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Journal of Pediatric Oncology Nursing
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Effect of the Clinical Support Nurse Role on Work-related Stress for Nurses on an Inpatient Pediatric Oncology Unit

Ann Chang, MSN, RN, CPON

Haematology/Oncology/BMT/Immunology Program at The Hospital for Sick Children in Toronto, Ontario, Canada, ann.chang{at}sickkids.ca.

Jennifer Kicis, MN, RN, NP, CPON

Haematology, Oncology, Transplant Program at the Alberta Children's Hospital in Calgary, Alberta, Canada

Gurjit Sangha, BSc, BScN, RN

Centre for Nursing

High patient acuity, heavy workload, and patient deaths can all contribute to work-related stress for pediatric oncology nurses. A new leadership role, the clinical support nurse (CSN), was recently initiated on the oncology unit of a large Canadian pediatric hospital to support frontline staff and reduce some of the stresses related to clinical activity. The CSN assists nurses with complex patient care procedures, provides hands-on education at the bedside, and supports staff in managing challenging family situations. This study explores the effect of the CSN role on the nurses' work-related stress using the Stressor Scale for Pediatric Oncology Nurses. A total of 58 nurses participated in this study for a response rate of 86%. The results show that the intensity of work-related stress experienced by nurses in this study is significantly less (P < .001) on shifts staffed with a CSN compared with shifts without a CSN.

Key Words: Key words: Stressor Scale for Pediatric Oncology Nurses • work-related stress • pediatric oncology nursing

Journal of Pediatric Oncology Nursing, Vol. 24, No. 6, 340-349 (2007)
DOI: 10.1177/1043454207308065
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