Objective: To evaluate the effect of prayer on anxiety in cancer patients undergoing chemotherapy. Method: Quasi-experimental study, with pre and post-intervention. Twenty patients admitted to treatment of continuous intravenous chemotherapy were recruited. The volunteers were evaluated through interviews using a questionnaire of sociodemographic, clinical and spiritual characteristics, the Index of Religiosity Duke University and the State-Trait Anxiety Inventory. Vital signs were measured and collected salivary cortisol. The intervention was applied prayer and data collection occurred in three phases: first collection (baseline), pre and post-intervention. Results: The data found between the pre and post-intervention samples showed different statistically significant for state anxiety (p= <0.00), blood pressure (systolic, p=0.00, diastolic, p=<0.00) and respiratory rate (p=0.04). Conclusion: Prayer, therefore, proved to be an effective strategy in reducing the anxiety of the patient undergoing chemotherapy.

Abstract:There is increasing interest regarding prayer in healthcare. Prayer is an activity related to spirituality and religion. Positive outcomes have been identified regarding spirituality in health. This study aims to investigate the effects on patients' health of using prayer. A systematic literature review was conducted in May 2015 and updated in November 2015. Electronic and international databases were searched and the inclusion criteria were based on PICOS: (Population) patients of any age and any clinical situation, (Intervention) all types of prayer, (Comparison) ordinary care, (Outcomes) any health change, (Study type) randomized clinical trials. Neither timeframe nor limitation in language were considered. A total of 92 papers were identified and 12 were included in the review. Prayer was considered a positive factor in seven studies, and several positive effects of prayer on health were identified: reducing the anxiety of mothers of children with cancer; reducing the level of concern of the participants who believe in a solution to their problem; and providing for the improved physical functioning of patients who believe in prayer. Prayer is a non-pharmacological intervention and resource, and should be included in the nursing holistic care aimed at patients' well-being.

Methods that are able to provide more robust evidence of nursing diagnosis validity are needed to support highly accurate diagnostic findings in clinical practice.

The data evidence the relevance of this review for a reliable application of these taxonomies and demonstrated partial correspondence between concepts analyzed. A identificação precisa dos diagnósticos de enfermagem e a medida correspondente dos seus indicadores dependerá dos elementos nos sistemas de linguagem padronizados.

Objective:To investigate the understanding of the concept of spiritual distress and existing methods to identify it. Method: it is an integrative literature review conducted in LILACS, MEDLINE, BDENf, CINAHL, IBECS, PUBMED, using the terms "spiritual distress", "spiritual suffering", together with the descriptor: nursing. Results: after analysis of 30 articles, nine were selected, and only four (44.4%) conceptualized spiritual distress, some using more than one concept, with the deficiencies in the constructs of transcendence, connection, beliefs/values systems, sense of meaning and purpose in life that most prevailed. Strategies to identify the phenomenon range from close observation of the patient to the application of psychometric assessment instruments. Conclusion: yhe combined use of all methods will enable healthcare professionals to have the means to identify and assess spiritual distress and thus offer care that meets the spiritual needs of the patient. Descriptors: Spiritual distress, Spiritual suffering, Nursing.Objetivo: Investigar sobre a compreensão do conceito de angústia espiritual e os métodos existentes para identificá-la. Método: trata-se de uma revisão integrativa de literatura realizada nas bases de dados LILACS, MEDLINE, BDENF, CINAHL, IBECS, PUBMED, utilizando os termos: "angústia espiritual" (spiritual distress), "sofrimento espiritual" (spiritual suffering), juntamente com o descritor: enfermagem (nursing). Resultados: após análise de 30 artigos, nove foram selecionados, apenas quatro (44,4%) conceituaram a angústia espiritual, alguns utilizaram mais de uma conceituação, sendo as deficiências nos construtos de transcendência, conexão, sistemas de crenças/valores, senso de significado e propósito na vida que mais prevaleceram. Estratégias para identificar o fenômeno abrangem desde observação atenta do paciente até a aplicação de instrumentos de avaliação psicométricas. Conclusão: a utilização combinada de todos os métodos possibilitará que profissionais da área da saúde tenham meios de identificar e avaliar a angústia espiritual e assim oferecer um cuidado que supra a necessidade espiritual do paciente. Descritores: Angústia espiritual, Sofrimento espiritual, Enfermagem.Objetivo: Investigar la comprensión del concepto de la angustia espiritual y los métodos existentes para identificarlo. Método: Se trata de una revisión integradora de la literatura realizada en las bases de datos LILACS, MEDLINE, BDENF, CINAHL, IBECS, PUBMED, usando los términos "angustia espiritual" (spiritual distress), "sufrimiento espiritual" (spiritual suffering), junto con el descriptor: enfermería (nursing). Resultados: después del análisis de 30 artículos, se seleccionaron nueve, sólo cuatro (44,4%) conceptuaran la angustia espiritual, algunas utilizaran más de un concepto, siendo las diferencias en los conceptos de trascendencia, conexión, sistemas de creencia/valores, el concepto de significado y propósito en la vida que más prevalecieron. Estrategias para identificar el fenómeno abarcan desde una estrecha observ...

The existence of an internationally validated instrument that assesses spiritual distress will assist healthcare professionals and researchers in recognising this phenomenon in clinical practice.

Objective:To investigate the body posture of nursing students before and after clinical practice. Method: The study was developed in two stages. Initially the body posture of students of the 2nd, 4th, 6th, and 8th periods were assessed through photogrammetry. All images were analyzed in a random and masked manner with CorporisPro® 3.1.3 software. Three evaluations were performed for each angle and then the mean value was calculated. Two years later, when the 4th period students had developed their clinical internships, their body posture was again evaluated. Results: The total sample consisted of 112 students. Comparison of their posture with the normality pattern showed that all the angles presented significant differences (p<0.00), except for the angle of the Thales triangle. Reassessment of these students evidenced significant differences in the angles of the acromioclavicular joint (p=0.03), knee flexion (p<0.00) and in the tibiotarsal angle (p<0.00). Conclusion: All the students presented alterations when compared to the normality values. The segments that presented significant differences between before and after practice were the acromioclavicular angle, knee flexion, and tibiotarsal angle; the latter two were in the rolling position.

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