Tel: 0044 (0)207 040 85 22 Fax: 0044 (0) 207 040 36 37 C.Willig@city.ac.uk 'The authors would like to thank the Erasmus Mobility Programme for their support' 2 Abstract Objective: The aim of this research was to produce a synthesis of phenomenological studies of the experience of living with the awareness of having terminal cancer in order to gain a more complete understanding of the parameters of this experience. Methods: This research used metasynthesis as a method for integrating the results

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... of 23 phenomenological studies of the experience of living with the awareness of having terminal cancer published between 2011 and 2016. Results: The metasynthesis generated 19 theme clusters which informed the construction of four master themes: trauma, liminality, holding on to life and life as a cancer patient. Each master theme captures a distinct experiential dimension of living with the awareness of having terminal cancer. Each dimension brings with it significant and distinctive psychological challenges. Conclusion: The results from the present metasynthesis suggest that the experience of living with the awareness of having terminal cancer is a multi-dimensional experience which patients actively negotiate as they search for ways in which they can rise to the psychological challenges associated with it. A better understanding of the parameters of this experience can help health care professionals provide appropriate support for this client group.