Impact of Work on the Mental Health and Coping Strategies of the Oncological Hospital Multiprofessional Team: Systematic Literature Review
DOI:
https://doi.org/10.32635/2176-9745.RBC.2024v70n4.4853Keywords:
Occupational Health, Mental Health, Health Personnel, Patient Care Team, Cancer Care FacilitiesAbstract
Introduction: Work in oncology hospitals is characterized by distinct professional demands that encompass bureaucratic, clinical-care, and technical-pedagogical aspects, which often impact the physical and mental health of the workers. Objective: Understand the feelings and experiences of workers in oncology units regarding the suffering and pleasure derived from their work. Method: Systematic review of qualitative studies conducted on the Scopus, PubMed, SciELO, and Web of Science databases. Original articles involving doctors, nursing teams, psychologists, social workers, nutritionists, physiotherapists, pharmacists, and/or speech therapists were selected. Results: A total of 644 studies were identified, and 39 were included in the final sample. The results were grouped into two categories: “Professional experience of illness” and “Coping strategies”. Findings indicate that working in oncology care is related to the psycho-emotional illness experience of the workers. The most common cause of illness was dealing with death and issues related to technical preparation for work in the field. Coping strategies included emotional distancing from patients, seeking institutional and team support, and engaging in physical activities associated with occupational leisure. Conclusion: The experience of working in oncology poses challenges to maintaining a technical training process.
Downloads
References
Brito-Marcelino A, Marcelino KB, Cerqueira E. Worker’s health quest: disease, prevention, and edutainment. Rev Bras Med Trab. 2023;21(1):e2023810. DOI: https://doi.org/10.47626/1679-4435-2023-810
Soheili M, Jokar F, Eghbali-Babadi M, et al. Exploring the occupational health needs of oncology nurses: a qualitative study. J Edu Health Promot. 2021;10:224. DOI: https://doi.org/10.4103/jehp.jehp_1151_20
Gostoli S, Nicolucci L, Malaguti C, et al. Mental illness and work-related limitations in healthcare workers: a preliminary retrospective study. Int J Environ Res Public Health. 2022;19:9098. DOI: https://doi.org/10.3390/ijerph19159098
Eurostat [Internet]. Luxembourg: União Europeia; 2000. Self-reported work-related health problems and risk factors-key statistics, 2021. [acesso 2023 set 19]. Disponível em: https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Self-reported_work-related_ health_problems_and_risk_factors_-_key_statistics
Beresford B, Gibson F, Bayliss J, et al. Preventing work-related stress among staff working in children’s cancer principal treatment centres in the UK: a brief survey of staff support systems and practices. Eur J Cancer Care. 2018;27:e12535. DOI: https://doi.org/10.1111/ecc.12535
Costeira C, Ventura F, Pais N, et al. Workplace stress in portuguese oncology nurses delivering palliative care: a pilot study. Nurs Rep. 2022;12:597-609. DOI: https://doi.org/10.3390/nursrep12030059
Turnell A, Rasmussen V, Butow P, et al. An exploration of the prevalence and predictors of work-related well-being among psychosocial oncology professionals: an application of the job demands-resources model. Palliat Support Care. 2016;14(1):33-41. DOI: https://doi.org/10.1017/S1478951515000693
Alhroub A, Albakri H, Al-Awaysheh H, et al. Anxiety level among newly hired nurse in a specialized oncology hospital: an observational study. F1000Res. 2022;11:162 DOI: https://doi.org/10.12688/f1000research.74420.1
Cross LA. Compassion fatigue in palliative care nursing. J Hosp Palliat Nurs. 2019;21(1):21-28. DOI: https://doi.org/10.1097/NJH.0000000000000477
University of York. Centre for Reviews and Dissemination. New York: University of York; 2019. PROSPERO -International prospective register of systematic reviews. 2023. [acesso 2023 ago 31]. Disponível em: https://www.crd.york.ac.uk/PROSPERO/
Ouzzani M, Hammady H, Fedorowicz Z, et al. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016;5(210). DOI: https://doi.org/10.1186/s13643-016-0384-4
Lockwood C, Munn Z, Porritt K. Síntese de pesquisa qualitativa: orientação metodológica para revisores sistemáticos utilizando meta-agregação. Int J Evid Based Healthc [Internet]. 2015[acesso 2024 set 15];13(3):179-87. Disponível em: https://docs.bvsalud.org/biblioref/2019/10/1021785/bis-v20n2-sintese-de-evidencias-qualitativas-7-22.pdf
Conselho Nacional de Saúde (BR). Resolução nº 580, de 22 de março de 2018. Regulamenta o disposto no item XIII. 4 da Resolução CNS nº 466, de 12 de dezembro de 2012, que estabelece que as especificidades éticas das pesquisas de interesse estratégico para o Sistema Único de Saúde (SUS) serão contempladas em Resolução específica, e dá outras providências. Diário Oficial da União. Brasília, DF; 2018 jul 16. Seção I:55.
