Uniwersyteckie Czasopisma NaukoweA review of stress management interventions for the oncology nursing workforce: What do we know and what should we be doing differently?
Słowa kluczowe:
oncology nurses, stress management, intervention, ACTAbstrakt
Oncology nurses are at risk of chronic stress. In this narrative review we provide an overview of stress management intervention studies for oncology nurses, and suggest that Acceptance and Commitment Therapy/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 population 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.
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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/10.1097/00129191-200611000-00007.
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.v4i0.129.
Alacacioglu, A., Yavuzsen, T., Dirioz, M., Oztop, I., & Yilmaz, U. (2009). Burnout in nurses and physicians working at an oncology department. Psycho‐Oncology, 18, 543–548. https://doi.org/10.1002/pon.1432.
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.CJON.183-191.
Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 70, 1129–1139. https://doi.org/10.1037/0022-006X.70.5.1129.
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/10.1097/00002820-200607 000-00013.
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.
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.1746-1561.2005.tb06687.x.
Bazarko, D., Cate, R. A., Azocar, F., & Kreitzer, M. J. (2013). The impact of an innovative mindfulnessbased 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/10.1080/15555240.2013.77 9518.
Biglan, A., Hayes, S. C., & Pistorello, J. (2008). Acceptance and commitment: Implications for prevention science. Prevention Science, 9, 139–152. https://doi.org/10.1007/s11121-008-0099-4.
Blackledge, J. T., & Hayes, S. C. (2001). Emotion regulation in acceptance and commitment therapy. Journal of Clinical Psychology, 57, 243–255. https:// doi.org/10.1002/1097-4679(200102)57:23.0.CO;2-X.
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/10.1037/1076-8998.5.1.156.
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/10.1080/08069880410001692210.
Bond, F. W., Hayes, S. C., & Barnes-Holmes, D. (2006). Psychological flexibility, ACT, and organizational behavior. Journal of Organizational Behavior Management, 26, 25–54. https://doi.org/10.1300/J075v26n01_02.
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 specific contexts. Journal of Occupational and Organizational Psychology, 86, 331–347. https://doi.org/ 10.1111/joop.12001.
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 Advanced Practitioner in Oncology, 11, 141–148. https://doi. org/10.6004/jadpro.2020.11.2.2.
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 Research and Therapy, 49, 389–398. https://doi.org/10.1016/j.brat.2011.03.009.
Boorman, S. (2009). NHS Health and Well-Being Review. Retrieved from: http://webarchive.nationalarchives.gov.uk/20130107105354/http://www. dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_108907.pdf.
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.40.2.01.
Cheng, F., Meng, A. F., & Jin, T. (2015). Correlation between burnout and professional value in chinese oncology nurses: a questionnaire survey. International Journal of Nursing Sciences, 2, 153–157. https://doi.org/10.1016/j.ijnss.2015.04.004.
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 Medicine, 15, 593–600. https://doi.org/10.1089/acm.2008.0495.
Cohen-Katz, J., Wiley, S. D., Capuano, T., Baker, D. M., & Shapiro, S. (2005). The effects of mindfulness‐ based stress reduction on nurse stress and burnout, part II: a quantitative and qualitative study. Holistic Nursing Practice, 19, 26–35. https://doi. org/10.1097/00004650-200501000-00008.
Corner, J. (2002). Nurses’ experiences of cancer. European Journal of Cancer Care, 11, 193–199. https:// doi.org/10.1046/j.1365-2354.2002.00339.x.
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.CJON.448-450.
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/s12671-016-0516-x.
da Fonte Sousa Gomes, S., dos Santos, M. M. M. C. C., & da Mata Almeida Carolino, E. T. (2013). Psychosocial risks at work: Stress and coping strategies in oncology nurses. Revista Latino-Americana de Enfermagem, 21, 1282–1289. https://doi. org/10.1590/0104-1169.2742.2365.
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/S0005-7894(04)80020-0.
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/S1478951514000431.
De la Fuente-Solana, E. I., Pradas-Hernández, L., Ramiro-Salmerón, A., Suleiman-Martos, N., GómezUrquiza, 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/healthcare8030309.
