Longing: A Patient and Caregiver Focused Clinical Diagnostic Validity (CDV) Study

Abstract

PURPOSE

To gather data from patients and caregivers about their personal experiences with longing.

METHODS

Using Fehring's Clinical Diagnostic Validity model, patients and caregivers were surveyed for their experiences with longing. The survey was developed based on two previous research projects (a content analysis and survey of expert nurses). Approval for the study was received from the University of Wisconsin-Eau Claire Institutional Review Board.

FINDINGS

None of the 84 attributes met major criteria (weighted ratios ≥ 0.8), but 19 met minor (weighted ratios of 0.60–0.79) across patients, caregivers, and combined scores. The proposed definition was supported by the respondents.

CONCLUSIONS

The phenomenon of longing may exist.

IMPLICATIONS FOR NURSING PRACTICE

There is evidence justifying the submission to NANDA-I for a new nursing diagnosis for longing.

Keywords

Fehring's Clinical Diagnostic Validity model longing nursing diagnosis development patient and caregivers

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References

Al-Gamal

Long

Livesley

(2009). Development of a modified instrument to measure anticipatory grieving in Jordanian parents of children diagnosed with cancer: The Marwit and Meuser Caregiver Inventory Childhood Cancer. Cancer Nursing, 32(3), 211–219. doi:10.1097/NCC.0b013e31819a2ae4

Baldwin

Biernat

Landau

M. J.

(2015). Remembering the real me: Nostalgia offers a window to the intrinsic self. Journal of Personal and Social Psychology, 108(1), 128–147. doi:10.1037/a0038033

Batcho

K. I.

(2013). Nostalgia: The bittersweet history of a psychological concept. History of Psychology, 16(3), 165–176. doi:10.1037/a0032427

Baumann

S. L.

(1996). Feeling uncomfortable: Children in families with no place of their own. Nursing Science Quarterly, 9(4), 152–159.

Boss

(1999). Insights. Ambiguous loss: Living with frozen grief. Harvard Mental Health Letter, 16(5), 4–5.

Bruce

Schreiber

Petrovskaya

Boston

(2011). Longing for ground in a ground(less) world: A qualitative inquiry of existential suffering. BMC Nursing, 10, 2. doi:10.1186/1472-6955-10-2

Bulechek

G. M.

Butcher

H. K.

Dochterman

J. M.

Wagner

C. M. E.

(2013). Nursing Interventions Classification (NIC) (6th ed.).

Carlsson

Dahlberg

Ekebergh

Dahlberg

(2006). Patients longing for authentic personal care: A phenomenological study of violent encounters in psychiatric settings. Issues in Mental Health Nursing, 27(3), 287–305.

Carlsson

I. M.

Hallberg

L. R.

Odberg Pettersson

(2009). Swedish women's experiences of seeking care and being admitted during the latent phase of labour: A grounded theory study. Midwifery, 25(2), 172–180. doi:10.1016/j.midw.2007.02.003

10.

Cheung

W.-Y.

Wildschut

Sedikides

Hepper

E. G.

Arndt

Vingerhoets

A. J. J. M.

(2013). Back to the future: Nostalgia increases optimism. Personal and Social Psychology Bulletin, 39(11), 1484–1496, 1413p. doi:10.1177/0146167213499187

11.

Davis

J. D.

Tremont

Bishop

D. S.

Fortinsky

R. H.

(2011). A telephone-delivered psychosocial intervention improves dementia caregiver adjustment following nursing home placement. International Journal of Geriatric Psychiatry, 26(4), 380–387. doi:10.1002/gps.2537

12.

Farkas

G. S.

Yorker

(1993). Case studies of bibliotherapy with homeless children. Issues in Mental Health Nursing, 14(4), 337–347.

13.

Fehring

R. J.

(1986). Validating diagnostic labels: Standardized methodology. In Hurley

M. E.

(Ed.), Classification of nursing diagnoses: Proceedings of the sixth conference held in St. Louis, MO, April 4–6, 1984 (pp. 183–190). St. Louis, MO: Mosby.

14.

Fehring

R. J.

(1987). Methods to validate nursing diagnoses. Heart & Lung, 16(6 part 1), 625–629.

15.

Fehring

R. J.

(1994). The Fehring model. In Carroll-Johnson

R. M.

Paquette

(Eds.), Classification of nursing diagnosis: Proceedings of the tenth conference (Classification of nursing diagnoses) (pp. 55–62). Lippincott Williams and Wilkins.

16.

Gonyea

J. G.

Paris

deSaxe Zerden

(2008). Adult daughters and aging mothers: The role of guilt in the experience of caregiver burden. Aging & Mental Health, 12(5), 559–567.

17.

Gostecnik

Repic

Cvetek

(2008). Redemptive experience in relational family therapy: A Christian perspective. Journal of Religion and Health, 47(3), 386–397. doi:10.1007/s10943-008-9167-0

18.

