Clinical Validation of the Nursing Diagnosis Spiritual Distress in Cancer Patients Undergoing Chemotherapy

Caldeira, Sílvia; Timmins, Fiona; Carvalho, Emı́lia Campos de; Vieira, Margarida

doi:10.1111/2047-3095.12105

Cited by 72 publications

(98 citation statements)

References 43 publications

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“…Spirituality is a human dimension that is dynamic, integrative, multidimensional, and present in believers and non-believers [2][3][4]. Despite the discussion about the definition and the attributes of spirituality as a concept, the search for meaning in life is often pointed to as a core element [5,6], and is considered particularly important as a coping strategy at times of crisis and suffering [7]. For those who are religious, this is an important dimension of living their spirituality.…”

Section: Introductionmentioning

confidence: 99%

Spirituality in the Undergraduate Curricula of Nursing Schools in Portugal and São Paulo-Brazil

et al. 2016

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Spirituality is considered a dimension of nursing care, which is often recognized as being neglected, mainly due to a lack of education. Several studies have addressed nursing students' perceptions and skills for providing spiritual care, but there is little evidence on how spirituality is addressed in undergraduate nursing curricula. This study comprised Portuguese and Brazilian nursing schools (from São Paulo) and describes how spirituality is addressed in undergraduate nursing curricula. It is descriptive and the survey research was performed in 2014-2015. The questionnaire was composed of closed and open-ended questions and was sent by e-mail. A total of 129 answers were obtained, mostly from Portugal. Results indicated that several curricular units include spirituality, although having different contents. The learning outcomes are consistent with improving nursing students' integral education, developing the clinical reasoning regarding spirituality, and improving the assessment of the patient across the life span. Nevertheless, it seems that spirituality is poorly addressed in clinical practice. Few nursing schools have courses or curricular units specifically dealing with spirituality, but they do provide some form of teaching on the subject. No standard curriculum exists, but teachers believe that it is a very important subject that should be included in the courses taught.

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Section: Introductionmentioning

confidence: 99%

Spirituality in the Undergraduate Curricula of Nursing Schools in Portugal and São Paulo-Brazil

et al. 2016

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“…The validation of nursing diagnoses plays a critical role, such as the nursing diagnosis of spiritual distress, since nurses play a significant role in alleviating the patients´suffering. In this regard, Caldeira et al (2017) conducted a clinical validation of the nursing diagnosis of spiritual distress in cancer patients undergoing chemotherapy, while Chaves et al (2010) validated impaired spirituality in patients with chronic renal disease. However, the greatest obstacle for the validation of nursing diagnoses is the methodology, which can be complex and require broad knowledge in the areas of epidemiology and biostatistics (Lopes et al 2013).…”

Section: Discussionmentioning

confidence: 99%

Spirituality in Nursing: An Overview of Research Methods

2017

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Spirituality has been widely considered important for patients' health and for healthcare practice and is related to connectedness, meaning in life, and transcendence. Research concerning spirituality is growing rapidly, and the implementation of spiritual care should be based on evidence. This literature review aims to describe the methods that have been used in nursing research focusing on spirituality. The electronic search on databases through EBSCOhost identified 2091 citations, and a total of 231 studies were included. The methods used in research on spirituality in nursing are mostly quantitative (52.4%), but some are qualitative (42.8%) and mixed (4.8%). Regarding the quantitative research, most studies are observational (90.9%), and these are mainly descriptive (82.7%) and correlational (17.3%). Most studies used a cross-sectional design (98.7%), and few used longitudinal design (1.3%). The qualitative research is descriptive (39.4%), phenomenological (26.3%), and grounded theory (14.1%). Research on spirituality in nursing is based on both main paradigms (quantitative and qualitative), but also on mixed methods. Studies have mainly been conducted using cross-sectional designs when compared to longitudinal designs. The latter seem to constitute a gap in nursing knowledge and evidence regarding the changes of spirituality over time, which is particularly important for nurses' delivery of spiritual care.

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“…Within the hospital environment the need to be treated in a more holistic manner that considers the whole person becomes more necessary. Spiritual distress, for example, which can occur in more than one third of hospitalised cancer patients, is associated with increased pain, depression and suffering and needs to be recognized and treated in order to improve patient symptoms [16][17][18]. When a person finds himself or herself in a hospital, they have come into a world that is alien to them.…”

Section: Discussionmentioning

confidence: 99%

“…Medical technology can increasingly sustain and prolong life. Within such an environment there is a need to address the spiritual distress that lies within [17,18]. Swinton ([19], p. 162) states in his article, which appears in the same issue (as King), that "just because it is made up [spirituality in healthcare] does not mean that it is not real and does not matter".…”

Section: Discussionmentioning

confidence: 99%

A Commentary on Michael King. “The Challenge of Research into Religion and Spirituality.” Journal for the Study of Spirituality 4 (2014): 106–20

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King's publication based on a key note presentation at the 2014 British Association of the Study of Spirituality (BASS) conference, a well written and thought provoking paper, leads us to consider the contribution of this critique of spirituality research to contemporary debates on the topic The views expressed within the paper are important and foster debate about the validity of research in the field of spirituality and religion. However, at the same time, this debate is reminiscent of the negative responses sometimes expressed about research publications in this field. At the same time, it must be recognised that there is a view held that there is an extra yard stick required for researchers in this field, who can be subjected to much higher standards and expectations than other researchers simply because of the topic and the deep seated conflicting views that advocates and critics hold. This paper considers the merits and challenges of this paper in light of this.Keywords: spirituality; religion; evidence-based practice BackgroundKing's [1] publication, based on a keynote presentation at the 2014 British Association of the Study of Spirituality (BASS) conference, was well written and thought provoking. King's paper argues that although there is a body of published research in existence, which attempts to demonstrate a positive association between religion and health, that such findings could possibly be and often are, inflated. He contends that in essence, the health gain from attending to the spiritual or religious needs of service users is extremely limited, and that spirituality divorced from religious practice may indeed be associated with a worsening of mental and emotional well-being of a person. DiscussionAlthough King admits that research into this whole realm is on-going and expanding, he identifies a number of pitfalls, which are presented in relation to the current on-going research [1]. He argues

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Clinical Validation of the Nursing Diagnosis Spiritual Distress in Cancer Patients Undergoing Chemotherapy

Abstract: Sensitive diagnosis tools and language are required for nurses to make accurate judgments in situations of spiritual distress. Validation in different contexts would increase the clinical evidence of this diagnosis.

Cited by 72 publications

References 43 publications

Spirituality in the Undergraduate Curricula of Nursing Schools in Portugal and São Paulo-Brazil

Spirituality in the Undergraduate Curricula of Nursing Schools in Portugal and São Paulo-Brazil

Spirituality in Nursing: An Overview of Research Methods

A Commentary on Michael King. “The Challenge of Research into Religion and Spirituality.” Journal for the Study of Spirituality 4 (2014): 106–20

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