Validação do diagnóstico de enfermagem Angústia Espiritual: análise por especialistas

Abstract

Objective: To validate the nursing diagnosis Spiritual anguish. Methods: Using the methodological framework proposed by Fehring was utilized a semi-structured questionnaire answered by a sample of 72 nurses, to evaluate the title, definition and defining characteristics of the diagnosis Spiritual anguish, as well as the classification in the Taxonomy II North American Nursing Diagnosis Association. Results: The best area to classify the studied diagnosis according to the expert nurses was the Domain 10; however the Domain classes need to be reviewed. Spirituality impaired proved to be a fitting title for the investigated concept. The validation identified seven defining characteristics as important indicators of clinical diagnosis; the feature -is not interested in nature -was considered little relevant. The total score of diagnosis was 0.72, therefore was considered validated. Conclusion: The new proposal submitted to explaining the phenomenon under study was considered relevant. This study may provide insight to validate clinically, diagnostics investigated. Keywords: Nursing diagnosis;Spirituality; Validation studies RESUMO Objetivo: Realizar a validação de conteúdo do diagnóstico de enfermagem Angústia espiritual. Métodos: Utilizando o referencial metodológico proposto por Fehring, foi empregado um questionário semi-estruturado, respondido por uma amostra de 72 enfermeiros, para avaliação do título, definição e características definidoras do diagnóstico Angústia espiritual, bem como, sua disposição na Taxonomia II da North American Nursing Diagnosis Association. Resultados: O melhor domínio para classificação do diagnóstico em estudo, segundo os enfermeiros peritos, é o Domínio 10; no entanto, suas classes requerem revisão. Espiritualidade prejudicada demonstrou ser um título adequado ao conceito investigado. A validação das características definidoras identificou sete delas como importantes indicadores clínicos do diagnóstico e apenas a característica não se interessa pela natureza foi considerada pouco relevante. O escore total do diagnóstico foi 0,72, sendo, portanto, considerado validado. Conclusão: Uma nova proposta apresentada ao fenômeno em estudo foi considerada pertinente. Este estudo pode oferecer subsídios para a validação clínica do diagnóstico investigado. Descritores: Diagnóstico de enfermagem; Espiritualidade; Estudos de validação RESUMEN Objetivo: Realizar la validación de contenido del diagnóstico de enfermería Angustia espiritual. Métodos: Utilizando el marco metodológico propuesto por Fehring, fue empleado un cuestionario semi-estructurado, respondido por una muestra de 72 enfermeros, para evaluar el título, definición y características definidoras del diagnóstico Angustia espiritual, así como, la clasificación en la Taxonomía II de la North American Nursing Diagnosis Association. Resultados: El mejor dominio para la clasificación del diagnóstico en estudio, según los enfermeros peritos, es el Dominio 10; sin embargo, sus clases requieren revisión. La Espiritualidad perjudicada dem...

Clinical validation of impaired spirituality in patients with chronic renal disease

“…An integrative review (4) on spiritual anguish was carried out to identify the concept proposed in literature with regard to the phenomenon and the clinical indicators that evidence its presence. This resulted in a new proposal for the diagnosis, later submitted to content validation by experts (5) . According to these authors (4)(5) , the diagnosis title that best describes the harm suffered in the spiritual dimension is impaired spirituality.…”

“…This resulted in a new proposal for the diagnosis, later submitted to content validation by experts (5) . According to these authors (4)(5) , the diagnosis title that best describes the harm suffered in the spiritual dimension is impaired spirituality. This proposal is supported by the acknowledgement that this diagnosis title will offer the possibility of expanding the network of diagnoses to describe individuals' responses to changes in this human dimension and is also based on the understanding of spirituality as a continuum.…”

Spiritual distress: the search for new evidence

“…Most studies (66,7%) [15][16][17][18][19][20] was of quantitative approach with non-experimental design.…”

“…However, not all researchers clarify the evidence about its meaning. In this context, of the nine articles included in this review, only four (44,4%) [14][15][16]20 conceptualize this phenomenon, and some use more than one concept, addressing concepts established by other authors. [22][23][24][25][26][27][28][29][30] Only one (11,1%) study 15 used the definition of spiritual distress proposed by NANDA-I, so that the phenomenon can be understood as "impaired ability to experience and integrate meaning and purpose in life through a connection with oneself, with others, with music, art, literature nature and/or a higher power".…”

“…Thus, the individual's opinion regarding the presence of damage in the spiritual dimension can be a criterion for the identification of spiritual distress. 15 The other method addressed by the literature 16 comprises the investigation of the defining characteristics present in the nursing diagnosis "spiritual distress" of NANDA-I, which are considered as major: presence of disturbance or concern about the system of beliefs and/or God; expression of anger of God; expression of lack of meaning/purpose in life; inability to experience transcendence; expression of alienation and isolation; inquiries about his own suffering; lack of serenity. Furthermore, in clinical practice, other defining characteristics can also be considered when investigating the presence of the phenomenon of spiritual distress, such as the occurrence of feelings of regret; inability to express creativity; refusal to integrate with significant others; expressive behavior change: anger and tears; expressive lack of courage, hope and love; expressive feelings of guilt; feels abandoned; spiritual assistance requests; expresses despair and does not care about nature.…”