Choosing a career in oncology is no small feat—it’s a decision often rooted in deep personal experiences, a desire to make a difference, and a profound respect for the caregivers who navigate this challenging field. But here’s where it gets complicated: while many are drawn to oncology because of family ties to cancer, inspiring oncology nurses, or a passion to help others, the harsh realities of the job can lead even the most dedicated advanced practice providers (APPs) to reconsider their path. Stressful work environments, inconsistent support from colleagues, and limited autonomy are just a few of the hurdles that can dim the flame of even the most passionate oncology nurse. Yet, understanding what keeps these professionals in the field isn’t just about retention—it’s about reigniting their drive and ensuring they thrive in their roles.
The delicate balance between the rewarding and draining aspects of oncology care is at the heart of this issue. A groundbreaking study published in the Oncology Nursing Forum (https://pubmed.ncbi.nlm.nih.gov/40849923/), led by Laura Fennimore, DNP, RN, CNE®, NEA-BC®, FAAN, dives into this very question. And this is the part most people miss: it’s not just about identifying the challenges but understanding what truly motivates APPs to stay in oncology despite them. The study sheds light on the key factors that keep these professionals committed to their work.
To uncover these insights, the research team analyzed responses from a January 2024 End-of-Life Nursing Education Consortium (ELNEC) event, where oncology advanced practice registered nurses (APRNs) and physician assistants were asked a simple yet powerful question: “What keeps you in oncology nursing?” A total of 66 nurse practitioners and three physician assistants shared their perspectives, bringing with them an average of 9 years of advanced education and 14 years of oncology experience. Their responses were thematically analyzed, revealing five major reasons that resonate deeply with anyone in the field.
But here’s where it gets controversial: while some of these motivators might seem obvious—like the desire to help patients and families—others challenge conventional wisdom about what drives job satisfaction in oncology. For instance, the study highlights the importance of personal connections and a sense of community, which might make some question whether systemic changes are enough to retain APPs, or if fostering a supportive culture is equally critical. This raises a thought-provoking question: Can organizations truly retain oncology nurses without addressing the emotional and relational aspects of their work?
As we explore these findings, it’s clear that the journey of an oncology APP is as much about passion and purpose as it is about navigating the complexities of the healthcare system. What do you think? Are these motivators enough to sustain a career in oncology, or is there more to the story? Share your thoughts in the comments—let’s spark a conversation that could shape the future of oncology care.
