By Lisa Petgrave-Nelson, LMSW, OSW-C 

Working in a cancer center presents a unique and deeply rewarding experience. As a social worker in this setting, my workspace is not just a physical office, it is a safe space where patients, families, and staff can express their emotions openly. Although my office is small, it provides the privacy needed for these intimate interactions. I strive to make the space warm and inviting, ensuring that those who enter feel comfortable enough to shed tears, vent frustrations, or simply be vulnerable, knowing they will leave feeling supported and less stressed. 

Like any work environment, the cancer center comes with its own set of challenges. There are quite a few complexities with this patient population in addition to the emotional toll of oncology care that creates a demanding atmosphere. The shifts in the political climate over the years have also influenced workplace dynamics, sometimes resulting in subtle or overt racial tensions that contribute to varying interactions between staff and patients. These interactions have impacted relationships among colleagues and the ways in which care is provided.  

Navigating these challenges has required a strong support system, both within and outside the workplace. I have found solace in colleagues who share similar values, as well as in self-reflection, prayer, and seeking guidance from seasoned social work colleagues and supervisors. Connecting with other professionals of color has also been invaluable in sharing experiences and strategies for overcoming these and similar obstacles. Writing has become a therapeutic outlet, allowing me to process emotions and transform difficulties into teachable moments that foster growth and understanding. 

In these changing times, flexibility has been essential in managing the evolving clinical landscape of social work. While remote work was not an option in my organization, I have remained cognizant by staying informed, proactively addressing challenges, and seeking support from my colleagues and supervisors. Embracing change as an opportunity for growth has allowed me to enhance both patient care and my own personal development.  

One of the most significant changes brought on by the COVID-19 pandemic was the opportunity to reflect on my role and relationships. The pandemic was a true eye-opener, teaching me about setting boundaries, recognizing true allies, and prioritizing meaningful connections. Observing how patients responded to various crises including the pandemic affirms how we are often influenced by political and cultural views. These interactions and observations further reinforced the importance of clear, empathetic communication in the workplace.  

Despite the challenges, the bonds I have built with patients over the years have been the most fulfilling part of my work. These relationships provide them with a sense of strength and comfort, while also serving as a reminder for me to appreciate life to the fullest. I also cherish the friendships I have developed with my colleagues, which make the workplace more fulfilling. Leadership is generally supportive of the recommendations social workers provide to patients and families, allowing for valuable community collaborations that benefit both patients and staff. 

Tokens of appreciation from patients, such as heartfelt notes and small gifts, serve as constant reminders of the impact of my work. On particularly difficult days, reading patient messages helps reaffirm the significance of what I do. Being honored with the Spirit Award, which was voted on by my colleagues, was another humbling acknowledgment of my dedication to patient care. Having my family surprise me at the ceremony made the recognition even more meaningful. 

Resilience in this field is built through self-reflection, ongoing learning, and leaning on a strong support system. I have learned to sustain myself by collaborating with like-minded professionals, engaging in self-care practices, and staying connected to my purpose. Avoiding burnout requires finding balance and continuously adapting to the demands of patient care while maintaining a commitment to emotional and spiritual well-being. 

While teamwork has been a strength in my workplace, there is always room for improvement. The organization strives to meet patient needs but, like many others, still faces challenges in enhancing both patient and staff care. Efforts have been made to offer competitive salaries and staff incentives, but there is a pressing need to provide scholarships and educational opportunities for social workers and other disciplines beyond nursing. 

Ultimately, my journey in oncology social work has been one of growth, resilience, deep connections and pride. The challenges are real, but so are the rewards. By remaining flexible, building strong relationships, and continuously seeking knowledge, I am committed to making a difference in the lives of those I serve while also nurturing my own professional and personal well-being.