Intrinsic Factors as to Why Advanced Practice Providers Stay in Oncology

Area of Science:

• Oncology
• Advanced Practice Providers
• Healthcare Workforce Retention

Background:

• Oncology advanced practice providers (APPs) are essential to cancer care delivery.
• Little is known about the intrinsic factors influencing their professional longevity.
• Understanding APP motivations is critical in the current healthcare climate.

Purpose of the Study:

• To identify and describe the intrinsic factors that influence role retention among oncology APPs.
• To explore the core values and meanings APPs derive from their profession.

Main Methods:

• Qualitative thematic content analysis of deidentified responses from 69 oncology APPs (66 RNs, 3 PAs).
• Participants completed a palliative care course and answered "Why do you stay?" on evaluations.
• Data analysis focused on identifying recurring themes related to job satisfaction and retention.

Main Results:

• Five key themes emerged: a sense of calling/passion, personal or family history with cancer, connection with patients, the challenging and impactful nature of the work, and positive relationships within the oncology team.
• These themes highlight the deep personal and professional motivations driving oncology APPs.

Conclusions:

• Recognizing the values and meaning oncology APPs find in their work is essential for supporting and retaining this workforce.
• Addressing these intrinsic factors can help mitigate shortages and ensure quality cancer care.
• Informing healthcare leaders about these drivers can cultivate a more supportive environment for oncology APPs.