REVIEW PAPER
A review of stress management interventions for the oncology nursing workforce: What do we know and what should we be doing differently?
| 1 | Centre for Contextual Behavioural Science, University of Chester, Chester, United Kingdom |
Submission date: 2020-05-16
Final revision date: 2020-09-27
Acceptance date: 2020-09-28
Online publication date: 2020-11-09
Publication date: 2020-11-09
Health Psychology Report 2021;9(4):289–307
KEYWORDS
TOPICS
health attitudes and behaviorincluding prevention and promotionthe individual-health care system interface, particularly communication, and psychologically- based interventionsquality of life and well beingresearch methodology, measurement, and statistics in health psychology
ABSTRACT
Oncology nurses are at risk of chronic stress. In this narrative review we provide an overview of stress man-agement intervention studies for oncology nurses, and suggest that Acceptance and Commitment Thera-py/Training (ACT) provides a better intervention framework due to the relevance of underpinning therapeutic processes (e.g. acceptance, mindfulness, values clarification) to the role and stress-related experiences of this workforce population. Current evidence for the effectiveness of stress management intervention varies, with few studies describing how theory informs intervention content, or justifying why they should benefit this popu-lation specifically. ACT lends itself to data-driven intervention development, thus potentially addressing some methodological limitations in this field. Only one trial has tested ACT in this population, reporting only partial effects. Further empirical research is required given (a) the applicability of ACT for this population and context, and (b) the associated advantages of brief and/or group delivery to address known barriers to participating in stress management interventions.
REFERENCES (125)
1.
Abendroth, M., & Flannery, J. (2006). Predicting the risk of compassion fatigue: a study of hospice nurses. Journal of Hospice & Palliative Nursing, 8, 346–356. https://doi.org/10.1097/001291....
2.
Abratt, R. P. (2020). Patient care and staff well-being in oncology during the coronavirus pandemic–Ethical considerations. South African Journal of Oncology, 4, 1–3. https://doi.org/10.4102/sajo.v....
3.
Alacacioglu, A., Yavuzsen, T., Dirioz, M., Oztop, I., & Yilmaz, U. (2009). Burnout in nurses and physi-cians working at an oncology department. Psycho‐Oncology, 18, 543–548. https://doi.org/10.1002/pon.14....
4.
Aycock, N., & Boyle, D. (2009). Interventions to manage compassion fatigue in oncology nursing. Clinical Journal of Oncology Nursing, 13, 183–191. https://doi.org/10.1188/09.CJO....
5.
Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the re-hospitalization of psychotic patients: a randomized controlled trial. Journal of Consulting and Clini-cal Psychology, 70, 1129–1139. https://doi.org/10.1037/0022-0....
6.
Barnard, D., Street, A., & Love, A. W. (2006). Relationships between stressors, work supports, and burnout among cancer nurses. Cancer Nursing, 29, 338–345. https://doi.org/10.1097/000028....
7.
Barrett, L., & Yates, P. (2002). Oncology/haematology nurses: a study of job satisfaction, burnout, and intention to leave the specialty. Australian Health Review, 25, 109–121. https://doi.org/ 10.1071/ah020109.
8.
Barry, A. E. (2005). How attrition impacts the internal and external validity of longitudinal research. The Journal of School Health, 75, 267–270. https://doi.org/10.1111/j.1746....
9.
Bazarko, D., Cate, R. A., Azocar, F., & Kreitzer, M. J. (2013). The impact of an innovative mindful-ness-based stress reduction program on the health and well-being of nurses employed in a corporate setting. Journal of Workplace Behavioral Health, 28, 107–133. https://doi.org/10.1080/155552....
10.
Biglan, A., Hayes, S. C., & Pistorello, J. (2008). Acceptance and commitment: Implications for pre-vention science. Prevention Science, 9, 139–152. https://doi.org/10.1007/s11121....
11.
Blackledge, J. T., & Hayes, S. C. (2001). Emotion regulation in acceptance and commitment therapy. Journal of Clinical Psychology, 57, 243–255. https://doi.org/10.1002/1097-4....
12.
