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Experiences of early career nurses working in specialist adolescent/young adult cancer units: A narrative inquiry

Cable, Maria 2021. Experiences of early career nurses working in specialist adolescent/young adult cancer units: A narrative inquiry. Cardiff University.
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Abstract

This thesis applied a narrative inquiry methodology to explore the experiences of the early career nurse (ECN) working in adolescent/young adult cancer (AYAC) specialist settings in the United Kingdom. Nine nurses came forward and their stories were elicited over Zoom technology during the COVID-19 pandemic. Individual and whole cohort data were analysed using Clandinin and Connelly’s three-dimensional framework of temporality, sociality and space. Meanings were developed and synthesised that drew on wider theoretical perspectives such as emotional labour, intergenerationality and competence development theory. The findings revealed the work of these nurses as multi-faceted, involving a complex range of effort and labour. Significantly, this study highlighted the emotional labour enacted by the ECNs as a consequence of working with AYAC (aged 15-25yrs) and their parents, whose cancer treatment extends over prolonged periods of time. The ECNs, some of whom are of similar age to patients, contend with managing physical, organisational and cognitive demands in the highly pressurised NHS where nursing shortages are at an all-time high. The need to develop competence and strategies to manage the emotional burden of this work has been revealed along with tensions and risks, not only for ECNs, but also for managers and funders. The study places emphasis on recognising and learning how to nurse AYAC and attend to their developmentally appropriate healthcare needs.

Item Type: Thesis (Other)
Date Type: Completion
Status: Unpublished
Schools: Healthcare Sciences
Date of First Compliant Deposit: 2 March 2022
Last Modified: 06 May 2023 01:36
URI: https://orca.cardiff.ac.uk/id/eprint/147965

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