Choosing a career in oncology is rarely a casual decision—it’s often fueled by deep personal experiences, a desire to make a meaningful impact, or the inspiration drawn from compassionate oncology nurses who’ve made a difference in one’s life. But here’s where it gets controversial: despite the noble motivations, the harsh realities of the field—stressful work environments, inconsistent support from colleagues, and limited autonomy—frequently drive advanced practice providers (APPs) away. And this is the part most people miss: retaining oncology nurses isn’t just about keeping them in the job; it’s about nurturing their passion and drive, which directly translates to better care for cancer patients. So, what keeps these dedicated professionals in the field? A recent study published in the Oncology Nursing Forum, led by Laura Fennimore, DNP, RN, CNE®, NEA-BC®, FAAN, dives into this question, revealing insights that could reshape how we support oncology APPs. The study’s findings might surprise you—or even challenge your assumptions about what truly motivates these caregivers.
The research team analyzed responses from 69 oncology professionals—66 nurse practitioners and 3 physician assistants—who attended a January 2024 End-of-Life Nursing Education Consortium (ELNEC) event. Participants, averaging 9 years since their most advanced degree and 14 years of oncology experience, were asked a simple yet profound question: “What keeps you in oncology nursing?” Their answers were categorized into five major themes, shedding light on the delicate balance between the rewarding and draining aspects of their work. But here’s the bold part: while passion and personal connections are often cited as driving forces, the study highlights lesser-discussed factors that could be game-changers for retention strategies. For instance, how much does institutional support—or lack thereof—influence an APP’s decision to stay or leave? And could addressing these overlooked areas be the key to fostering long-term commitment in oncology care?
The study’s findings not only validate the emotional and relational aspects of the profession but also underscore the need for systemic changes to address workplace challenges. Here’s a thought-provoking question for you: If we truly want to retain oncology APPs, should we focus more on creating supportive environments or on amplifying the intrinsic rewards of the job? Let’s spark a conversation—what do you think is the most critical factor in keeping oncology professionals passionate and committed? Share your thoughts in the comments below!
