Background: Intense emotional demands of oncology nursing create a stressful work environment and increase the likelihood of leaving. The study aims to explore, describe, and understand how pediatric hematology/oncology nurses caring for chronically ill or dying patients use their spirituality to cope with job stress, maintain spiritual well-being (SWB), and continue to work in this specialty. Methods: A concurrent mixed-method research design consisted of a web-based survey and interview. Data collection included demographics, intent to leave questions, and four valid and reliable research instruments measuring spirituality, stress, coping, and SWB. A responsive interview guide directed interviews. Results: Quantitative analysis (n = 130) revealed moderate to high levels of spirituality, moderate stress, coping, and SWB. Stress and SWB were weakly, inversely correlated (r = −.221, p = .011) indicating lower stress was associated with greater SWB. Coping and SWB were weakly, positively correlated (r = .248, p = .005) indicating greater coping was associated with greater SWB. An intent to leave in the next year was reported by 5.4%. Emerging themes from qualitative data (n = 22) included faith-informed or existential spirituality, work environment, and emotional/psychological stressors such as feeling overwhelmed or witnessing suffering and coping through self-care and spirituality. Dimensions of SWB included spiritually based coping and life’s meaning and purpose. Intent to leave was related to the work environment or travel distance. Discussion: A nurse’s spirituality offers a mechanism for coping with accumulated losses and grief encountered in clinical practice and in turn supports SWB.

背景：肿瘤护理的强烈情感需求会造成压力大的工作环境并增加离职的可能性。该研究旨在探索、描述和了解照顾慢性病或垂死患者的儿科血液学/肿瘤学护士如何利用他们的灵性来应对工作压力、保持精神健康 (SWB) 并继续在该专业工作。方法：同时进行的混合方法研究设计由基于网络的调查和访谈组成。数据收集包括人口统计、留下问题的意图以及四种有效且可靠的研究工具，用于衡量灵性、压力、应对和 SWB。响应式面试指南指导面试。结果：定量分析（n = 130) 揭示了中等至高水平的灵性、中等压力、应对和 SWB。压力和 SWB 呈弱负相关（r  = -.221，p  = .011），表明较低的压力与较大的 SWB 相关。应对和 SWB 呈弱正相关 ( r  = .248, p  = .005)，表明更大的应对与更大的 SWB 相关。有 5.4% 的受访者表示有意在明年离开。来自定性数据的新兴主题 ( n = 22) 包括基于信仰的或存在主义的灵性、工作环境和情绪/心理压力源，例如感到不知所措或目睹痛苦以及通过自我保健和灵性来应对。SWB 的维度包括基于精神的应对以及生活的意义和目的。离职意向与工作环境或出行距离有关。讨论：护士的精神为应对临床实践中积累的损失和悲伤提供了一种机制，反过来又支持 SWB。