Cruz, Jonalyn C.

Untold stories of nurses working in an oncology nursing environment [manuscript] / Jonalyn C. Cruz. - Balanga City : BPSU, 2017. - 175 leaves ; 28 cm.

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The study aimed to unveil the untold stories of nurses working in an oncology nursing environment. The population frame of the study consisted of 10 participants who were currently employed at the hospital. The study utilized the qualitative type of research and with phenomenological design. The data were collected through interviews conducted by the researcher. Software tools for qualitative data and text analysis were used for easy sorting, structuring, analyzing of large amount of text and data and facilitate the management of the resulting interpretations and evaluations called MAXQDA. Thematic categories were then named and classified as essential to the meaning of the phenomena being studied. The researcher finalized the name of each theme, wrote its description and illustrated it with a few citations from the original text to help communicate its significance to the reader. From the 10 narratives, over 220 meaning units were drawn which further analyzed to yield 11 subthemes and 4 essential themes. The following major themes evolved from the data analysis based on the in-depth interviews with the nurses working in an oncology nursing environment: Journeying with an onco nurse: a caring nature; Overcoming emotional disengagement; Nature of forbidden work in the bedside; A positivism: beyond nursing role. Subthemes that emerged from the data are as follows: Caring as person-centeredness; Delivering an extra care; Safeguarding the best interest; Being into it; Exhaustion and burnout; Unaddressed overtime; Inadequate staff; Unsafe and unhealthy; Positive outcomes; Light in the midst of darkness; and Importance of role. Conclusions based on the findings of the study are oncology nurses present high levels of emotional exhaustion and of reduced personal accomplishment. Work experience, workload, and communication skills are among the factors that may influence development of burnout. Better practice environments, including nurse foundations for quality care, can help to achieve optimal nurse outcomes. It was then recommended that nurses may consider the findings as a starting point for future initiatives designed to improve quality cancer care and help identify quality measures that are important to patients and providers. Work issues may be a contributing factor for the nursing shortage in oncology nursing. Role stress and emotional demand of working in an oncology environment are some concerns nurses confront. It is suggested that it may help nursing leaders to design, implement, and maintain programs that suits the need of oncology nurse population. And this may possible brought important data for the field of investigations related to care in oncology, and also the need to develop further research in this area, leading to a discussion about the problems experienced by nurses in the practice of oncology nursing.