The purpose of this study was to describe the phenomenon of spiritual distress in order to clarify the nursing diagnosis of spiritual distress and to evaluate its defining characteristics. Phenomenological interview procedures were used. Ten participants were asked to describe a time in their life when they had been concerned about the meaning of life, death, and/or their beliefs (the major defining char-acteristic of this nursing diagnosis). The data were analyzed using a hermeneutical approach. The thematic structure of this experience indicated a biphasic process through which participants moved from distress to change and growth. Implications for nursing are discussed and suggestions made for further research on spiritual distress.
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