Creating the Hematology/Oncology/Stem Cell Transplant Advancing Resiliency Team: A Nurse-Led Support Program for

Michelle A Schuster1

  • 1Department of Hematology/Oncology/Stem Cell Transplant Unit, 1862Boston Children's Hospital, Boston, MA, USA.

Insights

A nurse-led peer support program improved well-being for pediatric hematology/oncology staff. The Hematology/Oncology/Stem Cell Transplant Advancing Resiliency Team (HART) increased staff satisfaction and feelings of support.

Area of Science:

  • Healthcare Staff Well-being
  • Oncology Nursing
  • Psychological Support in Medicine

Background:

  • Healthcare professionals face significant burnout, moral distress, and compassion fatigue.
  • Pediatric hematology/oncology roles present unique mental, physical, and emotional demands.
  • Workplace support systems are crucial for mitigating staff distress.

Purpose of the Study:

  • To evaluate the effectiveness of a nurse-led peer support program for multidisciplinary staff in pediatric hematology/oncology.
  • To assess the impact of the Hematology/Oncology/Stem Cell Transplant Advancing Resiliency Team (HART) on staff well-being and unit support.
  • To determine the feasibility and utilization of an on-site peer support initiative.

Main Methods:

  • Implementation of the Hematology/Oncology/Stem Cell Transplant Advancing Resiliency Team (HART), a nurse-led, peer-to-peer support program.
  • HART coaches provided on-site support 3 days a week, offering confidential consultations, educational sessions, and integrative therapies.
  • Data collection through coach consults and staff self-report surveys on unit support and satisfaction.

Main Results:

  • Over 1,100 coach consults and 98 HART shifts were completed.
  • Significant increase in staff reporting feeling supported by leadership and taking breaks.
  • A 25.6% rise in staff reporting extreme satisfaction with unit support was observed.

Conclusions:

  • A nurse-led peer support program like HART is effective in enhancing staff well-being in high-stress environments.
  • The program's utilization and positive impact on staff satisfaction underscore the importance of tailored support systems.
  • Feasibility through donor funding and measurability via staff reports indicate the model's potential for broader implementation.

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