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Perceived Quality of Work Life and Risk for Compassion Fatigue Among Oncology Nurses: A Mixed-Methods Study.

Jami Denigris1, Kathleen Fisher2, MaryKay Maley2

  • 1Hahnemann University Hospital.

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Summary

Oncology nurses reported rewarding work experiences that balanced personal stress and mitigated compassion fatigue (CF) risk. Positive reinforcement at work helped offset negative factors, promoting well-being.

Keywords:
compassion fatiguemixed methodsnursingoncologywork-related stress

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Area of Science:

  • Nursing Science
  • Oncology Nursing
  • Psychological Health

Background:

  • Compassion fatigue (CF) is a significant concern in oncology nursing.
  • Understanding factors influencing nurses' work-life quality and CF risk is crucial for retention and patient care.
  • Previous research indicates a need to explore the interplay between personal stressors and professional experiences.

Purpose of the Study:

  • To examine factors influencing oncology nurses' perceived quality of work life.
  • To assess the relationship between personal life stress and quality of work life.
  • To understand nurses' beliefs regarding their risk for compassion fatigue (CF).

Main Methods:

  • A descriptive, mixed-methods study was conducted in a hematology-oncology unit.
  • Twenty oncology nurses participated, providing data through questionnaires and in-depth interviews.
  • Variables included nurse characteristics, personal life stress (using Impact of Events and Life Events Scales), and quality of work life.

Main Results:

  • Personal life stressors impacted 30% of nurses, theoretically increasing CF risk.
  • However, 55% of nurses described their work as "life-affirming and rewarding."
  • Work-related stress stemmed from communication breakdowns, the work environment, and care-driven factors.

Conclusions:

  • Oncology nurses generally experienced positive reinforcement, offsetting negative aspects and balancing CF risk.
  • Positive work experiences played a key role in mitigating potential compassion fatigue.
  • Self-understanding and addressing socially constructed risk factors can enhance empathy and patient care.