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Nursing diagnosis of ‘‘spiritual distress’’ in women with breast cancer prevalence and major defining characteristics

2016Journal article Restricted access
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dc.contributor.authorCaldeira, Sílvia
dc.contributor.authorTimmins, Fiona
dc.contributor.authorCarvalho, Emília de
dc.contributor.authorVieira, Margarida
dc.date.accessioned2015-10-29T10:02:03Z
dc.date.issued2016
dc.description.abstractBackground: 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.pt_PT
dc.identifier.citationCaldeira, S., Timmins, F., de Carvalho, E. C., & Vieira, M. (2016). Nursing Diagnosis of “Spiritual Distress” in Women With Breast Cancer. Cancer Nursing, 39(4), 321–327. https://doi.org/10.1097/ncc.0000000000000310pt_PT
dc.identifier.doi10.1097/NCC.0000000000000310
dc.identifier.eid84945151427
dc.identifier.eissn1538-9804
dc.identifier.issn0162-220X
dc.identifier.pmid26496518
dc.identifier.urihttp://hdl.handle.net/10400.14/18546
dc.identifier.wos000378157000015
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWolters Kluwer Healthpt_PT
dc.subjectBreast neoplasmspt_PT
dc.subjectNursing diagnosispt_PT
dc.subjectSpiritualitypt_PT
dc.subjectValidation studiespt_PT
dc.titleNursing diagnosis of ‘‘spiritual distress’’ in women with breast cancer prevalence and major defining characteristicspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage327
oaire.citation.issue4
oaire.citation.startPage321
oaire.citation.titleCancer Nursingpt_PT
oaire.citation.volume39
person.familyNameCaldeira
person.familyNameTimmins
person.familyNameVieira
person.givenNameSílvia
person.givenNameFiona
person.givenNameMargarida
person.identifierK-8035-2013
person.identifier.ciencia-idAC1F-FB3D-C6F5
person.identifier.ciencia-idDE15-282C-199F
person.identifier.orcid0000-0002-9804-2297
person.identifier.orcid0000-0002-7233-9412
person.identifier.orcid0000-0002-9439-2804
person.identifier.ridK-8035-2013
person.identifier.ridN-3761-2013
person.identifier.scopus-author-id55487193800
person.identifier.scopus-author-id6701354325
person.identifier.scopus-author-id34878021300
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationd412bc85-8c2e-4ea5-9b66-e89c56c6d57c
relation.isAuthorOfPublication24490c60-5321-4197-8688-8f7d004f5917
relation.isAuthorOfPublication25fc1497-bd06-4044-a15c-2d914b93cda5
relation.isAuthorOfPublication.latestForDiscovery25fc1497-bd06-4044-a15c-2d914b93cda5

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