Experiences of early‐career nurses working in specialist adolescent/young adult cancer units: A narrative inquiry

Cable, Maria; Watts, Tessa; Reagon, Carly; Kelly, Daniel

doi:10.1111/jan.15488

Cited by 3 publications

(3 citation statements)

References 38 publications

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“…The focus was on variation within the sample rather than aiming for saturation (Braun & Clarke, 2019). Data collection concluded when, in the experience of the researchers, breadth and depth of data had been achieved based on a priori estimates (Baker et al., 2012) and the consideration that it would be both impractical and ‘irresponsible’ to carry out further interviews during the COVID‐19 pandemic (Cable et al., 2023: 2875) when general practices, and their workforces, were under severe strain. Nurses working in national leadership roles relating to general practice during the COVID‐19 pandemic were also included, as were other key informants.…”

Section: Methods and Methodologymentioning

confidence: 99%

“…pandemic(Cable et al, 2023(Cable et al, : 2875 when general practices, and their workforces, were under severe strain. Nurses working in national leadership roles relating to general practice during the COVID-19 pandemic were also included, as were other key informants.4.3 | Data collectionData collection took place between April and August 2022, following the third wave of the COVID-19 pandemic in the United Kingdom when national restrictions were limited, but restrictions in healthcare settings were still in place.…”

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confidence: 99%

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Remote and technology‐mediated working during the COVID‐19 pandemic: A qualitative exploration of the experiences of nurses working in general practice (the GenCo Study)

Anderson,

Scantlebury,

Galdas

et al. 2023

Journal of Advanced Nursing

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AimTo explore how nurses working in general practice experienced remote and technology‐mediated working during the COVID‐19 pandemic.DesignExploratory qualitative study with nursing team members working in general practices in England and national nurse leaders.MethodsData were collected between April and August 2022. Forty participants took part in either semi‐structured interviews or focus groups. Data were analysed using Framework Analysis informed by the PERCS (Planning and Evaluating Remote Consultation Services) Framework. University of York ethics approval [HSRGC/2021/458/I] and Health Research Authority approval were obtained [IRAS:30353. Protocol number: R23982. Ref 21/HRA/5132. CPMS: 51834]. The study was funded by The General Nursing Council for England and Wales Trust.ResultsParticipants continued to deliver a significant proportion of patient care in‐person. However, remote and technology‐mediated care could meet patients' needs and broaden access in some circumstances. When remote and technology‐mediated working were used this was often part of a blended model which was expected to continue. This could support some workforce issues, but also increase workload. Participants did not always have access to remote technology and were not involved in decision‐making about what was used and how this was implemented. They rarely used video consultations, which were not seen to add value in comparison to telephone consultations. Some participants expressed concern that care had become more transactional than therapeutic and there were potential safety risks.ConclusionThe study explored how nurses working in general practice during the COVID‐19 pandemic engaged with remote and technology‐mediated working. It identifies specific issues of access to technology, workload, hybrid working, disruption to therapeutic relationships, safety risks and lack of involvement in decision‐making. Changes were implemented quickly with little strategic input from nurses. There is now an opportunity to reflect and build on what has been learned in relation to remote and technology‐mediated working to ensure the future development of safe and effective nursing care in general practice.ImpactThe paper contributes to understanding of remote and technology‐mediated working by nurses working in general practice during the COVID‐19 pandemic and indicates to employers and policy makers how this can be supported moving forward.Reporting methodStandards for Reporting Qualitative Research (O'Brien et al., 2014).Patient or public contributionThis was a workforce study so there was no patient or public contribution.Implications for the profession and patient careThe paper highlights specific issues which have implications for the development of remote, technology‐mediated and blended working for nurses in general practice, care quality and patient safety. These require full attention to ensure the future development of safe and effective nursing care in general practice moving forward.

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Section: Methods and Methodologymentioning

confidence: 99%

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confidence: 99%

Remote and technology‐mediated working during the COVID‐19 pandemic: A qualitative exploration of the experiences of nurses working in general practice (the GenCo Study)

Anderson,

Scantlebury,

Galdas

et al. 2023

Journal of Advanced Nursing

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“…When caring for AYA groups, oncology nurses may identify more closely with them if they are the same age as themselves, or if have children of a similar age, adding a further dimension to the emotional labour involved in contemporary cancer nursing. In a study of younger oncology nurses caring for young cancer patients (Cable et al., 2023), it was revealed that these nurses not only shouldered a significant emotional burden, but that this was compounded by the age and stage of life of AYA patients. This deeply resonated with the nurses involved.…”

Section: The Wellbeing Of Oncology Nursesmentioning

confidence: 99%

Oncology nursing under pressure

Kelly,

Cable,

Jolley

et al. 2024

Journal of Advanced Nursing

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Cancer remains a major health challenge of our time. Despite many advances in cancer science, early detection and more targeted treatments, the pressures on colleagues in oncology nursing practice are rising and are unrelenting. Cancer remains the second cause of premature mortality in most countries meaning that health systems need educated and experienced oncology nurses at their core to deliver safe and humane care. However, it is not always possible to recruit or retain nurses working in such highly pressurised clinical situations. Two thirds of nurses leaving the NHS in the UK are under 45 years, and in the US the American Nurses Foundation and Joslin Insight claim that 45% of Generation Z (born after 1995) are considering leaving with better work-life balance, pay, enhanced support and improved working conditions being common expectations that are not being met by employers (Bean et al., 2022;James et al., 2024).

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Qualitative Analysis of School Re-Entry Experiences of Turkish Survivors of Childhood and Adolescent Cancer: Parental Perspective

Arpaci,

Altay

2024

Seminars in Oncology Nursing

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Experiences of early‐career nurses working in specialist adolescent/young adult cancer units: A narrative inquiry

Abstract: Aim:To explore the experiences of early-career registered nurses working in specialist adolescent/young adult cancer units.

Cited by 3 publications

References 38 publications

Remote and technology‐mediated working during the COVID‐19 pandemic: A qualitative exploration of the experiences of nurses working in general practice (the GenCo Study)

Remote and technology‐mediated working during the COVID‐19 pandemic: A qualitative exploration of the experiences of nurses working in general practice (the GenCo Study)

Oncology nursing under pressure

Qualitative Analysis of School Re-Entry Experiences of Turkish Survivors of Childhood and Adolescent Cancer: Parental Perspective

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