Bond, F. W., & Bunce, D. (2000). Mediators of change in emotion-focused and problem-focused worksite stress management interventions. Journal of Occupational Health Psychology, 5, 156–163. https://doi.org/10.1037/1076-8....
13.
Bond, F. W., & Donaldso-Feilder, E. J. (2004). The relative importance of psychological acceptance and emotional intelligence to workplace well-being. British Journal of Guidance & Counselling, 32, 187–203. https://doi.org/10.1080/080698....
14.
Bond, F. W., Hayes, S. C., & Barnes-Holmes, D. (2006). Psychological flexibility, ACT, and organiza-tional behavior. Journal of Organizational Behavior Management, 26, 25–54. https://doi.org/10.1300/J075v2....
15.
Bond, F. W., Lloyd, J., & Guenole, N. (2013). The work‐related acceptance and action questionnaire: Initial psychometric findings and their implications for measuring psychological flexibility in specif-ic contexts. Journal of Occupational and Organizational Psychology, 86, 331–347. https://doi.org/10.1111/joop.1....
16.
Bourdeanu, L., Zhou, Q., De Samper, M., Pericak, K. A., & Pericak, A. (2020). Burnout, workplace factors, and intent to leave among hematology/oncology nurse practitioners. Journal of the Ad-vanced Practitioner in Oncology, 11, 141–148. https://doi.org/10.6004/jadpro....
17.
Brinkborg, H., Michanek, J., Hesser, H., & Berglund, G. (2011). Acceptance and commitment therapy for the treatment of stress among social workers: a randomized controlled trial. Behaviour Re-search and Therapy, 49, 389–398. https://doi.org/10.1016/j.brat....
18.
Boorman, S. (2009). NHS Health and Well-Being Review. Retrieved from: http://webarchive.nationalarch....
19.
Butts, C. M., & Gutierrez, D. (2018). Using acceptance and commitment therapy to (re)conceptualize stress appraisal. Journal of Mental Health Counseling, 40, 95–112. https://doi.org/10.17744/mehc.....
20.
Cheng, F., Meng, A. F., & Jin, T. (2015). Correlation between burnout and professional value in chi-nese oncology nurses: a questionnaire survey. International Journal of Nursing Sciences, 2, 153–157. https://doi.org/10.1016/j.ijns....
21.
Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. The Journal of Alternative and Complementary Medi-cine, 15, 593–600. https://doi.org/10.1089/acm.20....
22.
Cohen-Katz, J., Wiley, S. D., Capuano, T., Baker, D. M., & Shapiro, S. (2005). The effects of mindful-ness‐based stress reduction on nurse stress and burnout, part II: a quantitative and qualitative study. Holistic Nursing Practice, 19, 26–35. https://doi.org/10.1097/000046....
23.
Corner, J. (2002). Nurses’ experiences of cancer. European Journal of Cancer Care, 11, 193–199. https://doi.org/10.1046/j.1365....
24.
Corso, V. M. (2012). Oncology nurse as wounded healer: Developing a compassion identity. Clinical Journal of Oncology Nursing, 16, 448–450. https://doi.org/10.1188/12.CJO....
25.
Craigie, M., Slatyer, S., Hegney, D., Osseiran-Moisson, R., Gentry, E., Davis, S., Dolan, T., & Rees, C. (2016). A pilot evaluation of a mindful self-care and resiliency (MSCR) intervention for nurses. Mindfulness, 7, 764–774. https://doi.org/10.1007/s12671....
26.
da Fonte Sousa Gomes, S., dos Santos, M. M. M. C. C., & da Mata Almeida Carolino, E. T. (2013). Psycho-social risks at work: Stress and coping strategies in oncology nurses. Revista Latino-Americana de Enfermagem, 21, 1282–1289. https://doi.org/10.1590/0104-1....
27.
Dahl, J., Wilson, K. G., & Nilsson, A. (2004). Acceptance and commitment therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: a preliminary randomized trial. Behavior Therapy, 35, 785–801. https://doi.org/10.1016/S0005-....
28.
Davis, E. L., Deane, F. P., & Lyons, G. C. (2015). Acceptance and valued living as critical appraisal and coping strengths for caregivers dealing with terminal illness and bereavement. Palliative and Supportive Care, 13, 359–368. https://doi.org/10.1017/S14789....
