Prevalence, defining characteristics, and predictors of the nursing diagnosis of spiritual distress in cancer patients undergoing chemotherapy: A longitudinal study
Introduction Cancer patients are exposed to several types of treatments, including chemotherapy. In this context, patients experience several nursing diagnoses, including spiritual distress. The definition of the diagnosis of spiritual distress is grounded in lack of meaning and purpose in life, a s...
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| Veröffentlicht in: | Journal of nursing scholarship 2023-07, Vol.55 (4), p.782-791 |
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| creator | Martins, Helga Domingues, Tiago Dias Campos de Carvalho, Emília Timmins, Fiona Caldeira, Sílvia |
| description | Introduction
Cancer patients are exposed to several types of treatments, including chemotherapy. In this context, patients experience several nursing diagnoses, including spiritual distress. The definition of the diagnosis of spiritual distress is grounded in lack of meaning and purpose in life, a sense of suffering, and a feeling of disconnected.
Purpose
The aim of this study was to determine the prevalence, sensitivity, specificity, and predictors of the nursing diagnosis of spiritual distress of cancer patients undergoing chemotherapy.
Designs
The study used a longitudinal questionnaire design with quarterly data collection points over a 12‐month period. Participants were recruited through random sampling, in an outpatients' setting in one oncology day unit in Portugal.
Findings
The highest prevalence of spiritual distress was found at 3 months after patients started chemotherapy. The highest value of specificity was lack of meaning in life and express suffering, and the highest values of sensitivity concerned spiritual distress diagnosis. The predictors of spiritual distress were express suffering, alienation, questioning meaning in life, lack of serenity, questioning the meaning of suffering, hopelessness, and lack of meaning in life.
Conclusions
Spiritual distress is a human response that is current in patients undergoing chemotherapy, and the highest prevalence seems to occur at 3 months after commencing chemotherapy. Express suffering and lack of meaning in life play the role not only of defining characteristics (DC) in this study, but also of predictors in the diagnosis of spiritual distress.
Clinical Relevance
The identification of the prevalence, predictors, sensitivity, and specificity of the DC of the nursing diagnosis of spiritual distress in cancer patients undergoing chemotherapy may facilitate nurses' clinical reasoning and improve the planning of nursing care in clinical practice in order to improve spiritual well‐being in cancer patients. |
| doi_str_mv | 10.1111/jnu.12862 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2754049023</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2871595416</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3132-3d723cff57bf74ed7b64819946179ea574c2f5ca11119e47d10bba76dc8fdc0c3</originalsourceid><addsrcrecordid>eNp1kcFuFSEUhidGY2t14QsYEjeadFoYYLi4axrb2jTqwq4nDBxuuZkLI2dGc9-nDyq3U12YlA0n8OU7B_6qesvoCSvrdBPnE9as2uZZdcikULWkrX6-rxtVt1K0B9UrxA2ltGWKv6wOeCup1lwfVvffM_wyA0QLx8SBDzHENbF3Jhs7QQ44BYvHxERHxgwu2CllJMmT6Q5InDPucRfMOiYMDxc4hhym2QzlGKcMiCREYk3pkMlopgBxQjJHB3mdlmawTUWXzbj7RM7IkOK6CFyIxYGl2L2uXngzILx53I-q24vPP86v6ptvl1_Oz25qyxlvau5Uw633UvVeCXCqb8WKaS3KqzUYqYRtvLRm_2cahHKM9r1RrbMr7yy1_Kj6sHjHnH7OgFO3DWhhGEyENGPXKCmo0LThBX3_H7pJcy4TF2qlmNRSsLZQHxfK5oSYwXdjDluTdx2j3X6MrkTXPURX2HePxrnfgvtH_s2qAKcL8DsMsHva1F1_vV2UfwB4zab0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2871595416</pqid></control><display><type>article</type><title>Prevalence, defining characteristics, and predictors of the nursing diagnosis of spiritual distress in cancer patients undergoing chemotherapy: A longitudinal study</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Martins, Helga ; Domingues, Tiago Dias ; Campos de Carvalho, Emília ; Timmins, Fiona ; Caldeira, Sílvia</creator><creatorcontrib>Martins, Helga ; Domingues, Tiago Dias ; Campos de Carvalho, Emília ; Timmins, Fiona ; Caldeira, Sílvia</creatorcontrib><description>Introduction
Cancer patients are exposed to several types of treatments, including chemotherapy. In this context, patients experience several nursing diagnoses, including spiritual distress. The definition of the diagnosis of spiritual distress is grounded in lack of meaning and purpose in life, a sense of suffering, and a feeling of disconnected.
