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Working as a Pediatric Oncology Nurse: Challenges and Joys

Pediatric oncology nurse sitting with pediatric patient

The American Cancer Society estimates nearly 9,620 children under age 15 will be diagnosed with cancer in 2024. The work of a pediatric oncology nurse is both deeply challenging and profoundly rewarding. 

A pediatric oncology nurse is at the forefront of the battle against childhood cancers, providing not only medical care but also emotional and psychological support to young patients and their families. Here we delve into the aspects of working as a pediatric oncology nurse. Let’s explore the joys and challenges that come with this role.

The role of a pediatric oncology nurse

Pediatric oncology nurses specialize in caring for children with cancer, including administering chemotherapy, radiation, and other cancer treatments. They monitor patients for side effects and complications and manage symptoms including pain and nausea. 

As a pediatric oncology nurse, you’re integral to the holistic care of your patients. That includes providing emotional support to children and families. 

Educating patients and families is another central role in pediatric oncology. You’ll help families understand the diagnosis, treatment options, side effects, and overall, what to expect during the treatment process. 

In addition, you’ll work with a multidisciplinary team. You’ll collaborate closely with many other healthcare professionals, including oncologists, social workers, dietitians, and other specialists. 

Challenges faced as a pediatric oncology nurse

A pediatric oncology nurse often forms close bonds with critically ill children and their families. This makes it difficult to remain emotionally detached — one of the most significant challenges in pediatric oncology

Dealing with the death of a child can be particularly heartbreaking. A pediatric oncology nurse must cope with their own grief while continuing to provide compassionate care to other patients. 

Here are some other challenges to the role of a pediatric oncology nurse:

  • Families of pediatric oncology patients often experience high levels of stress and anxiety. Nurses need to provide emotional support while managing their own emotional health. Understanding and respecting cultural differences in attitudes toward illness and treatment is essential.
  • Continuous exposure to suffering and loss can lead to burnout. A pediatric oncology nurse must find ways to manage their stress and maintain their mental health.
  • The role requires physical stamina to manage the demands of patient care. That includes lifting and moving patients, standing for long periods, and responding to emergencies.
  • Pediatric oncology patients often require highly specialized and complex care. Nurses must stay abreast of the latest treatments and protocols, continually updating their skills and knowledge. Understanding the intricacies of various cancer treatments and their side effects requires continuous learning
  • Maintaining strict infection control measures is crucial to protect immunocompromised patients. This requires constant vigilance and adherence to protocols.
  • Communicating with young patients and their families about cancer diagnosis and treatment can be particularly challenging. Nurses must balance providing honest, clear information with maintaining hope and optimism. Explaining complex medical information in a way that children of different ages can understand requires skill and sensitivity.

Joys of pediatric oncology nursing

The role of a pediatric oncology nurse is uniquely challenging. However, here are some ways it’s also uniquely rewarding:

  • They make a significant difference in the lives of children and their families. A pediatric oncology nurse plays a crucial role in the treatment and recovery process. Helping families to navigate the complexities of a cancer diagnosis and treatment can provide immense satisfaction.
  • The role can foster significant personal and professional growth. Nurses develop resilience, empathy, and advanced clinical skills. 
  • They learn to manage emotional stress and remain compassionate in the face of adversity builds resilience. The complexity of pediatric oncology care enhances critical thinking, problem-solving, and technical nursing skills. Working closely with patients and families improves communication and empathy.
  • Pediatric oncology nurses work as part of a close-knit multidisciplinary team. These professional relationships foster a sense of camaraderie and shared purpose. 
  • Interacting with specialists from various fields provides ongoing learning opportunities. A collaborative environment and strong network provide emotional and professional support. 
  • The care they provide can have a direct impact on the health outcomes of patients. Witnessing a child recover and go into remission is incredibly rewarding. Children with cancer often display remarkable resilience and courage. Working with these young patients can be incredibly inspiring, providing a powerful reminder of the strength of the human spirit. 

Coping strategies for pediatric oncology nurses

As a pediatric oncology nurse, you’ll need effective coping strategies to manage stress and prevent burnout. Use these approaches:

Practice self-care to maintain physical and mental health. This includes regular exercise, healthy eating, adequate sleep, and engaging in hobbies. Taking time off work to rest and recharge is necessary for long-term well-being.

Seek guidance from colleagues, supervisors, and professional organizations. Sharing experiences with colleagues with understanding the demands of pediatric oncology can provide comfort and advice. Consider joining professional organizations, such as the Association of Pediatric Hematology/Oncology Nurses

Maintain a healthy work-life balance. This involves setting boundaries, managing time effectively, and ensuring that work does not overshadow your personal life. Prioritizing tasks, and delegating, when possible, can help manage workload.

Develop effective emotional coping strategies. Reflecting on positive outcomes and personal growth can provide a sense of accomplishment. Practicing gratitude, by focusing on the rewarding aspects of your role, can enhance emotional well-being. Seeking professional counseling or participating in support groups can provide a safe space to process emotions.

Despite the emotional and physical demands, a pediatric oncology nurse has the opportunity for a deeply fulfilling career. You can make a difference, experience personal growth, build strong professional relationships, and draw inspiration from your courageous young patients. 

Whether you're actively seeking a new role or assessing your next steps, explore's talent marketplace to help match your experience and skills to the best-fitting role.