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Creating the Hematology/Oncology/Stem Cell Transplant Advancing Resiliency Team: A Nurse-Led Support Program for
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.
Abstract:
Background: Burnout, moral distress, compassion fatigue, and posttraumatic stress disorder are concerns for health-care staff. Due to the high mental, physical, and emotional demands of the pediatric hematology/oncology profession, workplace supports should be in place to address the needs of the staff. A nurse-led support program is one strategy to enhance staff well-being. Methods: The Hematology/Oncology/Stem Cell Transplant Advancing Resiliency Team (HART) is a nurse-led peer-to-peer on-site support program for multidisciplinary staff caring for hematology/oncology patients. HART coaches, working 8-hour shifts, covering both day and night shift hours, are present 3 days a week on the unit. HART offers a confidential space for one on one or group interactions, educational sessions, assistance with work related, patient-care based, or personal concerns, and various forms of integrative therapies. Results: There have been over 1,100 coach consults and 98 HART shifts worked. The most commonly reported changes since HART began include staff feeling more supported by leadership and staff making time for breaks during the work shift. A 25.6% increase in staff reporting to be extremely satisfied with unit support was found. Discussion: Cultivating a culture of staff support is important. Due to COVID-19, physical HART coach presence was put on hold for 4 weeks and virtual interventions were trialed. Since its return, coach consult numbers have been steadily rising. Having a support program led by coaches with direct experience understanding the emotional toll of caring for the pediatric hematology/oncology patient population was found to be well utilized, feasible through donor funding, and measurable via staff report.
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