Oncology Nurse Well-Being and the Electronic Health Record-Generated Nurse-Patient Assignment

Clin J Oncol Nurs. 2025 Sep 17;29(5):E158-E166. doi: 10.1188/25.CJON.E158-E166.

ABSTRACT

BACKGROUND: A consistent process for the creation of equitable nurse-patient assignments is absent on many inpatient nursing units.

OBJECTIVES: Leveraging the electronic health record nurse-patient assignment tool, this evidence-based practice project aimed to promote oncology nurse well-being and satisfaction.

METHODS: The project team used the Iowa Model Revised. The team collected participant demographics, pre- and postintervention Well-Being Index responses, and individual evaluations of the effectiveness of the manual assignment tool compared to the electronic health record nurse-patient assignment predictive model.

FINDINGS: Postimplementation, a significant number of oncology nurses reported a decrease in physical health impeding their ability to work. Findings suggest oncology nurses experience less depression and anxiety as their years of oncology experience increase. The electronic health record nurse-patient assignment predictive model alleviates stress for clinical nurses and supports equitable assignments and clinician well-being.

PMID:40986767 | DOI:10.1188/25.CJON.E158-E166