Page MJ, Moher D, Bossuyt PM, et al. Prisma 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ. 2021;372:n160. doi: https://doi.org/10.1136/bmj.n160 DOI: https://doi.org/10.1136/bmj.n160
Silva JB, Kirschbaum DIR. O Sofrimento psíquico dos enfermeiros que lidam com pacientes oncológicos. R Bras Enferm. 1998;51(2):273-90. DOI: https://doi.org/10.1590/S0034-71671998000200009
McIlfatrick S, Sullivan K, McKenna H. Nursing the clinic vs. nursing the patient: Nurses’ experience of a day hospital chemotherapy service. J Clin Nurs. 2006;15(9):1170-8. DOI: https://doi.org/10.1111/j.1365-2702.2006.01495.x
Jackson VA, Mack J, Matsuyama R, et al. A qualitative study of oncologists’ approaches to end-of-life care. J Palliat Med. 2008;11(6):893-906. DOI: https://doi.org/10.1089/jpm.2007.2480
Saltmarsh K, Vries K. The paradoxical image of chemotherapy: A phenomenological description of nurses’ experiences of administering chemotherapy. Eur J Cancer Care (Engl). 2008;17(5):500-8. DOI: https://doi.org/10.1111/j.1365-2354.2007.00909.x
McLean M, Cleland JA, Worrel M, et al. What am i going to say here?” The experiences of doctors and nurses communicating with patients in a cancer unit. Front Psychol. 2011;2:3339. DOI: https://doi.org/10.3389/fpsyg.2011.00339
Banning M, Gumley VA. Clinical nurses’ expressions of the emotions related to caring and coping with cancer patients in Pakistan: a qualitative study. Eur J Cancer Care (Engl). 2012;21(6):800-8. DOI: https://doi.org/10.1111/j.1365-2354.2012.01364.x
Borhani F, Abbaszadeh A, Mohsenpour M, et al. Lived experiences of pediatric oncology nurses in Iran. Iran J Nurs Midwifery Res [Internet]. 2013[acesso 2023 set 23];18(5):349-54. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3877455/
Chan HYL, Lee LH, Chan CWH. The perceptions and experiences of nurses and bereaved families towards bereavement care in an oncology unit. Support Care Cancer. 2013;21(6):1551-6. DOI: https://doi.org/10.1007/s00520-012-1692-4
Citak EA, Toruner EK, Gunes NB. Exploring communication difficulties in pediatric hematology: oncology nurses. Asian Pac J Cancer Prev. 2013;14(9):5477-82. DOI: https://doi.org/10.7314/APJCP.2013.14.9.5477
Joubert L, Hocking A, Hampson R. Social work in oncology-managing vicarious trauma-the positive impact of professional supervision. Soc Work Health Care. 2013;52(2-3):296-310. DOI: https://doi.org/10.1080/00981389.2012.737902
Kamimura A, Schneider K, Lee CS, et al. Practice environments of nurses in ambulatory oncology settings: a thematic analysis. Cancer Nurs. 2012;35(1):E1. DOI: https://doi.org/10.1097/NCC.0b013e31820b6efa
Alencar AR, Alencar AMPG, Menezes IRA, et al. Emoção e cuidado na assistência à criança com câncer: percepções da equipe de Enfermagem. Rev Cubana Enferm [Internet]. 2014[acesso set 23];30(2). Disponível em: https://revenfermeria.sld.cu/index.php/enf/article/view/518/88
Wenzel J, Shaha M, Klimmek R, et al. Working through grief and loss: oncology nurses’ perspectives on professional bereavement. Oncol Nurs Forum. 2011;38(4). DOI: https://doi.org/10.1188/11.ONF.E272-E282
Dhotre KB, Adams SA, Hebert JR, et al. Oncology nurses’ experiences with patients who choose to discontinue cancer chemotherapy. Oncol Nurs Forum. 2016;43(5):617-23. DOI: https://doi.org/10.1188/16.ONF.617-623
Fukumori T, Miyazaki A, Takaba C, et al. Cognitive reactions of nurses exposed to cancer patients’ traumatic experiences: a qualitative study to identify triggers of the onset of compassion fatigue. Psychooncology. 2018;27(2):620-5. DOI: https://doi.org/10.1002/pon.4555
Granek L, Ariad S, Nakash O, et al. Mixed-methods study of the impact of chronic patient death on oncologists’ personal and professional lives. J Oncol Pract. 2017;13(1):1-10. DOI: https://doi.org/10.1200/JOP.2016.014746
