearances in Francisco Núñez’s obstetrical tractate Libro intitulado del parto humano, Pedro Ruiz de Camargo’s painting in the Arch of Santa María of Burgos and in Micheli Parrasio’s canvas Alegoría del nacimiento del infante don Fernando are described and interpreted. The goddess of birth appears with aspects of Juno, Venus and the Virgin Mary and is blamed when misfortune strikes.