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

Abstract

Objective

Validate the nursing diagnosis spiritual distress in cancer patients.

Methods

Cross-sectional approach using Richard Fehring's Clinical Diagnostic Validity Model.

Findings

The prevalence of diagnosis was 40.8% in a sample of 170 patients. A total of 16 defining characteristics were validated. Expresses suffering had the highest sensitivity value and lack of meaning in life had the highest specificity value.

Conclusions

The diagnosis was validated. Cancer patients in spiritual distress are in a state of suffering related to lack of meaning in life.

Implications for Practice

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.

Objetivo

Validar o diagnóstico de enfermagem angústia espiritual em pacientes com cancro.

Métodos

Estudo transversal, segundo o modelo de validação clínica de Richard Fehring.

Resultados

A prevalência foi de 40.8% em 170 pacientes. Um total de 16 características definidoras foram validadas. Expressa sofrimento obteve valor mais elevado de sensibilidade e falta de sentido na vida obteve valor mais elevado de especificidade.

Conclusões

O diagnóstico foi validado e os pacientes com cancro em angústia espiritual estão em estado de sofrimento relacionado com a falta de sentido na vida.

Implicações Para A Prática

São necessários linguagens e instrumentos de diagnóstico sensíveis que ajudem os enfermeiros a diagnosticar com acurácia em situações de angústia espiritual. Estudos de validação em diferentes contextos, incluindo a validação diferencial, poderão melhorar a evidência científica do diagnóstico.

Keywords

Nursing nursing diagnosis spirituality validation study Enfermagem Diagnóstico de Enfermagem Espiritualidade Estudos de Validação

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