Appleton Lynda, Atkins Courtney, Watmough Sarah, Poole Helen
The Clatterbridge Cancer Centre NHS Foundation Trust, Clatterbridge Road, Bebington, Wirral, CH63 4JY, UK.
School of Psychology, Faculty of Health, Innovation, Technology and Science, Tom Reilly Building Byrom Street, Liverpool, L3 3AF, UK.
BMC Nurs. 2025 May 8;24(1):504. doi: 10.1186/s12912-025-03139-0.
Cancer nurse well-being is crucial for the delivery of high-quality patient care. During the COVID-19 pandemic, fear and anxiety negatively impacted nurse well-being. Understanding the factors contributing to well-being amongst cancer nurses is a priority, as chronic stress can negatively influence job satisfaction and standards of care.
A multi methods approach comprising a repeated measures survey (n = 69), semi-structured interviews (n = 29) and two focus groups was used. This enabled in-depth exploration of nurses' experiences over time. Following ethical approval, nurses from different cancer settings were recruited from NW England. The survey measured anxiety, depression, self-efficacy, resilience and well-being at three time-points [baseline; 3 months and 6 months]. Data was collected Feb-Oct 2022. Participants were also invited to participate in an interview and focus group. This data was subject to Thematic Analysis. Data sources were triangulated to substantiate findings. Ethical approval was obtained and participants provided informed consent.
Survey data revealed anxiety, well-being, self-efficacy and resilience were broadly consistent over time. The only significant difference was depression, where mean scores at times 2 and 3 were significantly lower than time 1. While most participants reported mild to moderate anxiety and depression throughout the study, at time 3 a significant minority (32%, 9/28) reported severe depression. Four themes arose from interviews: (i) the principles and practice of nursing, (ii) the impact of COVID-19 on nurses' identity, (iii) self-management strategies, (iv) organisational responses. Focus group data emphasised the need for improved communication concerning well-being services.
Nurses used coping strategies throughout the pandemic and beyond, drawing on professional and personal experiences and adapting to clinical service changes. Well-being was sustained through peer and patient interactions, and work routines. Workplace cultures supporting and normalising nurses' well-being should be encouraged and co-creation of interventions to build resilience and improve communication. Importantly interventions should be evaluated for their effectiveness and barriers to accessing support removed. Our findings build on theory addressing workplace culture, high stress environments and individuals' self-awareness of well-being needs. Research is needed to understand the well-being needs of cancer nurses according to banding, work setting, and pre-existing psychological morbidity.
Not applicable.
癌症护理人员的福祉对于提供高质量的患者护理至关重要。在新冠疫情期间，恐惧和焦虑对护理人员的福祉产生了负面影响。了解影响癌症护理人员福祉的因素是当务之急，因为长期压力会对工作满意度和护理标准产生负面影响。
采用了一种多方法 approach，包括重复测量调查（n = 69）、半结构化访谈（n = 29）和两个焦点小组。这使得能够随着时间深入探索护士的经历。在获得伦理批准后，从英格兰西北部不同癌症科室招募护士。该调查在三个时间点[基线；3个月和6个月]测量焦虑、抑郁、自我效能感、复原力和福祉。数据于2022年2月至10月收集。参与者还被邀请参加访谈和焦点小组。这些数据进行了主题分析。对数据来源进行三角验证以证实研究结果。获得了伦理批准，参与者提供了知情同意。
调查数据显示，焦虑、福祉、自我效能感和复原力随时间大致保持一致。唯一显著的差异是抑郁，第2和第3次测量时的平均得分显著低于第1次。虽然在整个研究过程中，大多数参与者报告有轻度至中度的焦虑和抑郁，但在第3次测量时，有相当一部分人（32%，9/28）报告有严重抑郁。访谈产生了四个主题：（i）护理的原则和实践，（ii）新冠疫情对护士身份的影响，（iii）自我管理策略，（iv）组织反应。焦点小组数据强调了改善关于福祉服务沟通的必要性。
在整个疫情期间及之后，护士运用应对策略，借鉴专业和个人经验，并适应临床服务的变化。通过同行和患者互动以及工作常规维持了福祉。应鼓励支持护士福祉并使其正常化的工作场所文化，并共同创建增强复原力和改善沟通的干预措施。重要的是，应对干预措施的有效性进行评估，并消除获得支持的障碍。我们的研究结果基于涉及工作场所文化、高压力环境和个人对福祉需求的自我意识的理论。需要开展研究以根据职级、工作环境和既往心理疾病情况了解癌症护理人员的福祉需求。
不适用。
