Date of Award

Fall 2025

Project Type

Clinical Doctorate

College or School

CHHS

Department

Nursing

Program or Major

Nursing

First Advisor

Cathleen Colleran

Abstract

ABSTRACT

Background: Oncology nurses face high rates of burnout and compassion fatigue, contributing to significant turnover and threatening the stability of the oncology nursing workforce. The projected increase in cancer incidence and the resulting demand for oncology services underscore the urgent need for interventions that enhance nurse resilience. Local Problem: At a major hospital in Jacksonville, Florida, it was found that oncology nurses face a significant gap in emotional support, especially during critical incidents such as patient deaths or traumatic events. Existing resources were insufficient to address the unique stressors faced by this team. Methods: A quality improvement project was implemented using the Plan-Do-Study-Act (PDSA) model. The intervention involved establishing an in-the-moment peer support program, grounded in Jean Watson’s Theory of Human Caring and the Stress First Aid (SFA) framework. Oncology nurses volunteered as peer supporters and received specialized training. The Connor-Davidson Resilience Scale (CD-RISC-10) was administered pre- and post-intervention to measure changes in resilience. Supplemental surveys captured immediate feedback after peer support sessions. Interventions: Fifteen oncology nurses completed peer supporter training. The program was communicated through meetings, emails, and huddles, with peer supporters easily identifiable by badge pins. Chaplain services provided additional support. Results: Of 35 eligible nurses, 26 completed both pre- and post-intervention surveys. The average CD-RISC-10 score increased from 30.35 to 33.38, indicating improved resilience. No nurse experienced a decline in resilience, and there was no turnover during the intervention period. Supplemental surveys and qualitative feedback highlighted the program’s positive impact on stress management, emotional support, and coping strategies. Interpretation: The peer support program effectively enhanced resilience among oncology nurses, providing practical tools and emotional support in a high-stress environment. The intervention was well-received and contributed to workforce stability. Conclusions: Implementing a structured peer support program is a feasible and effective strategy to bolster resilience and well-being among oncology nurses. Sustaining and expanding such initiatives may further improve nurse retention and patient care outcomes.

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