Archives of psychiatric nursing · 2025
Examining the psychological symptoms of pediatric oncology nurses and barriers to seeking psychological help: A mixed-methods study.
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Turan Nazan
Аннотация
BACKGROUNDS: Evidence suggests that Pediatric Oncology Nurses (PONs) experience stress-related psychological distress and, as a result, consider leaving the pediatric oncology setting. However, there is insufficient evidence to determine whether PONs receive psychological help during this process or, if not, what factors prevent them from seeking help.
PURPOSE: In this study, the psychological symptom levels of PONs were examined, and the barriers that prevent those with high or very high symptom risk from seeking professional help were identified.
METHODS: This study was conducted in X, the capital of X, between August 2024 and January 2025, using a sequential (quantitative-qualitative) mixed-methods design, in accordance with the COREQ and STROBE guidelines. A total of 114 PONs participated in the quantitative phase, and 26 in the qualitative phase. Quantitative data were collected using the Participant Information Form and the Symptom Checklist -90-R (SCL-90-R). Qualitative data were obtained through focus group interviews.
RESULTS: Quantitative analyses indicated that PONs were at high risk for symptoms of somatization, depression, anxiety, anger, and hostility. Additionally, the General Symptom Index (GSI) scores differed significantly based on gender, number of children, and total length of service in the pediatric oncology unit. Qualitative analyses revealed four main factors that prevented PONs from seeking psychological help: (1) stigma (self-stigma/social stigma), (2) status anxiety (loss of status/fear of status), (3) perceived capability for self-management (pharmacological knowledge/ awareness of social support resources/digital competence), and (4) self-efficacy (high levels of self-efficacy/low levels of self-efficacy).
CONCLUSION: Results indicate that PONs experienced a high or very high risk of psychological symptoms but refrained from seeking psychological help due to factors such as stigma, status anxiety, perceived capability for self-management, and self-efficacy.
PURPOSE: In this study, the psychological symptom levels of PONs were examined, and the barriers that prevent those with high or very high symptom risk from seeking professional help were identified.
METHODS: This study was conducted in X, the capital of X, between August 2024 and January 2025, using a sequential (quantitative-qualitative) mixed-methods design, in accordance with the COREQ and STROBE guidelines. A total of 114 PONs participated in the quantitative phase, and 26 in the qualitative phase. Quantitative data were collected using the Participant Information Form and the Symptom Checklist -90-R (SCL-90-R). Qualitative data were obtained through focus group interviews.
RESULTS: Quantitative analyses indicated that PONs were at high risk for symptoms of somatization, depression, anxiety, anger, and hostility. Additionally, the General Symptom Index (GSI) scores differed significantly based on gender, number of children, and total length of service in the pediatric oncology unit. Qualitative analyses revealed four main factors that prevented PONs from seeking psychological help: (1) stigma (self-stigma/social stigma), (2) status anxiety (loss of status/fear of status), (3) perceived capability for self-management (pharmacological knowledge/ awareness of social support resources/digital competence), and (4) self-efficacy (high levels of self-efficacy/low levels of self-efficacy).
CONCLUSION: Results indicate that PONs experienced a high or very high risk of psychological symptoms but refrained from seeking psychological help due to factors such as stigma, status anxiety, perceived capability for self-management, and self-efficacy.