You're supported to spread your wings: Josh Hart

I had a few professional iterations before choosing to become a nurse, including owning restaurants and studying to become a social worker. It was clear that the need to work in a compassion-focused profession was there and nursing was perfect; hands on, people-focused and very interesting.

Nursing career -  Josh Hart

Starting out

I have been a part of the Peter Mac team for going on 9 years.  I started out in the graduate program that I applied for, sight-unseen, after hearing about how supported and dynamic the graduate program was.  The prospect of starting out in a specialty like oncology, coupled with the prospect of a positive and supportive work environment, was very attractive.  And the gamble paid off.  Peter Mac provided an environment unlike any of my placements, full of positive, education-focused professionals willing to teach.  The first few years of a nurse’s life are pretty stressful and without the right support, they can be career ending.  The clinical educators, practice development nurses and the graduate nurse support team quickly made it clear that you didn’t need to fix every patient all by yourself and that safety and evidence-based practice are central to nursing excellence.  There is a real emphasis on teamwork, knowledge sharing and speaking up if you don’t know something or need help.  

opportunities and support

During the first four years of my career, there were a number of opportunities to second into various positions, including a pain and palliative care clinical nurse consultant position.  Management at Peter Mac have always been very supportive of practice development opportunities like short-term secondments into other positions around the hospital.  After spending four years on the Head, Neck and Lung ward learning how to look after some of the most complex and acutely unwell patients, which provided me with an amazingly solid knowledge base and confidence, I decided to try my hand at radiotherapy nursing in the form of a one of these secondments.


Moving into the outpatients setting was eye opening.  It became very clear very quickly that the majority of patient care and movement happens in this context, and with so little emphasis placed on this setting at university, it was a very exciting place to discover.  The sheer number of patients that move through each outpatient setting is staggering.  In radiotherapy alone there are around 170-200 patients per day.  The teams that work in these settings are central to keeping the majority of people being treated for their cancer in the community and out of hospital.

What it means to be a nurse
at Peter Mac

To me, working in the radiotherapy department has changed what it means to be a nurse.  It has its obvious perks like no night duty and weekdays only (mostly) but the real benefits are the patient-centered ones like the sometimes 6-7 weeks of continuity of care and the amazing therapeutic relationships that develop, the opportunity to educate patients about positive health behaviors, and be a friendly and highly responsive space for patients to be assessed and treated during an acutely unwell episode.  Working in an outpatient setting also allows you to be around patients across almost their entire cancer journey which means that, as a nurse, you get to provide care for patients outside of critically unwell periods and even after they are cured.

After a couple of years in radiotherapy I became the Associate Nurse Unit Manager of a team that is highly specialized and knowledgeable and that provides cutting-edge radiotherapy nursing care.  And now I am the acting Nurse Unit Manager in one of the most high-tech and beautiful buildings in the world.  It is an absolute pleasure and I am so proud to be working in a hospital that doesn’t just have pockets of greatness but is universally positive, enthusiastic and patient-focused.