Oncology professionals' perceptions and recommendations to improve well-being and health at work in times of crisis: qualitative thematic analysis from the ESMO Resilience Task Force survey series

BACKGROUND: The European Society for Medical Oncology (ESMO) Resilience Task Force (RTF) was established to address burnout and well-being issues among oncology professionals. In this article, we present findings on shared perceptions and recommendations to support and improve oncology professionals' well-being and health at work.

MATERIALS AND METHODS: Inductive thematic analysis of qualitative responses from three global ESMO RTF surveys (2020-2021) was conducted using Braun and Clarke's six-step approach. Open-ended questions elicited suggestions, including descriptions of 'pleasant physical working conditions' in the third survey. Respondents (n = 989) were gender-balanced, from 90 countries, with half practising in Europe. Most were of white ethnicity, worked in medical oncology, and had over 10 years of experience.

RESULTS: Six main themes described help and support needs from oncology professionals: training, education, information and learning; well-being; activism and advocacy; financial support; safety; and opportunities and career. Six additional themes described factors contributing to a 'pleasant physical working environment': physical working environment; working conditions and job role; safety; well-being and coping; working relations and support from others; and career and professional development.

CONCLUSIONS: This is the largest global qualitative analysis of oncology professionals' needs during the coronavirus disease 2019 (COVID-19) pandemic, offering actionable recommendations for ESMO and other stakeholders to address work-related issues. Addressing these needs can foster resilience, improve working conditions, and promote better health and well-being.