title: Clinical Validation of the Nursing Diagnosis Spiritual Distress in Cancer Patients Undergoing Chemotherapy.
abstract: OBJECTIVE
  Validate the nursing diagnosis spiritual distress in cancer patients.
  
  
  METHODS
  Cross-sectional approach using Richard Fehring's Clinical Diagnostic Validity Model.
  
  
  RESULTS
  The prevalence of diagnosis was 40.8% in a sample of 170 patients. A total of 16 defining characteristics were validated. Expresses suffering had the highest sensitivity value and lack of meaning in life had the highest specificity value.
  
  
  CONCLUSIONS
  The diagnosis was validated. Cancer patients in spiritual distress are in a state of suffering related to lack of meaning in life.
  
  
  CONCLUSIONS
  Sensitive diagnosis tools and language are required for nurses to make accurate judgments in situations of spiritual distress. Validation in different contexts would increase the clinical evidence of this diagnosis.
authors.affiliation: School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.|Centre for Interdisciplinary Research in Health, Catholic University of Portugal, Lisbon, Portugal.
authors.forename: Sílvia
authors.initials: S
authors.lastname: Caldeira
authors.affiliation: School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
authors.forename: Fiona
authors.initials: F
authors.lastname: Timmins
authors.affiliation: Nursing School Ribeirão Preto, University of São Paulo-Ribeirão Preto- College of Nursing, São Paulo, Brazil.
authors.forename: Emília Campos
authors.initials: EC
authors.lastname: de Carvalho
authors.affiliation: Centre for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Porto, Portugal.|Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, Portugal.
authors.forename: Margarida
authors.initials: M
authors.lastname: Vieira
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy / Q000523:psychology*; D009733:Nursing Diagnosis; D029181:Spirituality; D013315:Stress, Psychological / Q000175:diagnosis*
keywords: Diagnóstico de Enfermagem; Enfermagem; Espiritualidade; Estudos de Validação; Nursing; nursing diagnosis; spirituality; validation study