Choosing a career in oncology is no small feat—it’s a decision often rooted in deep personal experiences, a desire to make a meaningful impact, and a profound respect for the caregivers who navigate this challenging field. But here’s where it gets complicated: while many are drawn to oncology because of family ties, inspiring mentors, or a passion to fight cancer, the harsh realities of the job can wear even the most dedicated professionals down. Stressful work environments, inconsistent support from colleagues, and limited autonomy often push advanced practice providers (APPs) to the brink, leading many to leave the field altogether. Yet, understanding what keeps these professionals committed isn’t just about retention—it’s about reigniting the passion that brought them here in the first place.
A groundbreaking study published in the Oncology Nursing Forum (https://pubmed.ncbi.nlm.nih.gov/40849923/) sheds light on this very question. Led by Laura Fennimore, DNP, RN, CNE®, NEA-BC®, FAAN, the research dives into the motivators that keep APPs in oncology, despite its challenges. And this is the part most people miss: it’s not just about the positives—it’s about how nurses and APPs navigate the delicate balance between what fuels their passion and what drains their energy.
The study drew insights from a January 2024 End-of-Life Nursing Education Consortium (ELNEC) event, where oncology advanced practice registered nurses (APRNs) and physician assistants were asked a simple yet powerful question: “What keeps you in oncology nursing?” The responses, from 66 nurse practitioners and three physician assistants with an average of 9 years of advanced education and 14 years of oncology experience, were eye-opening. Through thematic analysis, five major reasons emerged—reasons that not only explain why they stay but also offer a roadmap for fostering job satisfaction in this critical field.
But here’s the controversial part: while passion and personal connections are undeniable drivers, the study also highlights systemic issues that, if unaddressed, could continue to drive talented professionals away. For instance, how can we ensure interprofessional collaboration supports rather than hinders APPs? And what role does autonomy play in sustaining long-term commitment? These questions aren’t just food for thought—they’re a call to action for healthcare leaders and policymakers.
As we reflect on these findings, it’s worth asking: What changes are needed to make oncology a field where passion thrives, not just survives? Share your thoughts in the comments—let’s spark a conversation that could shape the future of cancer care.