29.
De la Fuente-Solana, E. I., Pradas-Hernández, L., Ramiro-Salmerón, A., Suleiman-Martos, N., Gómez-Urquiza, J. L., Albendín-García, L., & Cañadas-De la Fuente, G. A. (2020). Burnout syndrome in paediatric oncology nurses: a systematic review and meta-analysis. Healthcare, 8, 309–321. https://doi.org/10.3390/health....
30.
Delaney, M. C. (2018). Caring for the caregivers: Evaluation of the effect of an eight-week pilot mind-ful self-compassion (MSC) training program on nurses’ compassion fatigue and resilience. PLoS One, 13, e0207261. https://doi.org/10.1371/journa....
31.
Domagała, P. M., & Gaworska-Krzemińska, A. (2018). Stress and burnout among oncology nurses: review study. Polish Psychological Bulletin, 49, 482–488. https://doi.org/10.24425/12434....
32.
Duarte, J., & Pinto-Gouveia, J. (2016). Effectiveness of a mindfulness-based intervention on oncolo-gy nurses’ burnout and compassion fatigue symptoms: a non-randomized study. International Journal of Nursing Studies, 64, 98–107. https://doi.org/10.1016/j.ijnu....
33.
Duarte, J., & Pinto-Gouveia, J. (2017). The role of psychological factors in oncology nurses’ burnout and compassion fatigue symptoms. European Journal of Oncology Nursing, 28, 114–121. https://doi.org/10.1016/j.ejon....
34.
Ekedahl, M., & Wengström, Y. (2007). Nurses in cancer care – stress when encountering existential issues. European Journal of Oncology Nursing, 11, 228–237. https://doi.org/10.1016/j.ejon....
35.
Escot, C., Artero, S., Gandubert, C., Boulenger, J. P., & Ritchie, K. (2001). Stress levels in nursing staff working in oncology. Stress and Health, 17, 273–279. https://doi.org/10.1002/smi.90....
36.
Figley, C. R. (Ed.). (1995). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel.
37.
Flaxman, P. E., & Bond, F. W. (2010a). A randomised worksite comparison of acceptance and com-mitment therapy and stress inoculation training. Behaviour Research and Therapy, 48, 816–820. https://doi.org/10.1016/j.brat....
38.
Flaxman, P. E., & Bond, F. W. (2010b). Worksite stress management training: Moderated effects and clinical significance. Journal of Occupational Health Psychology, 15, 347–358. https://doi.org/10.1037/a00205....
39.
Flaxman, P. E., Bond, F. W., & Livheim, F. (2013). The mindful and effective employee: An acceptance and commitment therapy training manual for improving well-being and performance. Oakland, CA: New Harbinger Publications.
40.
Florio, G. A., Donelly, J. P., & Zevon, M. A. (1998). The structure of work-related stress and coping among oncology nurses in high-stress medical settings: a transactional analysis. Journal of Occu-pational Health Psychology, 3, 227–242. https://doi.org/10.1037/1076-8....
41.
Forman, E. M., Butryn, M. L., Hoffman, K. L., & Herbert, J. D. (2009). An open trial of an acceptance-based behavioral intervention for weight loss. Cognitive and Behavioral Practice, 16, 223–235. https://doi.org/10.1016/j.cbpr....
42.
Foureur, M., Besley, K., Burton, G., Yu, N., & Crisp, J. (2013). Enhancing the resilience of nurses and midwives: Pilot of a mindfulness-based program for increased health, sense of coherence and de-creased depression, anxiety and stress. Contemporary Nurse, 45, 114–125. https://doi.org/10.5172/conu.2....
43.
Frögéli, E., Djordjevic, A., Rudman, A., Livheim, F., & Gustavsson, P. (2015). A randomized con-trolled pilot trial of Acceptance and Commitment Training (ACT) for preventing stress-related ill health among future nurses. Anxiety, Stress, & Coping: An International Journal, 29, 1–17. https://doi.org/10.1080/106158....
44.
Frögéli, E., Rudman, A., & Gustavsson, P. (2019). Preventing stress-related ill health among future nurses: Effects over 3 years. International Journal of Stress Management, 26, 272–286. https://doi.org/10.1037/str000....