Hepper

E. G.

Ritchie

T. D.

Sedikides

Wildschut

(2012). Odyssey's end: Lay conceptions of nostalgia reflect its original homeric meaning. Emotion, 12(1), 102–119. doi:10.1037/a0025167

19.

Holm

A. L.

Severinsson

(2010). Desire to survive emotional pain related to self-harm: A Norwegian hermeneutic study. Nursing & Health Sciences, 12(1), 52–57. doi:10.1111/j.1442-2018.2009.00485.x

20.

Hook

(2012). Screened history: Nostalgia as defensive formation. Peace and Conflict: Journal of Peace Psychology, 18(3), 225–239. doi:10.1037/a0029071

21.

Johansson

A. K.

Sundh

Wijk

Grimby

(2013). Anticipatory grief among close relatives of persons with dementia in comparison with close relatives of patients with cancer, American Journal of Hospice and Palliative Care, 30, 29–34.

22.

Kelly

(2010). Who cares … for the carers? Journal of Renal Care, 36(1), 16–20. doi:10.1111/j.1755-6686.2010.00139.x

23.

Martin

(2004). The body in the realm of desire: Gendered images on the horizon of the divine. Mystics Quarterly, 30(3/4), 99–125.

24.

Marwit

S. J.

Chibnall

J. T.

Dougherty

Jenkins

Shawgo

(2008). Assessing pre-death grief in cancer caregivers using the Marwit-Meuser Caregiver Grief Inventory (MM-CGI). Psychooncology, 17(3), 300–303.

25.

Marwit

S. J.

Meuser

T. M.

(2005). Development of a short form inventory to assess grief in caregivers of dementia patients. Death Studies, 29(3), 191–205.

26.

Massie

Szajnberg

(2006). My life is a longing: Child abuse and its adult sequelae. Results of the Brody longitudinal study from birth to age 30. International Journal of Psychoanalysis, 87(Pt 2), 471–496.

27.

Öhlén

Holm

(2006). Transforming desolation into consolation: Being a mother with life-threatening breast cancer. Health Care for Women International, 27(1), 18–44.

28.

Pehler

S.-R.

Markwardt

Hibbard

(2015). Nursing diagnosis development of longing: Content validation with nursing experts. International Journal of Nursing Knowledge, 26(3), 121–126. doi:10.1111/2047-3095.12053

29.

Pehler

S.-R.

Sjostrom

Markwardt

(2014). Longing: A concept analysis. International Journal of Nursing Knowledge, 25(3), 133–138. doi:10.1111/2047-3095.12022

30.

Routledge

Arndt

Wildschut

Sedikides

Hart

C. M.

Juhl

Schlotz

(2011). The past makes the present meaningful: Nostalgia as an existential resource. Journal of Personal and Social Psychology, 101(3), 638–652. doi:10.1037/a0024292

31.

Routledge

Juhl

Abeyta

Roylance

(2014). Using the past to promote a peaceful future: Nostalgia proneness mitigates existential threat induced nationalistic self-sacrifice. Social Psychology, 45(5), 339–346. doi:10.1027/1864-9335/a000172

32.

Sallady

(1985). Longing for wholeness: A chronically ill woman meets the Great Physician ... Matthew 9:20–22. Journal of Christian Nursing, 2(2), 25–27.

33.

Silva

M. C.

(2014). Caring for dad at 100 challenges and coping strategies. Journal of Psychosocial Nursing & Mental Health Services, 52(1), 17–20. doi:10.3928/02793695-20131126-05

34.

Sparks

S. M.

Lien-Gieschen

(1994). Modification of the diagnostic content validity model. Nursing Diagnosis, 5(1), 31–35.

35.

Stephan

Wildschut

Sedikides

Zhou

Routledge

Vingerhoets

A. J. J. M.

(2014). The mnemonic mover: Nostalgia regulates avoidance and approach motivation. Emotion, 14(3), 545–561. doi:10.1037/a0035673

36.

Talseth

Gilje

Norberg

(2003). Struggling to become ready for consolidation: Experiences of suicidal patients. Nursing Ethics, 10(6), 614–623. doi:10.1191/0969733003ne651oa

37.

Ternestedt

Franklin

(2006). Ways of relating to death: Views of older people resident in nursing homes. International Journal of Palliative Nursing, 12(7), 334–340.

38.

Wildschut

Sedikides

Arndt

Routledge

(2006). Nostalgia: Content, triggers, functions. Journal of Personal Social Psychology, 91(5), 975–993. doi:10.1037/0022-3514.91.5.975

39.

Wildschut

Sedikides

Routledge

Arndt

Cordaro

(2010). Nostalgia as a repository of social connectedness: The role of attachment-related avoidance. Journal of Personal and Social Psychology, 98(4), 573–586. doi:10.1037/a0017597