Workforce Recommendations to Address Distress and Burnout in Australian Children's Cancer Nurses

<b>Background:</b> Pediatric cancer nursing is a deeply fulfilling yet highly stressful profession as nurses support families during times of intense emotional distress. This study examined the factors influencing job satisfaction among pediatric cancer nurses across Australia and their recommendations to address workplace challenges. <b>Method:</b> A cross-sectional survey was conducted between November 2021 and February 2022, targeting cancer nurses across Australia. The survey included 68 items assessing various aspects of job satisfaction, work environment, and professional development as well as free-text responses. Both quantitative and qualitative responses from nurses who self-identified as pediatric cancer nurses were analyzed to identify significant predictors of job satisfaction and thematic insights from free-text comments. <b>Results:</b> The analysis included responses from 113 pediatric cancer nurses. Key predictors of job satisfaction included opportunities for professional development, the ability to utilize full skill sets, organizational leadership, and intent to remain in the profession. Thematic analysis of free-text comments supported the quantitative findings. Respondents highlighted the need for better leadership, recognition of the high workload, and greater support for professional development. <b>Discussion:</b> Addressing organizational leadership and providing opportunities for professional growth are critical to improving job satisfaction among pediatric cancer nurses. Developing evidence-based interventions and policy initiatives that focus on these areas will enhance the well-being of nurses and the quality of care provided to patients.