Background: The present study aims to determine the prevalence of nursing missed care and associated factors at the oncology departments in Gaza Strip, Palestine. Method: This cross sectional study was conducted among all nurses who worked at the only two hospitals offer oncology nursing care in Gaza Strip, Palestine between May to July 2020 using a self-administered questionnaire. Results: Data from 52 nurses (44 had bachelor and 8 had diploma certificate) on five oncology departments in the European Gaza and Al-Rantisi hospitals revealed that the overall prevalence of missed nursing care was 39%. The most common areas of missed care reported were; providing oral hygiene for those who need (n=39, 75%), treatments and some of nursing procedures left undone because of lack of time (n=34, 65.3%), and always nurses consider cleaning of patient’s room or equipment (n=30, 57.7%). The main factors leading to missed nursing care were lack of enough nurses, no opportunity for nurses to participate in policy decisions, absent of active quality assurance program, management do not listen and response to employee concerns, and there is no a preceptor program for newly hired nurses (weighted means: 37.8%, 37.4%, 36.8%, 36%, and 35%, respectively). Conclusion: The findings of the present study demonstrated the need for more quality improvement efforts to reduce missed nursing care in the oncology departments. Considering issues such as shortage in staff number, nurses’ continuing education/training programs and involvement in policy decisions, and direct response to the career concerns could reduce the prevalence of missed care.

Background: Non-communicable diseases (NCDs) tend to be long-term and are caused by genetic, physiological, environmental, and behavioral factors. Palestine is undergoing an epidemiological transition. It is estimated nearly two out of three elderly Palestinians suffer from NCDs. This study aimed to identify the barriers to practicing physical activity and eating a healthy diet among Palestinian non-communicable disease patients. Methods: This qualitative study was carried out from September 2020 to November 2020 among ten NCDs patients who received care in five governmental primary healthcare centers in the Gaza Strip. A semi-structured interview guide was developed and used to collect data based on the health belief model and the theory of planned behavior. Data analysis was performed using the thematic analysis method. The Consolidated Criteria for Reporting Qualitative research Checklist (COREQ) was used to report the data. Results: The data analysis led to the identification of two main categories, factors affecting the practice of PA, healthy diet, and barriers to adherence to healthy behaviors. The interviewees had a positive attitude towards healthy behaviors. The main barriers to PA practice were lack of accessibility to materials, lack of social support, and a lack of reminders. Also, factors as lack of accessibility to the materials, a lack of social support, and a lack of self-efficacy were the most common barriers to eating a healthy diet. Conclusion: NCD patients understand the importance and benefits of practicing healthy behaviors, but in the absence of basic infrastructure and a supportive community, their awareness may not translate into actions.