Purpose
The aim of this study was to determine the prevalence, sensitivity, specificity, and predictors of the nursing diagnosis of spiritual distress of cancer patients undergoing chemotherapy.
Designs
The study used a longitudinal questionnaire design with quarterly data collection points over a 12‐month period. Participants were recruited through random sampling, in an outpatients' setting in one oncology day unit in Portugal.
Findings
The highest prevalence of spiritual distress was found at 3 months after patients started chemotherapy. The highest value of specificity was lack of meaning in life and express suffering, and the highest values of sensitivity concerned spiritual distress diagnosis. The predictors of spiritual distress were express suffering, alienation, questioning meaning in life, lack of serenity, questioning the meaning of suffering, hopelessness, and lack of meaning in life.
Conclusions
Spiritual distress is a human response that is current in patients undergoing chemotherapy, and the highest prevalence seems to occur at 3 months after commencing chemotherapy. Express suffering and lack of meaning in life play the role not only of defining characteristics (DC) in this study, but also of predictors in the diagnosis of spiritual distress.
Clinical Relevance
The identification of the prevalence, predictors, sensitivity, and specificity of the DC of the nursing diagnosis of spiritual distress in cancer patients undergoing chemotherapy may facilitate nurses' clinical reasoning and improve the planning of nursing care in clinical practice in order to improve spiritual well‐being in cancer patients.</description><identifier>ISSN: 1527-6546</identifier><identifier>EISSN: 1547-5069</identifier><identifier>DOI: 10.1111/jnu.12862</identifier><identifier>PMID: 36509939</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Cancer ; Cancer therapies ; Chemotherapy ; Clinical decision making ; Clinical medicine ; Clinical nursing ; Data collection ; defining characteristic ; Hopelessness ; Humans ; Laity ; Longitudinal Studies ; Meaning ; Medical diagnosis ; Neoplasms - drug therapy ; Nurses ; Nursing care ; Nursing Diagnosis ; Oncology ; Outpatients ; Patients ; predictors ; Prevalence ; Professional identity ; Psychological distress ; Purpose in life ; Questionnaires ; Random sampling ; Sample size ; spiritual distress ; Spiritual well being ; Spirituality ; Stress, Psychological ; Suffering ; Well being</subject><ispartof>Journal of nursing scholarship, 2023-07, Vol.55 (4), p.782-791</ispartof><rights>2022 Sigma Theta Tau International.</rights><rights>Copyright Blackwell Publishing Ltd. Jul 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3132-3d723cff57bf74ed7b64819946179ea574c2f5ca11119e47d10bba76dc8fdc0c3</cites><orcidid>0000-0002-7233-9412 ; 0000-0002-9804-2297 ; 0000-0001-5804-7934 ; 0000-0003-0738-0539 ; 0000-0002-4034-4276</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjnu.12862$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjnu.12862$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,12826,27902,27903,30977,45552,45553</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36509939$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martins, Helga</creatorcontrib><creatorcontrib>Domingues, Tiago Dias</creatorcontrib><creatorcontrib>Campos de Carvalho, Emília</creatorcontrib><creatorcontrib>Timmins, Fiona</creatorcontrib><creatorcontrib>Caldeira, Sílvia</creatorcontrib><title>Prevalence, defining characteristics, and predictors of the nursing diagnosis of spiritual distress in cancer patients undergoing chemotherapy: A longitudinal study</title><title>Journal of nursing scholarship</title><addtitle>J Nurs Scholarsh</addtitle><description>Introduction
Cancer patients are exposed to several types of treatments, including chemotherapy. In this context, patients experience several nursing diagnoses, including spiritual distress. The definition of the diagnosis of spiritual distress is grounded in lack of meaning and purpose in life, a sense of suffering, and a feeling of disconnected.