45.
Gerhart, J., O’Mahony, S., Abrams, I., Grosse, J., Greene, M., & Levy, M. (2016). A pilot test of a mindfulness-based communication training to enhance resilience in palliative care professionals. Journal of Contextual Behavioral Science, 5, 89–96. https://doi.org/10.1016/j.jcbs....
46.
Gomez-Urquiza, J. L., Aneas-López, A. B., Albendín-García, L., & Díaz-Rodríguez, L. (2016). Preva-lence, risk factors, and levels of burnout among oncology nurses: a systematic review. Oncology Nursing Forum, 43, E104-E120. https://doi.org/10.1188/16.ONF....
47.
Guveli, H., Anuk, D., Oflaz, S., Guveli, M. E., Yildrim, N. K., Ozkan, M., & Ozkan, S. (2015). Oncology staff: Burnout, job satisfaction and coping with stress. Psycho-Oncology, 24, 926–931. https://doi.org/10.1002/pon.37....
48.
Habibian, Z., Sadri, Z., & Nazmiyeh, H. (2018). Effects of group acceptance and commitment therapy-based training on job stress and burnout among pediatric oncology and special diseases nurses. Iranian Journal of Pediatric Hematology and Oncology, 8, 118–125.
49.
Hayes, S. C. (2016). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies – republished article. Behavior Therapy, 47, 869–885. https://doi.org/10.1016/j.beth....
50.
Hayes, S. C., Barnes-Holmes, D., & Roche, B. (2001). Relational frame theory: A post-Skinnerian ac-count of human language and cognition. Berlin: Springer Science & Business Media.
51.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The pro-cess and practice of mindful change. New York: Guilford Press.
52.
Heffner, M., Eifert, G. H., Parker, B. T., Hernandez, D. H., & Sperry, J. A. (2003). Valued directions: Acceptance and commitment therapy in the treatment of alcohol dependence. Cognitive and Behav-ioral Practice, 10, 378–383. https://doi.org/10.1016/S1077-....
53.
Hernández-López, M., Luciano, M. C., Bricker, J. B., Roales-Nieto, J. G., & Montesinos, F. (2009). Acceptance and commitment therapy for smoking cessation: a preliminary study of its effective-ness in comparison with cognitive behavioral therapy. Psychology of Addictive Behaviors, 23, 723–730. https://doi.org/10.1037/a00176....
54.
Hofmann, S. G., & Hayes, S. C. (2018). The future of intervention science: Process-based therapy. Clinical Psychological Science, 7, 37–50. https://doi.org/10.1177/216770....
55.
Hooper, C., Craig, J., Janvrin, D. R., Wetsel, M. A., & Reimels, E. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other select-ed inpatient specialties. Journal of Emergency Nursing, 36, 420–427. https://doi.org/10.1016/j.jen.....
56.
Houck, D. (2014). Helping nurses cope with grief and compassion fatigue: an educational interven-tion. Clinical Journal of Oncology Nursing, 18, 454–458. https://doi.org/10.1188/14.CJO....
57.
Hulbert, N. J., & Morrison, V. L. (2006). A preliminary study into stress in palliative care: Optimism, self-efficacy and social support. Psychology, Health & Medicine, 11, 246–254. https://doi.org/10.1080/135485....
58.
Hulbert-Williams, L., Hochard, K. D., Hulbert-Williams, N., Archer, R., Nicholls, W., & Wilson, K. (2016). Contextual behavioural coaching: an evidence-based model for supporting behaviour change. International Coaching Psychology Review, 11, 30–42.
59.
Hulbert‐Williams, N. J., Storey, L., & Wilson, K. G. (2015). Psychological interventions for patients with cancer: Psychological flexibility and the potential utility of Acceptance and Commitment Ther-apy. European Journal of Cancer Care, 24, 15–27. https://doi.org/10.1111/ecc.12....
60.
Iglesias, M. E. L., de Bengoa Vallejo, R. B., & Fuentes, P. S. (2010). The relationship between experi-ential avoidance and burnout syndrome in critical care nurses: a cross-sectional questionnaire sur-vey. International Journal of Nursing Studies, 47, 30–37. https://doi.org/10.1016/j.ijnu....
