Breaking Barriers and Shaping Futures: A Sequential Multi-Methods Exploration of Career Pathways for Nurses and Allied Health Professionals

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ID: 332616
2026
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Ranked #56 of 65 articles by views in Neuro-Oncology Practice

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Abstract
Abstract Background Nurses and Allied Health Professionals (AHPs) are essential to neuro-oncology multidisciplinary teams (MDTs) in delivering holistic, person-centred care. Despite their central role, the career development landscape for neuro‑oncology nurses and AHPs remains fragmented, with limited opportunities for structured progression, advanced training, or protected time for professional growth. We aimed to identify key barriers to professional development and generate practical, actionable strategies to build capacity. Methods We conducted qualitative focus groups with neuro-oncology nurses and AHPs to generate barriers and solutions to career development and progression, followed by a quantitative survey to rank barriers and solutions for priority and feasibility. A rapid qualitative synthesis of focus group findings informed the survey questions, which were analysed descriptively. Based upon expert consensus, a set of practical and actionable solutions was proposed. Results Ten nurses and AHPs took part, representing Sweden, Denmark, the United Kingdom, and the Netherlands, and included junior and senior level roles. Across four topics (variability in education opportunities, the MDT environment, practical barriers, and building the next generation), a total of 23 barriers and 32 solutions were generated in focus groups and then ranked in the survey exercise. Ten action points were generated to guide the strategy of the EANO Nurse and Allied Health Professions (NAC) Committee. Conclusions The collective insights of nurses and AHPs from different countries, at different career stages, helped shape a robust strategic action plan. Grounded in real‑world experiences and shared challenges, our results offer a practical roadmap for strengthening capacity and supporting career development.
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Authors Aoife Williamson, Lena Rosenlund, Karin Piil, Sara Nordentoft, Sara Melhuish, Isabelle Rydén, Marike Donders-Kamphuis, Sharon Fernandez, Helle Sørensen von Essen, Georgia K. B. Halkett, Martin Klein, Loredana Dinapoli, Maria Camilla Mathiasen, Christelle Smit, Tomás Gómez Vecchio, Florien Willemijn Boele
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Journal Neuro-Oncology Practice
Year 2026
DOI
10.1093/nop/npag103
URL
https://doi.org/10.1093/nop/npag103
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