Kpassagou BL, Soedje KMA. Health practitioners’ emotional reactions to caring for hospitalized children in Lomé, Togo: a qualitative study. BMC Health Serv Res. 2017;4;17. DOI: https://doi.org/10.1186/s12913-017-2646-9
Seo JY, Yi M. hermeneutic phenomenological study on caring experience of nurses working in a chemotherapy ward in Korea. Asian Oncol Nurs. 2017;17(1):55-67. DOI: https://doi.org/10.5388/aon.2017.17.1.55
Taleghani F, Ashouri E, Memarzadeh M, et al. Barriers to empathy-based care: oncology nurses’ perceptions. Int J Health Care Qual Assur. 2018;31(3):249-59. DOI: https://doi.org/10.1108/IJHCQA-12-2016-0185
Ashouri E, Taleghani F, Memarzadeh M, et al. The perceptions of nurses, patients and family members regarding nurses’ empathetic behaviours towards patients suffering from cancer: a descriptive qualitative study. J Res Nurs. 2018;23(5):428-43. doi: https://doi.org/10.1177/1744987118756945 DOI: https://doi.org/10.1177/1744987118756945
Bastos RA, Quintana AM, Carnevale F. Angústias psicológicas vivenciadas por enfermeiros no trabalho com pacientes em processo de morte: estudo clínico-qualitativo. Trends Psychol. 2018;26(2):795-805. doi: https://doi.org/10.9788/TP2018.2-10Pt DOI: https://doi.org/10.9788/TP2018.2-10Pt
Godskesen TE, Petri S, Eriksson S, et al. When nursing care and clinical trials coincide: a qualitative study of the views of nordic oncology and hematology nurses on ethical work challenges. J Empir Res Hum Res Ethics. 2018;13(5):475-85. DOI: https://doi.org/10.1177/1556264618783555
Saifan AR, al Zoubi AM, Alrimawi I, et al. Exploring the psychological status of Jordanian nurses working with cancer patients. J Nurs Manag. 2019;27(1):215-22. DOI: https://doi.org/10.1111/jonm.12667
Yi J, Kim J, Akter J, et al. Pediatric oncology social workers’ experience of compassion fatigue. J Psychosoc Oncol. 2018;36(6):667-80. DOI: https://doi.org/10.1080/07347332.2018.1504850
Al Zoubi AM, Saifan AR, Alrimawi I, et al. Challenges facing oncology nurses in jordan: a qualitative study. Int J Health Plann Manage. 2020;35(1):247-61. DOI: https://doi.org/10.1002/hpm.2901
Chan EA, Tsang PL, Ching SSY, et al. Nurses’ perspectives on their communication with patients in busy oncology wards: a qualitative study. PLoS One. 2019;14(10):e0224178. doi: https://doi.org/10.1371/journal.pone.0224178 DOI: https://doi.org/10.1371/journal.pone.0224178
Mahon P. A critical ethnographic evaluation of pediatric haematology/oncology physicians and burn-out. Pediatr Hematol Oncol. 2020;37(2):153-63. DOI: https://doi.org/10.1080/08880018.2019.1702127
Ostadhashemi L, Arshi M, Khalvati M, et al. Social workers’ resilience: preventing burnout and compassion fatigue in pediatric oncology. Int J Cancer Manag. 2019;12(7). DOI: https://doi.org/10.5812/ijcm.61376
Sawin KJ, Montgomery KE, Dupree CY, et al. Oncology nurse managers’ perceptions of palliative care and end-of-life communication. J Pediatr Oncol Nurs. 2019;36(3):178-90. DOI: https://doi.org/10.1177/1043454219835448
Cook O, Recoche K, McIntyre M, et al. The evolving challenges of specialist gynaecological cancer nurse roles – a qualitative study. J Adv Nurs. 2021;77(2):910-21. doi: https://doi.org/10.1111/jan.14639 DOI: https://doi.org/10.1111/jan.14639
Fukumori T, Miyazaki A, Takaba C, et al. Traumatic events among cancer patients that lead to compassion fatigue in nurses: a qualitative Study. J Pain Symptom Manage. 2020;59(2):254-60. DOI: https://doi.org/10.1016/j.jpainsymman.2019.09.026
Kesbakhi MS, Rohani C. Exploring oncology nurses’ perception of the consequences of clinical empathy in patients and nurses: a qualitative study. Support Care Cancer. 2020;28(6):2985-93. DOI: https://doi.org/10.1007/s00520-019-05118-z
