To identify the definition and defining characteristics (DCs) of spiritual distress (00066).
Method
Integrative literature review.
Results
Thirty-seven articles and 35 DCs were identified. Spiritual distress as a response to health problems in the context of nursing care is different from an impaired ability to experience and integrate meaning in life.
Conclusions
The diagnosis misses some DCs that emerged from the literature review and lacks comprehensiveness. The domain and the class are reductionist toward its meaning. The taxonomy lacks a spiritual domain to include this and other diagnoses currently dispersed in other domains.
Implications for Practice
Further content and clinical validation is needed, as well as an assessment, to determine the diagnosis' class and domain.
Objectivo
Identificar o conceito e as características definidoras (CDs) de angústia espiritual (00066).
Método
Revisão integrativa de literatura.
Resultados
A amostra é constituída por 37 artigos e foram identificadas 35 CDs. Como resposta a problemas de saúde no contexto de cuidados de enfermagem, a angústia espiritual é diferente de uma capacidade prejudicada de integrar sentido à vida.
Conclusões
O diagnóstico não inclui características definidoras que foram identificadas na revisão integrativa de literatura e é subjetivo. O domínio e a classe são reducionistas perante seu significado.A taxonomia carece de um domínio espiritual que integre este e outros diagnósticos dispersos em outros domínios.
Implicações para a Prática
Novos estudos de validação de conteúdo e clínica devem ser realizados bem como uma avaliação da classe e domínio do diagnóstico.
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