Navigating emotional and professional challenges: Israeli nurses' experiences in breast cancer surgery preparation

Research on the experiences of Israeli breast cancer nurses (BCN) in preoperative breast cancer (BC) surgery preparation is limited. Results from a few studies suggest that complex emotional and psychological demands are placed on these nurses. The lack of research underscores the need for a deeper understanding of the lived experiences of breast cancer nurses in the Israeli healthcare context. The aim of this research was to explore the experiences of Israeli BCN in preoperative BC surgery preparation.

A phenomenological qualitative study was conducted. Eleven BCN were recruited from five different hospitals. Semi-structured interviews were performed. Data were analyzed using Braun and Clarke's guide for thematic analysis.

Four themes were identified: (1) Lack of protocol - nurses felt they lacked formal training and were left to independently shape their roles; (2) Dual role perception - nurses perceived duality in their role, as they provided patients with medical and technical information while also assessing and responding to emotional needs and concerns; (3) Deep personal engagement - nurses deeply and personally engaged with their role, for it was shaped by their past experiences and emotional identification with patients; and (4) Role impact, emotional toll, and a sense of meaning - despite the emotional toll associated with their role, nurses derived profound meaning from their role, revealing both the complexity and importance of their contribution to breast cancer care.

The findings suggest the potential value of systematic approaches to breast cancer nurse (BCN) training and support, while recognizing the valuable innovations participants described in the absence of formal protocols. Based on nurses' experiences and supported by prior literature, developing comprehensive support systems, standardized training protocols, and bias-aware practice guidelines may be important for supporting patient care and nurses' well-being and job satisfaction.

Not applicable.