Staff Attitudes Before and After the Inception of a Pediatric Oncology Unit

Abstract

A special pediatric unit was started for patients with cancer. All staff had experience in caring for chronically ill children, but there were great individual variations in training. Positive expectations of the new unit expressed by staff were (1) feeling needed, (2) having a common goal, and (3) seeing results. Negative expectations expressed were fear of the suffering and dying of the children. One year later the positive expectations were found to be fulfilled. The fears were not found to be confirmed. The existing relationships among the nursing staff were criticized at the opening of the unit. Relationships had improved 1 year later. The prevailing organization at the opening of the unit was criticized. The RNs had too little time for primary nursing of the patients. Conditions had improved 1 year later, but the RN staff was considered too small and more physical space was needed. The parents' presence at the ward was considered positive by all staff when the unit opened. One year later some negative aspects were also pointed out.

Key Words:

• burnout
• childhood cancer
• nursing