Purpose
The aim of this study was to determine the prevalence, sensitivity, specificity, and predictors of the nursing diagnosis of spiritual distress of cancer patients undergoing chemotherapy.
Designs
The study used a longitudinal questionnaire design with quarterly data collection points over a 12‐month period. Participants were recruited through random sampling, in an outpatients' setting in one oncology day unit in Portugal.
Findings
The highest prevalence of spiritual distress was found at 3 months after patients started chemotherapy. The highest value of specificity was lack of meaning in life and express suffering, and the highest values of sensitivity concerned spiritual distress diagnosis. The predictors of spiritual distress were express suffering, alienation, questioning meaning in life, lack of serenity, questioning the meaning of suffering, hopelessness, and lack of meaning in life.
Conclusions
Spiritual distress is a human response that is current in patients undergoing chemotherapy, and the highest prevalence seems to occur at 3 months after commencing chemotherapy. Express suffering and lack of meaning in life play the role not only of defining characteristics (DC) in this study, but also of predictors in the diagnosis of spiritual distress.
Clinical Relevance
The identification of the prevalence, predictors, sensitivity, and specificity of the DC of the nursing diagnosis of spiritual distress in cancer patients undergoing chemotherapy may facilitate nurses' clinical reasoning and improve the planning of nursing care in clinical practice in order to improve spiritual well‐being in cancer patients.</description><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Chemotherapy</subject><subject>Clinical decision making</subject><subject>Clinical medicine</subject><subject>Clinical nursing</subject><subject>Data collection</subject><subject>defining characteristic</subject><subject>Hopelessness</subject><subject>Humans</subject><subject>Laity</subject><subject>Longitudinal Studies</subject><subject>Meaning</subject><subject>Medical diagnosis</subject><subject>Neoplasms - drug therapy</subject><subject>Nurses</subject><subject>Nursing care</subject><subject>Nursing Diagnosis</subject><subject>Oncology</subject><subject>Outpatients</subject><subject>Patients</subject><subject>predictors</subject><subject>Prevalence</subject><subject>Professional identity</subject><subject>Psychological distress</subject><subject>Purpose in life</subject><subject>Questionnaires</subject><subject>Random sampling</subject><subject>Sample size</subject><subject>spiritual distress</subject><subject>Spiritual well being</subject><subject>Spirituality</subject><subject>Stress, Psychological</subject><subject>Suffering</subject><subject>Well 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Dias</creator><creator>Campos de Carvalho, Emília</creator><creator>Timmins, Fiona</creator><creator>Caldeira, Sílvia</creator><general>Blackwell Publishing 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defining characteristics, and predictors of the nursing diagnosis of spiritual distress in cancer patients undergoing chemotherapy: A longitudinal study</title><author>Martins, Helga ; Domingues, Tiago Dias ; Campos de Carvalho, Emília ; Timmins, Fiona ; Caldeira, Sílvia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3132-3d723cff57bf74ed7b64819946179ea574c2f5ca11119e47d10bba76dc8fdc0c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cancer</topic><topic>Cancer therapies</topic><topic>Chemotherapy</topic><topic>Clinical decision making</topic><topic>Clinical medicine</topic><topic>Clinical nursing</topic><topic>Data collection</topic><topic>defining characteristic</topic><topic>Hopelessness</topic><topic>Humans</topic><topic>Laity</topic><topic>Longitudinal Studies</topic><topic>Meaning</topic><topic>Medical diagnosis</topic><topic>Neoplasms - drug therapy</topic><topic>Nurses</topic><topic>Nursing care</topic><topic>Nursing Diagnosis</topic><topic>Oncology</topic><topic>Outpatients</topic><topic>Patients</topic><topic>predictors</topic><topic>Prevalence</topic><topic>Professional identity</topic><topic>Psychological distress</topic><topic>Purpose in life</topic><topic>Questionnaires</topic><topic>Random sampling</topic><topic>Sample size</topic><topic>spiritual distress</topic><topic>Spiritual well