61.
Imai, K., Keele, L., & Tingley, D. (2010). A general approach to causal mediation analysis. Psychologi-cal Methods, 15, 309–335. https://doi.org/10.1037/a00207....
62.
Isikhan, V., Comez, T., & Danis, M. Z. (2004). Job stress and coping strategies in health care profes-sionals working with cancer patients. European Journal of Oncology Nursing, 8, 234–244. https://doi.org/10.1016/j.ejon....
64.
Jones, M. C., Wells, M., Gao, C., Cassidy, B., & Davie, J. (2013). Work stress and well‐being in on-cology settings: a multidisciplinary study of health care professionals. Psycho‐Oncology, 22, 46–53. https://doi.org/10.1002/pon.20....
65.
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte.
66.
Karekla, M., Konstantinou, P., Ioannou, M., Kareklas, I., & Gloster, A. T. (2019). The phenomenon of treatment dropout, reasons and moderators in acceptance and commitment therapy and other ac-tive treatments. Clinical Psychology in Europe, 1, 1–36. https://doi.org/10.32872/cpe.v....
67.
Kashdan, T. B., Barrios, V., Forsyth, J. P., & Steger, M. F. (2006). Experiential avoidance as a generalized psychological vulnerability: Comparisons with coping and emotion regulation strate-gies. Behaviour Research and Therapy, 44, 1301–1320. https://doi.org/10.1016/j.brat....
68.
Kent, W., Hochard, K. D., & Hulbert-Williams, N. J. (2019). Perceived stress and professional quality of life in nursing staff: How important is psychological flexibility? Journal of Contextual Behavioral Science, 14, 11–19. https://doi.org/10.1016/j.jcbs....
69.
Kravits, K., McAllister-Black, R., Grant, M., & Kirk, C. (2010). Self-care strategies for nurses: a psycho-educational intervention for stress reduction and the prevention of burnout. Applied Nurs-ing Research, 23, 130–138. https://doi.org/10.1016/j.apnr....
70.
Kumar, M. Y. S., & Bhalla, P. (2019). Stress among nursing staff in hospitals and its relation with job satisfaction, job performance and quality of nursing care: a literature review. Journal of Nursing and Care, 8, 1–5.
71.
Kutluturkan, S., Sozeri, E., Uysal, N., & Bay, F. (2016). Resilience and burnout status among nurses working in oncology. Annals of General Psychiatry, 15, 33–42. https://doi.org/10.1186/s12991....
72.
Le Blanc, P. M., Hox, J. J., Schaufeli, W. B., Taris, T. W., & Peeters, M. C. (2007). Take care! The evaluation of a team-based burnout intervention program for oncology care providers. Journal of Applied Psychology, 92, 213–227. https://doi.org/10.1037/0021-9....
73.
Levin, M. E., Hildebrandt, M. J., Lillis, J., & Hayes, S. C. (2012). The impact of treatment components suggested by the psychological flexibility model: a meta-analysis of laboratory-based component studies. Behavior Therapy, 43, 741–756. https://doi.org/10.1016/j.beth....
74.
Lillis, J., Hayes, S. C., Bunting, K., & Masuda, A. (2009). Teaching acceptance and mindfulness to improve the lives of the obese: a preliminary test of a theoretical model. Annals of Behavioral Med-icine, 37, 58–69. https://doi.org/10.1007/s12160....
75.
Lloyd, J., Bond, F. W., & Flaxman, P. E. (2013). The value of psychological flexibility: Examining psychological mechanisms underpinning a cognitive behavioural therapy intervention for burnout. Work & Stress, 27, 181–199. https://doi.org/10.1080/026783....
76.
Lomas, T., Medina, J. C., Ivtzan, I., Rupprecht, S., & Eiroa-Orosa, F. J. (2018). A systematic review and meta-analysis of the impact of mindfulness-based interventions on the well-being of healthcare professionals. Mindfulness, 10, 1193–1216. https://doi.org/10.1007/s12671....
77.
Losada, A., Márquez-González, M., Romero-Moreno, R., & López, J. (2014). Development and valida-tion of the experiential avoidance in caregiving questionnaire (EACQ). Aging & Mental Health, 18, 897–904. https://doi.org/10.1080/136078....
