Paediatric oncology workforce survey: Addressing the challenges and opportunities

Abstract

Introduction: Paediatric oncology nurses are highly specialised and provide care to medically complex children and their families. Despite the intrinsic rewards of being part of a child's cancer journey, paediatric cancer nurses face numerous stressors that impact their job satisfaction and overall well-being. The need for a comprehensive understanding of the workforce data has never been more pressing with an expected shortfall of nurses internationally. Aim: This study examined the factors influencing job satisfaction among paediatric cancer nurses across Australia and their recommendations to address workplace challenges. Method: A cross-sectional electronic survey was distributed through the Cancer Nurses Society of Australia between November 2021 and February 2022. The survey included 68 items assessing various aspects of job satisfaction, work environment, and professional development, and included free text responses. Both quantitative and qualitative responses from nurses who self-identified as paediatric cancer nurses were analysed to identify significant predictors of job satisfaction and thematic insights. Results: The analysis included responses from 113 paediatric cancer nurses who reported that they had a clear scope of practice (n=85,80%) and adequate peer support (n=69, 65%) and overall reported moderate job satisfaction (median 65 on 100 point-scale). Areas of concern highlighted included insufficient resources to provide quality care (n=53, 51%), a shortage of opportunities for career progression (n=55, 52%) and a lack of leadership (n=53, 51%). Key predictors of job satisfaction included opportunities for professional development, the ability to utilise full skill sets, organisational leadership, and intent to remain in the profession. Thematic analysis supported the quantitative findings. Conclusion: Addressing organisational leadership and providing opportunities for professional growth are critical to improving job satisfaction among paediatric cancer nurses. Developing evidence-based interventions and policy initiatives that focus on these areas will enhance the well-being of nurses, and the quality of care provided to patients..