Abstract：
UNASSIGNED: Caring for patients with advanced cancer is complex and challenging, requiring varied expertise, including symptom management, communication skills, care coordination and emotional resilience. Within existing literature, the lived experiences of oncology nurses are poorly articulated in countries with a lower income where formal palliative care (PC) is absent.
UNASSIGNED: To explore the lived experiences of Gazan oncology nurses who provide care to patients with advanced cancer in healthcare systems, without formal palliative care infrastructure.
UNASSIGNED: A phenomenological approach was adopted. Semi-structured interviews were conducted between January and April 2022, in the Turkish Palestinian Friendship Hospital. Thematic analysis used the themes (corporeality, relationality, spatiality and temporality) to facilitate reflection on the meaning of participants\' lived experiences.
UNASSIGNED: Interviews were undertaken with 16 oncology nurses. The experience of the \'erosion of nurses\' work when coping with anxious attachments to patients and families\' was the overarching theme in nurses\' views, characterised by five sub-themes: (1) inadequacy of PC training and resources, (2) serving humanity, (3) pride in their profession, (4) existential distress and the coping strategies used by nurses, and (5) reported stress and anxiety when caring for seriously ill patients and their families.
UNASSIGNED: The study sheds light on the challenges and powerful emotions experienced by oncology nurses who care for patients with advanced cancer, yet lack the necessary PC training and institutional resources. The findings indicate an urgent need for PC training for nurses within the Gazan healthcare system and other lower-income settings. Assessing nurses\' emotions and relationships with patients and family caregivers is imperative to enable optimum care for patients with cancer and to foster resilience among their nurses.
UNASSIGNED: To explore the lived experiences of Gazan oncology nurses who provide care to patients with advanced cancer in healthcare systems, without formal palliative care infrastructure.
UNASSIGNED: A phenomenological approach was adopted. Semi-structured interviews were conducted between January and April 2022, in the Turkish Palestinian Friendship Hospital. Thematic analysis used the themes (corporeality, relationality, spatiality and temporality) to facilitate reflection on the meaning of participants\' lived experiences.
UNASSIGNED: Interviews were undertaken with 16 oncology nurses. The experience of the \'erosion of nurses\' work when coping with anxious attachments to patients and families\' was the overarching theme in nurses\' views, characterised by five sub-themes: (1) inadequacy of PC training and resources, (2) serving humanity, (3) pride in their profession, (4) existential distress and the coping strategies used by nurses, and (5) reported stress and anxiety when caring for seriously ill patients and their families.
UNASSIGNED: The study sheds light on the challenges and powerful emotions experienced by oncology nurses who care for patients with advanced cancer, yet lack the necessary PC training and institutional resources. The findings indicate an urgent need for PC training for nurses within the Gazan healthcare system and other lower-income settings. Assessing nurses\' emotions and relationships with patients and family caregivers is imperative to enable optimum care for patients with cancer and to foster resilience among their nurses.
摘要：
■照顾晚期癌症患者是复杂且具有挑战性的，需要各种专业知识，包括症状管理，沟通技巧,护理协调和情绪韧性。在现有文献中，在缺乏正规姑息治疗(PC)的收入较低的国家,肿瘤科护士的生活经验表达不佳.
■为了探索加沙肿瘤科护士在医疗保健系统中为晚期癌症患者提供护理的生活经验，没有正式的姑息治疗基础设施。
■采用了现象学方法。2022年1月至4月，在土耳其巴勒斯坦友谊医院进行了半结构化访谈。主题分析使用了主题(身体现实，关系，空间性和时间性)，以促进对参与者生活体验的意义的反思。
■对16名肿瘤科护士进行了访谈。在应对患者和家庭的焦虑依恋时，“护士工作受到侵蚀”的经历是护士观点的首要主题，以五个子主题为特征：(1)PC培训和资源不足，（2）为人类服务，（3）以自己的职业为荣，(4)护士的生存困境和应对策略,（5）在照顾重病患者及其家人时报告了压力和焦虑。
这项研究揭示了照顾晚期癌症患者的肿瘤科护士所经历的挑战和强烈的情绪。但缺乏必要的PC培训和机构资源。调查结果表明，加沙医疗保健系统和其他低收入环境中的护士迫切需要PC培训。评估护士的情绪以及与患者和家庭护理人员的关系对于为癌症患者提供最佳护理并培养护士的韧性至关重要。
■为了探索加沙肿瘤科护士在医疗保健系统中为晚期癌症患者提供护理的生活经验，没有正式的姑息治疗基础设施。
■采用了现象学方法。2022年1月至4月，在土耳其巴勒斯坦友谊医院进行了半结构化访谈。主题分析使用了主题(身体现实，关系，空间性和时间性)，以促进对参与者生活体验的意义的反思。
■对16名肿瘤科护士进行了访谈。在应对患者和家庭的焦虑依恋时，“护士工作受到侵蚀”的经历是护士观点的首要主题，以五个子主题为特征：(1)PC培训和资源不足，（2）为人类服务，（3）以自己的职业为荣，(4)护士的生存困境和应对策略,（5）在照顾重病患者及其家人时报告了压力和焦虑。
这项研究揭示了照顾晚期癌症患者的肿瘤科护士所经历的挑战和强烈的情绪。但缺乏必要的PC培训和机构资源。调查结果表明，加沙医疗保健系统和其他低收入环境中的护士迫切需要PC培训。评估护士的情绪以及与患者和家庭护理人员的关系对于为癌症患者提供最佳护理并培养护士的韧性至关重要。