78.
Luoma, J. B., & Platt, M. G. (2015). Shame, self-criticism, self-stigma, and compassion in Ac-ceptance and Commitment Therapy. Current Opinion in Psychology, 2, 97–101. https://doi.org/10.1016/j.cops....
79.
Mackenzie, C. S., Poulin, P. A., & Seidman-Carlson, R. (2006). A brief mindfulness-based stress re-duction intervention for nurses and nurse aides. Applied Nursing Research, 19, 105–109. https://doi.org/10.1016/j.apnr....
81.
Maslach, C., & Goldberg, J. (1998). Prevention of burnout: New perspectives. Applied and Preventive Psychology, 7, 63–74. https://doi.org/10.1016/S0962-....
82.
McConachie, D. A. J., McKenzie, K., Morris, P. G., & Walley, R. M. (2014). Acceptance and mindful-ness-based stress management for support staff caring for individuals with intellectual disabilities. Research in Developmental Disabilities, 35, 1216–1227. https://doi.org/10.1016/j.ridd....
83.
Mimura, C., & Griffiths, P. (2003). The effectiveness of current approaches to workplace stress man-agement in the nursing profession: an evidence-based literature review. Occupational and Environ-mental Medicine, 60, 10–15. https://doi.org/10.1136/oem.60....
84.
McHugh, L. (2011). A new approach in psychotherapy: ACT (acceptance and commitment therapy). The World Journal of Biological Psychiatry, 12, 81–84. https://doi.org/10.3109/156229....
85.
Neff, K. D., Kirkpatrick, K. L., & Rude, S. S. (2007). Self-compassion and adaptive psychological functioning. Journal of Research in Personality, 41, 139–154. https://doi.org/10.1016/j.jrp.....
86.
O’Brien, W. H., Singh, R., Horan, K., Moeller, M. T., Wasson, R., & Jex, S. M. (2019). Group-based acceptance and commitment therapy for nurses and nurse aides working in long-term care residen-tial settings. The Journal of Alternative and Complementary Medicine, 25, 753–761. https://doi.org/10.1089/acm.20....
87.
O’Mahony, S., Gerhart, J. I., Grosse, J., Abrams, I., & Levy, M. M. (2015). Posttraumatic stress symp-toms in palliative care professionals seeking mindfulness training: Prevalence and vulnerability. Palliative Medicine, 30, 189–192. https://doi.org/10.1177/026921....
88.
Onan, N., Isil, O., & Barlas, G. Ü. (2013). The effect of a new coping intervention on stress and burn-out in Turkish oncology nurses. Journal of Marmara University Institute of Health Sciences, 3, 121–130.
89.
Ortega-Campos, E., Vargas-Román, K., Velando-Soriano, A., Suleiman-Martos, N., Cañadas-de la Fuente, G. A., Albendín-García, L., & Gómez-Urquiza, J. L. (2020). Compassion fatigue, compas-sion satisfaction, and burnout in oncology nurses: a systematic review and meta-analysis. Sustain-ability, 12, 72–83. https://doi.org/10.3390/su1201....
90.
Pakenham, K. I. (2015). Investigation of the utility of the acceptance and commitment therapy (ACT) framework for fostering self-care in clinical psychology trainees. Training and Education in Profes-sional Psychology, 9, 144–152. https://doi.org/10.1037/tep000....
91.
Plumb, J. C., Stewart, I., Dahl, J., & Lundgren, T. (2009). In search of meaning: Values in modern clin-ical behavior analysis. Behavior Analyst, 32, 85–103. https://doi.org/10.1007/BF0339....
92.
Potter, P., Deshields, T., Berger, J. A., Clarke, M., Olsen, S., & Chen, L. (2013). Evaluation of a compassion fatigue resiliency program for oncology nurses. Oncology Nursing Forum, 40, 180–187. https://doi.org/10.1188/13.ONF....
93.
Potter, P., Deshields, T., Divanbeigi, J., Berger, J., Cipriano, D., Norris, L., & Olsen, S. (2010). Com-passion fatigue and burnout: Prevalence among oncology nurses. Clinical Journal of Oncology Nursing, 14, E56–E62. https://doi.org/10.1188/10.CJO....
