title: Job stress and satisfaction among the staff members at a cancer center.
abstract: Although it is evident that working with cancer patients can be stressful, explanations have differed as to why this is so and little attention has been paid to the rewards of this work. One hundred ninety clinical staff members at a comprehensive cancer center representing 91% of eight disciplines studied were interviewed using a semistructured format about the factors influencing their job satisfaction. The fact that the staff members almost uniformly rated their satisfaction as high (8.2 on a scale of 1 to 10) precluded the detection of discriminating variables. Satisfaction with the way they met their goals also was high; most identified potentially achievable goals, relied heavily on the interdisciplinary team, and experienced changes in their attitudes and approach during their first 2 years in the field, primarily increased realism. A major discomfort for physicians was the inability to provide optimal care. Ethical issues were a major discomfort for nurses. Death itself and staff conflict were less important sources of discomfort than in previous reports.
authors.affiliation: Dana-Farber Cancer Institute, Boston, Massachusetts 02115.
authors.forename: J R
authors.initials: JR
authors.lastname: Peteet
authors.forename: D
authors.initials: D
authors.lastname: Murray-Ross
authors.forename: C
authors.initials: C
authors.lastname: Medeiros
authors.forename: K
authors.initials: K
authors.lastname: Walsh-Burke
authors.forename: P
authors.initials: P
authors.lastname: Rieker
authors.forename: D
authors.initials: D
authors.lastname: Finkelstein
mesh_terms: D001291:Attitude of Health Personnel / Q000706:statistics & numerical data; D001900:Boston; D002173:Cancer Care Facilities; D006040:Goals; D006743:Hospital Bed Capacity, under 100; D006782:Hospitals, Special; D007407:Interviews as Topic; D007588:Job Satisfaction; D008505:Medical Staff, Hospital / Q000523:psychology*; D009741:Nursing Staff, Hospital / Q000523:psychology*; D010549:Personal Satisfaction; D010563:Personnel Turnover; D012201:Reward; D013315:Stress, Psychological; D000078329:Workforce