Delaney, M. C. (2018). Caring for the caregivers: Evaluation of the effect of an eight-week pilot mindful self-compassion (MSC) training program on nurses’ compassion fatigue and resilience. PLoS One, 13, e0207261. https://doi.org/10.1371/journal.pone.0207261.
Domagała, P. M., & Gaworska-Krzemińska, A. (2018). Stress and burnout among oncology nurses: review study. Polish Psychological Bulletin, 49, 482– 488. https://doi.org/10.24425/124346.
Duarte, J., & Pinto-Gouveia, J. (2016). Effectiveness of a mindfulness-based intervention on oncology nurses’ burnout and compassion fatigue symptoms: a non-randomized study. International Journal of Nursing Studies, 64, 98–107. https://doi.org/10.1016/j.ijnurstu.2016.10.002.
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.2017.04.002.
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.2006.09.005.
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.907.
Figley, C. R. (Ed.). (1995). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. Brunner/Mazel. Flaxman, P. E., & Bond, F. W. (2010a). A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training. Behaviour Research and Therapy, 48, 816–820. https://doi.org/10.1016/j.brat.2010.05.004.
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/a0020522.
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. New Harbinger Publications.
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 Occupational Health Psychology, 3, 227–242. https://doi. org/10.1037/1076-8998.3.3.227.
Forman, E. M., Butryn, M. L., Hoffman, K. L., & Herbert, J. D. (2009). An open trial of an acceptancebased behavioral intervention for weight loss. Cognitive and Behavioral Practice, 16, 223–235. https://doi.org/10.1016/j.cbpra.2008.09.005.
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 decreased depression, anxiety and stress. Contemporary Nurse, 45, 114–125. https://doi.org/10.5172/conu.2013.45.1.114.
Frögéli, E., Djordjevic, A., Rudman, A., Livheim, F., & Gustavsson, P. (2015). A randomized controlled 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/ 10.1080/10615806.2015.1025765.
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/str0000110.
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.2016.04.003.
Gomez-Urquiza, J. L., Aneas-López, A. B., AlbendínGarcía, L., & Díaz-Rodríguez, L. (2016). Prevalence, 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.E104-E120.
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.3743.
Habibian, Z., Sadri, Z., & Nazmiyeh, H. (2018). Effects of group acceptance and commitment therapybased training on job stress and burnout among pediatric oncology and special diseases nurses. Iranian Journal of Pediatric Hematology and Oncology, 8, 118–125.
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.2016.11.006.
Hayes, S. C., Barnes-Holmes, D., & Roche, B. (2001). Relational frame theory: A post-Skinnerian account of human language and cognition. Springer Science & Business Media.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press.
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 Behavioral Practice, 10, 378–383. https://doi.org/10.1016/S1077-7229(03)80055-X.
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 effectiveness in comparison with cognitive behavioral therapy. Psychology of Addictive Behaviors, 23, 723–730. https://doi.org/10.1037/a0017632.
Hofmann, S. G., & Hayes, S. C. (2018). The future of intervention science: Process-based therapy. Clinical Psychological Science, 7, 37–50. https://doi.org/10.1177/2167702618772296.
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 selected inpatient specialties. Journal of Emergency Nursing, 36, 420– 427. https://doi.org/10.1016/j.jen.2009.11.027.
Houck, D. (2014). Helping nurses cope with grief and compassion fatigue: an educational intervention. Clinical Journal of Oncology Nursing, 18, 454–458. https://doi.org/10.1188/14.CJON.454-458.
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/ 10.1080/13548500500266664.
Hulbert-Williams, L., Hochard, K. D., Hulbert-Williams, N., Archer, R., Nicholls, W., & Wilson, K. (2016). Contextual behavioural coaching: an evidencebased model for supporting behaviour change. International Coaching Psychology Review, 11, 30–42.
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 Therapy. European Journal of Cancer Care, 24, 15–27. https://doi.org/10.1111/ecc.12223.
Iglesias, M. E. L., de Bengoa Vallejo, R. B., & Fuentes, P. S. (2010). The relationship between experiential avoidance and burnout syndrome in critical care nurses: a cross-sectional questionnaire survey. International Journal of Nursing Studies, 47, 30–37. https://doi.org/10.1016/j.ijnurstu.2009.06.014.
