Efficacy of different instruments for the identification of the nursing diagnosis spiritual distress

Abstract

The study aims to identify the nursing diagnosis Spiritual distress in 120 patients with ChronicRenal Insufficiency, using different instruments, and to evaluate the effectiveness of these instruments in support of this identification. Data were collected separately by two nurses using a questionnaire containing sociodemographic information and the defining characteristics of Spiritual distress, as well as direct questioning to the patient regarding the presence of the diagnosis and the instruments: the Spirituality Rating Scale; Pinto and Pais-Ribeiro's Spirituality Scale; and the Spiritual Well-being Scale. Eficacia de diferentes instrumentos para la atribución del diagnóstico de enfermería sufrimiento espiritualEl estudio tuvo por objetivo identificar el diagnóstico de enfermería Sufrimiento Espiritual en 120 pacientes con Insuficiencia Renal Crónica, utilizando diferentes instrumentos, y evaluar la eficacia de esos instrumentos en el apoyo de esta identificación. Los datos fueron recolectados separadamente por dos enfermeros, por medio de cuestionario conteniendo informaciones sociodemográficas y las características definidoras de Sufrimiento Espiritual, además del cuestionamiento directo al paciente sobre la presencia del diagnóstico y los instrumentos: Escala de Evaluación de la Espiritualidad; Escala de Espiritualidad de Pinto y Pais-Ribeiro; y, Escala de Bienestar Espiritual. El estudio encontró que 25,8% a 35,8% de los pacientes poseían el diagnóstico. La evaluación de diagnóstico efectuada por los enfermeros peritos no presentó divergencia entre ambos y obtuvo coeficiente de concordancia perfecto (96,7%) con la opinión del paciente; esta demostró concordancia substancial con la Sub-escala de Bienestar Existencial (83,3%) y con a Escala de Espiritualidad de Pinto y Pais-Ribeiro (87,5%), que demostraron ser útiles para la identificación del diagnóstico.

Spiritual distress: the search for new evidence

“…The studies investigated in this review presented the following ways to identify spiritual distress: careful observation, 20 active listening, 9,[19][20] investigation of the defining characteristics of the nursing diagnosis for spiritual distress 15 and the application of psychometric assessment instruments. 15,[17][18]20 According to scholar, 20 …”

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

“…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". 6 Another study 20 Simão TP, Chaves ECL, Lunes DH Spiritual distress:… Also according to the literature, 21 spiritual distress is a phenomenon that is not included in the physical aspect of human being.…”

Does the spirituality of nurses interfere in the record of spiritual suffering diagnosis?

“…A study found that 25.8% to 35.8% of patients with chronic renal failure were diagnosed with "spiritual suffering". 11 Other authors 12 found a prevalence of 38.6% of "spiritual suffering" among women with breast cancer.…”

“…Some studies 11,12 have found a significant prevalence of the "spiritual suffering" diagnosis. A study found that 25.8% to 35.8% of patients with chronic renal failure were diagnosed with "spiritual suffering".…”