Author Affiliation: School of Nursing, The University of Texas at Austin.
Cancer Nurs. 2020 Sep/Oct;43(5):E283-E290. doi: 10.1097/NCC.0000000000000734.
Rates of burnout and compassion fatigue among oncology nurses are rising, and the emotional impact of the work increases the risk. This study examined how oncology nurses describe the evolution of emotions from first significant patient loss through cumulative patient death.
To explore the emotional evolution of being an oncology nurse.
Semistructured interviews with 7 oncology nurses. Thematic analysis was used to analyze the data.
Participant's mean age was 41.3 years, with 13.9 years of nursing experience and 10.6 years of oncology experience. One metatheme, "riding the roller coaster," described the overall emotional experience of the nurses. Three subthemes, "all in and then," "finding your way," and "impact on self," further outlined the process taken to cope with workplace emotions.
Oncology nurses are frequently exposed to loss and suffering. Findings from this study suggest that new nurses are underprepared for the emotional experience of being an oncology nurse. Further, they define their emotional boundaries in isolation and without guidance on how to develop healthy coping skills. Changing the culture of silence around mental health and well-being among healthcare professionals can provide space for important conversations to occur.
Oncology nurses have few resources to teach them how to cope with the emotions experienced while caring for oncology patients. These findings suggest that alternative approaches to the traditional bereavement programs and innovative interventions offered to new oncology nurses within their first few years are needed.
肿瘤护士的倦怠和同情疲劳率正在上升，工作中的情绪影响增加了这种风险。本研究通过首次重大患者丧失到累积患者死亡的过程，考察了肿瘤科护士如何描述情绪的演变。
探索肿瘤科护士的情绪演变。
对 7 名肿瘤科护士进行半结构化访谈。采用主题分析对数据进行分析。
参与者的平均年龄为 41.3 岁，护理经验为 13.9 年，肿瘤学经验为 10.6 年。一个元主题，“过山车之旅”，描述了护士的整体情绪体验。三个子主题，“全心投入”、“寻找出路”和“自我影响”，进一步概述了应对工作场所情绪的过程。
肿瘤科护士经常面临丧失和痛苦。本研究的结果表明，新护士对成为肿瘤科护士的情绪体验准备不足。此外，他们在没有指导如何发展健康应对技能的情况下孤立地定义自己的情绪界限。改变医疗保健专业人员心理健康和幸福感方面的沉默文化可以为重要对话提供空间。
肿瘤护士几乎没有资源来教他们如何应对照顾肿瘤科患者时所经历的情绪。这些发现表明，需要为新的肿瘤科护士提供替代传统丧亲方案和创新干预措施，以帮助他们在最初几年适应工作。