Imai, K., Keele, L., & Tingley, D. (2010). A general approach to causal mediation analysis. Psychological Methods, 15, 309–335. https://doi.org/10.1037/a0020761.
Isikhan, V., Comez, T., & Danis, M. Z. (2004). Job stress and coping strategies in health care professionals working with cancer patients. European Journal of Oncology Nursing, 8, 234–244. https:// doi.org/10.1016/j.ejon.2003.11.004.
Joinson, C. (1992). Coping with compassion fatigue. Nursing, 22, 116–120. Jones, M. C., Wells, M., Gao, C., Cassidy, B., & Davie, J. (2013). Work stress and well‐being in oncology settings: a multidisciplinary study of health care professionals. Psycho‐Oncology, 22, 46–53. https://doi. org/10.1002/pon.2055.
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. Delacorte. 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 active treatments. Clinical Psychology in Europe, 1, 1–36. https://doi.org/10.32872/cpe.v1i3.33058.
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 strategies. Behaviour Research and Therapy, 44, 1301–1320. https:// doi.org/10.1016/j.brat.2005.10.003.
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.2019.08.004.
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 Nursing Research, 23, 130–138. https://doi.org/10.1016/j.apnr.2008.08.002.
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.
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/s12991-016-0121-3.
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- 9010.92.1.213.
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.2012.05.003.
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 Medicine, 37, 58–69. https://doi.org/10.1007/s12160-009-9083-x.
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/10.1080/02678 373.2013.782157.
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/s12671-018-1062-5.
Losada, A., Márquez-González, M., Romero-Moreno, R., & López, J. (2014). Development and validation of the experiential avoidance in caregiving questionnaire (EACQ). Aging & Mental Health, 18, 897–904. https://doi.org/10.1080/13607863.2014.896868.
Luoma, J. B., & Platt, M. G. (2015). Shame, self-criticism, self-stigma, and compassion in Acceptance and Commitment Therapy. Current Opinion in Psychology, 2, 97–101. https://doi.org/10.1016/j.copsyc.2014.12.016.
Mackenzie, C. S., Poulin, P. A., & Seidman-Carlson, R. (2006). A brief mindfulness-based stress reduction intervention for nurses and nurse aides. Applied Nursing Research, 19, 105–109. https://doi.org/10.1016/j.apnr.2005.08.002.
Maslach, C. (1982). Burnout: The cost of caring. Prentice-Hall. Maslach, C., & Goldberg, J. (1998). Prevention of burnout: New perspectives. Applied and Preventive Psychology, 7, 63–74. https://doi.org/10.1016/S0962-1849(98)80022-X.
McConachie, D. A. J., McKenzie, K., Morris, P. G., & Walley, R. M. (2014). Acceptance and mindfulness-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.2014.03.005.
Mimura, C., & Griffiths, P. (2003). The effectiveness of current approaches to workplace stress management in the nursing profession: an evidence-based literature review. Occupational and Environmental Medicine, 60, 10–15. https://doi.org/10.1136/ oem.60.1.10.
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/10.3109/15622975.2011.603225.
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.2006.03.004.
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 residential settings. The Journal of Alternative and Complementary Medicine, 25, 753–761. https://doi. org/10.1089/acm.2019.0087.
O’Mahony, S., Gerhart, J. I., Grosse, J., Abrams, I., & Levy, M. M. (2015). Posttraumatic stress symptoms in palliative care professionals seeking mindfulness training: Prevalence and vulnerability. Palliative Medicine, 30, 189–192. https://doi. org/10.1177/0269216315596459.
Onan, N., Isil, O., & Barlas, G. Ü. (2013). The effect of a new coping intervention on stress and burnout in Turkish oncology nurses. Journal of Marmara University Institute of Health Sciences, 3, 121–130.
Ortega-Campos, E., Vargas-Román, K., VelandoSoriano, A., Suleiman-Martos, N., Cañadas-de la Fuente, G. A., Albendín-García, L., & Gómez-Urquiza, J. L. (2020). Compassion fatigue, compassion satisfaction, and burnout in oncology nurses: a systematic review and meta-analysis. Sustainability, 12, 72–83. https://doi.org/10.3390/su12010072.
