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- Translation and adaptation of the Spirituality and Spiritual Care Rating Scale in portuguese palliative care nursesPublication . Martins, Andreia Raquel; Pinto, Sara; Caldeira, Sílvia; Pimentel, FranciscoTheoretical framework: The knowledge on spirituality in Nursing has increased in Portugal, but there is still low evidence on the nurses’ perception of this dimension of care, as well as limited instruments in portuguese which allow measuring related phenomena. The Spirituality and Spiritual Care Rating Scale (SSCRS) allows assessing the nurses’ perception of spirituality and spiritual care. Objectives: To translate, adapt and validate the SSCRS into portuguese in a sample of portuguese palliative care nurses. Methodology: Methodological study using a sample composed of 94 palliative care nurses. Results: The original structure of the 17-item scale was maintained during the scale validation process. A Cronbach’s alpha between 0.59 and 0.69 in the subscales and 0.76 in the total scale was obtained. These values are indicators of the scale’s reasonable reliability to be used in the population under study. Conclusion: The portuguese version of the SSCRS proved to be a reliable scale with content validity to assess the nurses’ perception of spirituality and spiritual care.
- Nursing diagnosis of ‘‘spiritual distress’’ in women with breast cancer prevalence and major defining characteristicsPublication . Caldeira, Sílvia; Timmins, Fiona; Carvalho, Emília de; Vieira, MargaridaBackground: Spirituality and spiritual needs of cancer patients are frequently mentioned in the nursing literature, but the most significant defining characteristics of spiritual distress in the context of clinical reasoning and nursing diagnosis are rarely explored. Understanding of these is important for effective spiritual intervention. Objective: The aim of this study was to identify the prevalence and the defining characteristics of the nursing diagnosis ‘‘spiritual distress,’’ as classified according to NANDA International, among women with breast cancer. Methods: This was a quantitative and cross-sectional study, comprising the third phase of a larger study investigating the clinical validation of spiritual distress in cancer patients undergoing chemotherapy. Fehring’s clinical diagnostic validation model was used to identify the prevalence and the major defining characteristics of the diagnosis. A convenience sample was used, and data were collected by structured interview. Results: A total of 70 women participated; most were married (62.9%) and had a mean age of 54 years, and 55.7% reported having at least 1 person depending on them. The average length of time since the cancer diagnosis was 30.9 months. Twenty-seven participants were experiencing spiritual distress (38.6%). Eleven defining characteristics were classified as major. Conclusions: The prevalence of spiritual distress and the major defining characteristics give clinical evidence about the nurse’s role in providing spiritual care. The results are useful for the improved use of the NANDA International diagnoses within this domain. Implications for Practice: The findings highlight the importance of assessing the defining characteristics of the diagnosis as an objective strategy to improve clinical reasoning related to spirituality and to facilitate more effective interventions.
- Validation of the Duke University Religion Index (DUREL) in Portuguese Cancer Patients Undergoing ChemotherapyPublication . Martins, Helga; Caldeira, Sílvia; Dias Domingues, Tiago; Vieira, Margarida; Koenig, Harold G.Religion is one of the strategies used to cope with life stressful events, particularly in cancer patients. This study aimed to translate, adapt and validate the 5-item Duke University Religion Index (DUREL) into European Portuguese. This is a crosssectional study in a sample of cancer patients receiving chemotherapy. Data were collected in July–October 2018, and the study was approved by the ethics committee of the institution. A sample of 150 participants was included (64.7% female and 35.3% male), aged 35–83 years, and mainly Catholic (86.7%). Participants who were females, older, had lower education and from evangelical religious traditions scored higher on the total score. The Cronbach’s alpha was 0.89. Factor analysis revealed a one-factor solution. Convergent validity was achieved between DUREL and BIAC (r=0.78; p<0.01). The DUREL European Portuguese version is a valid and reliable tool for measuring religious commitment in cancer patients undergoing chemotherapy
- The contribution of the Rasch Model to the clinical validation of nursing diagnoses: integrative literature reviewPublication . Oliveira-Kumakura, Ana Railka de Souza; Caldeira, Sílvia; Simão, Talita Prado; Camargo-Figuera, Fábio Alberto; Cruz, Diná de Almeida Lopes Monteiro da; Carvalho, Emília Campos dePURPOSE: To analyze the knowledge related to the use of the Rasch model in validation of nursing diagnoses. METHODS: Integrative literature review with search in LILACS, PUBMED, CINAHL, and SCOPUS. FINDINGS: Five studies comprised the sample, which analyzed unidimensionality, local independence, item calibration, item reliability, separation of items and people, and differential item functioning for analyzing nursing diagnoses. CONCLUSIONS: The Rasch model seems to be a useful method to validate nursing diagnoses and probably also for the validation of nursing outcomes in the Nursing Outcomes Classification. The use of this model is promising, considering the advan- tages that it can be used in studies with several methodological designs. IMPLICATIONS FOR NURSING: Methods that are able to provide more robust evidence of nursing diagnosis validity are needed to support highly accurate diag- nostic findings in clinical practice.