Nwozichi C, Guino-O T, Madu A, et al. The troubled nurse: a qualitative study of psychoemotional effects of cancer care on nurses in a nigerian cancer care setting. Asia Pac J Oncol Nurs. 2020;7(4):328-35. DOI: https://doi.org/10.4103/apjon.apjon_25_20
Sinigaglia V, Pomicino L, Candotti C, et al. Experiences and coping strategies of nurses in the face of death in pediatric hematology: qualitative study. Prof Inferm [Internet]. 2020[acesso 2023 set 25];73(1):53-60. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32594679
Nukpezah RN, Khoshnavay Fomani F, Hasanpour M, et al. A qualitative study of Ghanaian pediatric oncology nurses’ care practice challenges. BMC Nurs. 2021;20(1):17. doi: https://doi.org/10.1186/s12912-021-00538-x DOI: https://doi.org/10.1186/s12912-021-00538-x
Camargo GG, Saidel MGB, Monteiro MI. Psychological exhaustion of nursing professionals who care for patients with neoplasms. Rev Bras Enferm. 2021;74:e20200441. DOI: https://doi.org/10.1590/0034-7167-2020-0441
Kim LH, Kim SY, Kim S, et al. A mixed method study for exploring the difficulties in end-of-life care and end-of-life care competency in nurses who take care of cancer patients. Asian Oncol Nurs. 2021;21(2):98. DOI: https://doi.org/10.5388/aon.2021.21.2.98
Ma RH, Zhao XP, Ni ZH, et al. Paediatric oncology ward nurses’ experiences of patients’ deaths in china: a qualitative study. BMC Nurs. 2021;20(1):197. DOI: https://doi.org/10.1186/s12912-021-00720-1
Serçe Yüksel Ö, Partlak Günüşen N, Çelik Ince S, et al. Experiences of oncology nurses regarding self-compassion and compassionate care: a qualitative study. Int Nurs Rev. 69(4):432-41. DOI: https://doi.org/10.1111/inr.12747
Moore PM, Rivera S, Bravo-Soto GA, et al. Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database Syst Rev. 2018;7(7):CD003751. DOI: https://doi.org/10.1002/14651858.CD003751.pub4
Caponero R. A comunicação médico-paciente no tratamento oncológico: um guia para profissionais de saúde, portadores de câncer e seus familiares. São Paulo: MG Editores; 2017.
Crawford GB, Dzierżanowski T, Hauser K, et al. Care of the adult cancer patient at the end of life: ESMO Clinical Practice Guidelines. ESMO Open. 2021;6(4):100225. DOI: https://doi.org/10.1016/j.esmoop.2021.100225
Martins DP, Fuzinelli JPD, Rossit RAS. Teamwork and communication in oncological care: integrative review. RSD. 2022;11(12):e295111234630. DOI: https://doi.org/10.33448/rsd-v11i12.34630
Lizarondo L, Gilman L, Adams R, et al. Strategies to promote coping and resilience in oncology and palliative care nurses caring for adult patients with malignancy. JBI EBP Database. 2018;20(5):768-72.
Diaw M, Sibeoni J, Manolios E, et al. The lived experience of work-related issues among oncology nurses: a metasynthesis. Cancer Nurs. 2020;43(3):200-21. doi: https://doi.org/10.1097/ncc.0000000000000774 DOI: https://doi.org/10.1097/NCC.0000000000000774
Hu Y, Jiao M, Li F. Effectiveness of spiritual care training to enhance spiritual health and spiritual care competency among oncology nurses. BMC Palliat Care. 2019;26;18(1):104. DOI: https://doi.org/10.1186/s12904-019-0489-3
Sá PB, Cavalcanti CC, Figueirêdo JC, et al. Spirituality and quality of life of physicians who work with the finitude of life. Rev bras educ med. 2022;46(1):e043. doi: https://doi.org/10.1590/1981-5271v46.1-20220043 DOI: https://doi.org/10.1590/1981-5271v46.1-20210322
Published
How to Cite
Issue
Section
License
Os direitos morais e intelectuais dos artigos pertencem aos respectivos autores, que concedem à RBC o direito de publicação.
This work is licensed under a Creative Commons Attribution 4.0 International License.