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 Professional Psychology, 9, 144–152. https://doi.org/10.1037/tep0000074.
Plumb, J. C., Stewart, I., Dahl, J., & Lundgren, T. (2009). In search of meaning: Values in modern clinical behavior analysis. Behavior Analyst, 32, 85–103. https://doi.org/10.1007/BF03392177.
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.180-187.
Potter, P., Deshields, T., Divanbeigi, J., Berger, J., Cipriano, D., Norris, L., & Olsen, S. (2010). Compassion fatigue and burnout: Prevalence among oncology nurses. Clinical Journal of Oncology Nursing, 14, E56–E62. https://doi.org/10.1188/10.CJON.E56-E62.
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 therapists and oncology nurses: a randomised trial. Journal of Medical Imaging and Radiation Oncology, 59, 491–498. https://doi.org/10.1111/1754-9485.12322.
Powers, M. B., Zum Vörde Sive Vörding, M. B., & Emmelkamp, P. M. (2009). Acceptance and commitment therapy: a meta-analytic review. Psychotherapy and Psychosomatics, 78, 73–80. https://doi. org/10.1159/000190790.
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 Science, 15, 52–67. https://doi.org/10.1016/j.jcbs.2019.11.007.
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/10.1080/08 854726.2014.913876.
Raingruber, B., & Wolf, T. (2015). Nurse perspectives regarding the meaningfulness of oncology nursing practice. Clinical Journal of Oncology Nursing, 19, 292–296. https://doi.org/10.1188/15.CJON.292-296.
Reeve, A., Tickle, A., & Moghaddam, N. (2018). Are acceptance and commitment therapy-based interventions effective for reducing burnout in direct-care staff? A systematic review and metaanalysis. Mental Health Review Journal, 23, 131– 155. https://doi.org/10.1108/MHRJ-11-2017-0052.
Reynolds, S. (2000). Interventions: What works, what doesn’t? Occupational Medicine, 50, 315–319. https:// doi.org/10.1093/occmed/50.5.315.
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.0000471070.21664.1e.
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/10.1037/1076-8998.13.1.69.
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.1365-2702.2006.01374.x.
Ruiz, F. J. (2010). A review of acceptance and commitment therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies. International Journal of Psychology and Psychological Therapy, 10, 125–162.
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- 5069.2002.00331.x.
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/s1478951506060081.
Stoddard, J. A., & Afari, N. (2014). The big book of ACT metaphors: a practitioner’s guide to experiential exercises and metaphors in Acceptance and Commitment Therapy. New Harbinger Publications.
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/S15327019EB1201_1.
Strosahl, K., Robinson, P., & Gustavsson, T. (2012). Brief interventions for radical change: Principles and practice of focused acceptance and commitment therapy. New Harbinger Publications.
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.
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 intervention on existential issues. European Journal of Oncology Nursing, 17, 546–553. https://doi. org/10.1016/j.ejon.2013.02.00.2
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/journal.pone.0136955.
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.v13i3.283.
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 controlled study. Studies in Health Technology and Informatics, 173, 524–528. https://doi.org/10.3233/978-1-61499-022-2-524.
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. Oncology Nursing Forum, 21, 710–715.
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/ S0140-6736(09)61424-0.
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). Springer.
Watanabe, N., Horikoshi, M., Shinmei, I., Oe, Y., Narisawa, T., Kumachi, M., Matsuoka, Y., Hamazaki, K., & Furukawa, T. A. (2019). Brief mindfulnessbased 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.2019.03.067.
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/nop2.192.
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.CJON.487-493.
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.E272-E282.
Wiklund Gustin, L., & Wagner, L. (2013). The butterfly effect of caring – clinical nursing teachers’ understanding of self‐compassion as a source to compassionate care. Scandinavian Journal of Caring Sciences, 27, 175–183. https://doi.org/10.1111/j.1471-6712.2012.01033.x.
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/BF03395706.
Wyatt, D., & Hulbert-Williams, N. (2015). Cancer & cancer care. Sage Ltd.
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/10.1177/1043454212451793.
