Jan 18, 2021 1:00 PM


group of nurses

Updated July 2021

Oncology nurses face a unique set of challenges, such as managing treatment complications, symptoms, and end-of-life care. These challenges can contribute to compassion fatigue, which affects a nurse’s physical and emotional wellbeing and can lead to burnout and turnover. Research suggests that building personal resilience is a strategy for bouncing back after difficult experiences in the workplace and should be incorporated into nursing education.

To help our nurses learn to manage the challenges of oncology nursing and to build resiliency, Huntsman Cancer Institute (HCI) implemented the Huntsman Oncology Nurse Residency (HONR) Program. This 12-month nurse residency is for all newly graduated nurses hired at HCI.

Through oncology-specific instruction, the HONR Program provides tools and resources to help nurses be successful in their first year of clinical practice. Curriculum topics include the following:

  • Site-specific cancers
  • Oncologic specialties
  • Treatment modalities
  • Symptom management
  • Oncologic emergencies

The program also includes high-fidelity simulation, a structured mentorship program, question-and-answer panels with physicians and other experts, professional development, and an evidence-based practice project to improve patient outcomes. The HONR Program promotes a strong sense of team and community through networking, which is linked to increased job satisfaction and decreased stress. In addition to developing clinical skills and formulating a lifelong commitment to professional nursing, HONR nurse residents are on the fast track to clinical leadership at HCI. Since 2013, 148 nurse residents have graduated from the program, and many have since moved into nurse leadership positions in the hospital.

The HONR curriculum also threads resiliency topics throughout, such as practicing mindfulness and managing emotional contagion. This purposeful intervention helps new graduates develop personal resiliency skills that allow them to cope while meeting the challenges inherent to oncology nursing. By being proactive instead of reactive, nurse residents can build their coping skills from the beginning.

At three points during the year-long program, HONR nurse residents take the Professional Quality of Life survey, a standardized tool used to measure compassion satisfaction, compassion fatigue, burnout, and secondary traumatic stress. Scores in all of these categories generally improve over the course of the residency year, with changes in burnout scores being the most statistically significant in our most recent cohorts. We also measure retention at one, two, and three years from initial employment. Since we began resiliency training within HONR in 2015, the nurse resident retention rate is 98% at two years, and 94% at three years.

The HONR Program fulfills a dual purpose of recruitment and retention, while aiming to improve knowledge among oncology nurses at HCI. Through proactive measures, nurse residents are also able to develop personal resilience, and the ability to face inevitable challenges with strength and adaptability.

For more information about the Huntsman Oncology Nurse Residency (HONR) program, contact the Nurse Residency Coordinator, Megan Dolim.

Megan Dolim MS, RN, OCN
Megan Dolim MS, RN, OCN

Megan Dolim MS, RN, OCN
Nursing Professional Development Practitioner
Huntsman Oncology Nurse Residency (HONR) Coordinator
Huntsman Cancer Institute
Office: 801-213-4378
Megan.Dolim@hci.utah.edu

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