being</topic><topic>Spirituality</topic><topic>Stress, Psychological</topic><topic>Suffering</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martins, Helga</creatorcontrib><creatorcontrib>Domingues, Tiago Dias</creatorcontrib><creatorcontrib>Campos de Carvalho, Emília</creatorcontrib><creatorcontrib>Timmins, Fiona</creatorcontrib><creatorcontrib>Caldeira, Sílvia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martins, Helga</au><au>Domingues, Tiago Dias</au><au>Campos de Carvalho, Emília</au><au>Timmins, Fiona</au><au>Caldeira, Sílvia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence, defining characteristics, and predictors of the nursing diagnosis of spiritual distress in cancer patients undergoing chemotherapy: A longitudinal study</atitle><jtitle>Journal of nursing scholarship</jtitle><addtitle>J Nurs Scholarsh</addtitle><date>2023-07</date><risdate>2023</risdate><volume>55</volume><issue>4</issue><spage>782</spage><epage>791</epage><pages>782-791</pages><issn>1527-6546</issn><eissn>1547-5069</eissn><abstract>Introduction
Cancer patients are exposed to several types of treatments, including chemotherapy. In this context, patients experience several nursing diagnoses, including spiritual distress. The definition of the diagnosis of spiritual distress is grounded in lack of meaning and purpose in life, a sense of suffering, and a feeling of disconnected.
Purpose
The aim of this study was to determine the prevalence, sensitivity, specificity, and predictors of the nursing diagnosis of spiritual distress of cancer patients undergoing chemotherapy.
Designs
The study used a longitudinal questionnaire design with quarterly data collection points over a 12‐month period. Participants were recruited through random sampling, in an outpatients' setting in one oncology day unit in Portugal.
Findings
The highest prevalence of spiritual distress was found at 3 months after patients started chemotherapy. The highest value of specificity was lack of meaning in life and express suffering, and the highest values of sensitivity concerned spiritual distress diagnosis. The predictors of spiritual distress were express suffering, alienation, questioning meaning in life, lack of serenity, questioning the meaning of suffering, hopelessness, and lack of meaning in life.
Conclusions
Spiritual distress is a human response that is current in patients undergoing chemotherapy, and the highest prevalence seems to occur at 3 months after commencing chemotherapy. Express suffering and lack of meaning in life play the role not only of defining characteristics (DC) in this study, but also of predictors in the diagnosis of spiritual distress.
Clinical Relevance
The identification of the prevalence, predictors, sensitivity, and specificity of the DC of the nursing diagnosis of spiritual distress in cancer patients undergoing chemotherapy may facilitate nurses' clinical reasoning and improve the planning of nursing care in clinical practice in order to improve spiritual well‐being in cancer patients.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>36509939</pmid><doi>10.1111/jnu.12862</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-7233-9412</orcidid><orcidid>https://orcid.org/0000-0002-9804-2297</orcidid><orcidid>https://orcid.org/0000-0001-5804-7934</orcidid><orcidid>https://orcid.org/0000-0003-0738-0539</orcidid><orcidid>https://orcid.org/0000-0002-4034-4276</orcidid></addata></record> |
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| ispartof | Journal of nursing scholarship, 2023-07, Vol.55 (4), p.782-791 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Cancer Cancer therapies Chemotherapy Clinical decision making Clinical medicine Clinical nursing Data collection defining characteristic Hopelessness Humans Laity Longitudinal Studies Meaning Medical diagnosis Neoplasms - drug therapy Nurses Nursing care Nursing Diagnosis Oncology Outpatients Patients predictors Prevalence Professional identity Psychological distress Purpose in life Questionnaires Random sampling Sample size spiritual distress Spiritual well being Spirituality Stress, Psychological Suffering Well being |
| title | Prevalence, defining characteristics, and predictors of the nursing diagnosis of spiritual distress in cancer patients undergoing chemotherapy: A longitudinal study |
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