Staying or leaving the pediatric oncology clinic: nurses' challenges in care and voices of struggle - a qualitative study

Abstract

Objective: Pediatric oncology nursing is a challenging and emotionally exhausting profession. Understanding the challenges and struggles faced by pediatric oncology nurses can help to create targeted interventions that will improve their well-being and enhance the quality of care for children with cancer and their families. This study aimed to explore the challenges and struggles nurses face in their daily care practices. Method: A qualitative descriptive study was conducted with 16 pediatric oncology nurses. The researchers led the four focus groups, and each group included four participants. The data analysis involved transcribing focus group interviews, conducting member checking for accuracy, and using MAXQDA software to code and refine themes for interpretation and reporting. The Standards for Reporting Qualitative Research checklist was followed in the study. Results: Four main themes and seven sub-themes were identified: Lack of Multidisciplinary Team and Institutional Resources, Coping Difficulties with Burnout, Management of Relations with Patients and Parents in Care, Continuing Education, and Mentoring. Conclusion: This study identified four main themes that reveal the need for strategic interventions that promote interdisciplinary collaboration, strengthen psychosocial support, foster effective communication for patient and family engagement, and enhance continuous education and mentorship programs.