After experiencing challenges with a limited supply of private hospital rooms and high demands of patients awaiting room assignments, AtlantiCare Regional Medical Center, a community teaching hospital, assembled an interprofessional team of clinical partners united to create a solution. 

More than double the number of healthcare workers reported harassment at work in 2022 than in 2018, the Centers for Disease Control and Prevention (CDC) said when sharing the results of a recent survey in an October 2023 Vital Signs report. Harassment may include threats, bullying, verbal abuse, or other actions from patients and coworkers that create a hostile work environment, all of which have important implications for health worker mental health, CDC said.

Whether virtually or in person, by voice or in writing, people spend up to 80% of their workday communicating. For nurses specifically, communicating about care consumes more than an hour total each shift, with 83% of that hour conversing with interprofessional colleagues. Ensuring those conversations are as effective as possible is critical with today’s staffing challenges. 

Both collaborative and authoritative communication approaches have value in educating and engaging patients. When deciding which style to use with each patient, oncology nurses must evaluate the individual, situation, and decision-making dynamics. 

The National Institutes of Health’s (NIH's) UNITE, a think tank that identifies and addresses structural racism in NIH and the biomedical research enterprise, began taking steps in February 2021 to address disparities across NIH and the medical community. The think tank’s actions included revising the selection process for NIH director’s awards and establishing a new program to provide additional training opportunities to employees of color, according to UNITE’s first progress report.

The interprofessional team for chimeric antigen receptor (CAR) T-cell therapy at Smilow Cancer Center at Yale New Haven includes a transplant team, cell collection and processing unit, intensive care unit, pharmacy, telehealth for home evaluations, and social work. On that team, the oncology clinical social worker’s role is chiefly to help patients and families manage the stress associated with therapy. We provide patients and family members with ongoing clinical social work support, including listening, counseling, educating, advocating, and referring them to resources and services.

Communication is central to an oncology nurse’s role—with patients and families, within the unit, and across interprofessional teams. The Joint Commission identified poor communication as a causative factor in 80% of medical errors, particularly during caregiving handoffs. Effective communication skills are both a science and an art, but oncology professionals can use a variety of tools and techniques to enhance their practice.

Oncology nurses must have effective communication and team-based skills to work across disciplines with other members of the care team. In an oncology setting, teamwork promotes safer, more efficient, and higher quality care, as well as a more positive and supportive practice environment. Dana-Farber Cancer Institute (DFCI) has used team training to develop those skills in our staff over the past 15 years.

Much of the care we provide is complex and requires the contributions of many knowledgeable and experienced professionals. To satisfy the National Academy of Medicine recommendations of providing safe, timely, effective, efficient, equitable, and patient-centered care, healthcare professionals must function as highly collaborative teams.

Simon is a 72-year-old patient diagnosed with myelodysplastic syndrome and acute myeloid leukemia. He underwent an HLA-identical sibling peripheral blood stem cell transplantation with fludarabine and melphalan as conditioning chemotherapies before the procedure. Simon is now more than 12 days posttransplant but still neutropenic with an absolute neutrophil count of 0. He has no signs of engraftment, is on total parenteral nutrition, and requires multiple blood transfusions and electrolytes through his central line catheter daily.

Interviewing for a job is often described as a highly stressful life event. When they’re virtual, job interviews have become even more stressful and challenging. How can you conduct a successful job interview virtually? How can both sides get to know each other without meeting in person? How do virtual job interviews differ from in-person ones?

Quick: what’s your first reaction when you hear the word criticism? Do you brace yourself for feelings of failure and put up a defensive wall? It’s hard to respond otherwise, but try to look at it differently. Criticism can be positive if we accept it with class and let it help us gain knowledge about ourselves.

When I was a new graduate nurse, the first team I was assigned to was dysfunctional. Although we were kind to our patients, that didn’t carry over to our interactions with each other: some nurses made snide remarks and spread unfounded gossip, creating a toxic work environment. The tipping point came when the organization decided to change the oncology unit. The work environment didn’t promote innovation or encourage the staff to collaborate so the unit couldn’t handle the changes and eventually closed.

Misconceptions about radiation treatments, associated side effects, and impact on patient care still permeate medical oncology for patients and providers alike. As educators, patient advocates, and caregivers, radiation oncology nurses play a critical role in the successful treatment and support of patients with cancer.

When faced with a difficult problem, it’s human nature to seek different perspectives, to work together with others facing similar issues to accomplish a common goal. Compromise, collaboration, and communication are essential to successful teams—whether it’s your daughter’s basketball team, the U.S. government, or any group in between. In oncology, teamwork is no different. Bringing together professionals from different disciplines can yield tremendous results for patients with cancer.