94.
Poulsen, A. A., Sharpley, C. F., Baumann, K. C., Henderson, J., & Poulsen, M. G. (2015). Evaluation of the effect of a 1‐day interventional workshop on recovery from job stress for radiation thera-pists and oncology nurses: a randomised trial. Journal of Medical Imaging and Radiation Oncology, 59, 491–498. https://doi.org/10.1111/1754-9....
95.
Powers, M. B., Zum Vörde Sive Vörding, M. B., & Emmelkamp, P. M. (2009). Acceptance and com-mitment therapy: a meta-analytic review. Psychotherapy and Psychosomatics, 78, 73–80. https://doi.org/10.1159/000190....
96.
Puolakanaho, A., Tolvanen, A., Kinnunen, S. M., & Lappalainen, R. (2020). A psychological flexibility-based intervention for burnout: a randomized controlled trial. Journal of Contextual Behavioral Sci-ence, 15, 52–67. https://doi.org/10.1016/j.jcbs....
97.
Raab, K. (2014). Mindfulness, self-compassion, and empathy among health care professionals: a review of the literature. Journal of Health Care Chaplaincy, 20, 95–108. https://doi.org/10.1080/088547....
98.
Raingruber, B., & Wolf, T. (2015). Nurse perspectives regarding the meaningfulness of oncology nurs-ing practice. Clinical Journal of Oncology Nursing, 19, 292–296. https://doi.org/10.1188/15.CJO....
99.
Reeve, A., Tickle, A., & Moghaddam, N. (2018). Are acceptance and commitment therapy-based in-terventions effective for reducing burnout in direct-care staff? A systematic review and meta-analysis. Mental Health Review Journal, 23, 131–155. https://doi.org/10.1108/MHRJ-1....
100.
Reynolds, S. (2000). Interventions: What works, what doesn’t? Occupational Medicine, 50, 315–319. https://doi.org/10.1093/occmed....
101.
Richardson, D. A., Hug, E., Jesse, M., Connors, K., & Schwartz, K. (2015). The relationship between compassion and psychological flexibility in medical students. Obstetrics & Gynecology, 126, 45S. https://doi.org/10.1097/01.AOG....
102.
Richardson, K. M., & Rothstein, H. R. (2008). Effects of occupational stress management intervention programs: a meta-analysis. Journal of Occupational Health Psychology, 13, 69–93. https://doi.org/10.1037/1076-8....
103.
Roxburgh, M. (2006). An exploration of factors which constrain nurses from research participation. Journal of Clinical Nursing, 15, 535–545. https://doi.org/10.1111/j.1365....
104.
Ruiz, F. J. (2010). A review of acceptance and commitment therapy (ACT) empirical evidence: Correla-tional, experimental psychopathology, component and outcome studies. International Journal of Psychology and Psychological Therapy, 10, 125–162.
105.
Ryan, P., & Lauver, D. R. (2002). The efficacy of tailored interventions. Journal of Nursing Scholarship, 34, 331–337. https://doi.org/10.1111/j.1547....
106.
Sherman, A. C., Edwards, D., Simonton, S., & Mehta, P. (2006). Caregiver stress and burnout in an oncology unit. Palliative & Supportive Care, 4, 65–80. https://doi.org/10.1017/s14789....
107.
Stoddard, J. A., & Afari, N. (2014). The big book of ACT metaphors: a practitioner’s guide to experien-tial exercises and metaphors in Acceptance and Commitment Therapy. Oakland, CA: New Harbinger Publications.
108.
Street, L. L., & Luoma, J. B. (2002). Control groups in psychosocial intervention research: Ethical and methodological issues. Ethics & Behavior, 12, 1–30. https://doi.org/10.1207/S15327....
109.
Strosahl, K., Robinson, P., & Gustavsson, T. (2012). Brief interventions for radical change: Principles and practice of focused acceptance and commitment therapy. Oakland, CA: New Harbinger Publica-tions.
110.
Toh, S. G., Devi, M. K., & Ang, E. N. K. (2011). A systematic review on the relationship between the nursing shortage and nurses’ job satisfaction, stress and burnout levels in oncology/haematology settings. The JBI Database of Systematic Reviews and Implementation Reports, 9, 1602–1649.
111.
Udo, C., Danielson, E., Henoch, I., & Melin-Johansson, C. (2013). Surgical nurses’ work-related stress when caring for severely ill and dying patients in cancer after participating in an educational inter-vention on existential issues. European Journal of Oncology Nursing, 17, 546–553. https://doi.org/10.1016/j.ejon....
112.
van Mol, M. M., Kompanje, E. J., Benoit, D. D., Bakker, J., & Nijkamp, M. D. (2015). The prevalence of compassion fatigue and burnout among healthcare professionals in intensive care units: a systematic review. PLoS One, 10, e0136955. https://doi.org/10.1371/journa....
113.
Van Rooyen, D., Le Roux, L., & Kotzé, W. J. (2008). The experiential world of the oncology nurse. Health SA Gesondheid, 13, 18–30. https://doi.org/10.4102/hsag.v....
114.
Villani, D., Grassi, A., Cognetta, C., Cipresso, P., Toniolo, D., & Riva, G. (2013). The effects of a mobile stress management protocol on nurses working with cancer patients: a preliminary con-trolled study. Studies in Health Technology and Informatics, 173, 524–528. https://doi.org/10.3233/978-1-....
115.
Walczak, J. R., McGuire, D. B., Haisfield, M. E., & Beezley, A. (1994). A survey of research-related activities and perceived barriers to research utilization among professional oncology nurses. On-cology Nursing Forum, 21, 710–715.
116.
Wallace, J. E., Lemaire, J. B., & Ghali, W. A. (2009). Physician wellness: a missing quality indicator. The Lancet, 374, 1714–1721. https://doi.org/10.1016/S0140-....
117.
Walser, R. D., & Pistorello, J. (2004). ACT in group format. In S. C. Hayes & K. D. Strosahl (Eds.), A practical guide to Acceptance and Commitment Therapy (pp. 347–372). Boston, MA: Springer.
118.
Watanabe, N., Horikoshi, M., Shinmei, I., Oe, Y., Narisawa, T., Kumachi, M., Matsuoka, Y., Hama-zaki, K., & Furukawa, T. A. (2019). Brief mindfulness-based stress management program for a better mental state in working populations – Happy Nurse Project: a randomized controlled trial. Journal of Affective Disorders, 251, 186–194. https://doi.org/10.1016/j.jad.....
119.
Wazqar, D. Y. (2019). Oncology nurses’ perceptions of work stress and its sources in a university‐teaching hospital: a qualitative study. Nursing Open, 6, 100–108. https://doi.org/10.1002/nop2.1....
120.
Wells-English, D., Giese, J., & Price, J. (2019). Compassion fatigue and satisfaction: Influence on turnover among oncology nurses at an urban cancer center. Clinical Journal of Oncology Nursing, 23, 487–493. https://doi.org/10.1188/19.CJO....
121.
Wenzel, J., Shaha, M., Klimmek, R., & Krumm, S. (2011). Working through grief and loss: Oncology nurses’ perspectives on professional bereavement. Oncology Nursing Forum, 38, 272–282. https://doi.org/10.1188/11.ONF....
122.
Wiklund Gustin, L., & Wagner, L. (2013). The butterfly effect of caring – clinical nursing teachers’ un-derstanding of self‐compassion as a source to compassionate care. Scandinavian Journal of Car-ing Sciences, 27, 175–183. https://doi.org/10.1111/j.1471....
123.
Wilson, K. G., Sandoz, E. K., Kitchens, J., & Roberts, M. (2010). The Valued Living Questionnaire: Defining and measuring valued action within a behavioral framework. The Psychological Record, 60, 249–272. https://doi.org/10.1007/BF0339....
124.
Wyatt, D., & Hulbert-Williams, N. (2015). Cancer & cancer care. London: Sage Ltd.
125.
Zadeh, S., Gamba, N., Hudson, C., & Wiener, L. (2012). Taking care of care providers: a wellness program for pediatric nurses. Journal of Pediatric Oncology Nursing, 29, 294–299. https://doi.org/10.1177/104345....
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