Clinical Validation of the Defining Characteristics of the Nursing Diagnosis “Impaired Spiritual Well Being (00454)” in Patients with Infertility

Abstract

Purpose

The primary objective of this study was to conduct a clinical validation of the defining characteristics of the nursing diagnosis “Impaired spiritual well being (00454)” in Patients with Infertility.

Methods

This cross-sectional, case-based design study conducted among patients with infertility at treatment centers affiliated with a University of Medical Sciences. To validate the nursing diagnosis, the Clinical Validation Model developed by Richard Fehring was utilized. Data were collected using a five-part instrument: Demographic information, Spiritual Well-being Questionnaire (SWBQ), Patient's self-assessment, Researcher's assessment, Defining Characteristics Checklist. Data were analyzed using descriptive statistics as well as sensitivity,specificity,likelihood ratio, and predictive value.

Findings

A total of 170 patients with infertility participated in this study. The nursing diagnosis of “ Impaired spiritual well being “ was identified in 87.6% of all participants. The characteristic “loss of hope” had the highest sensitivity (94.6%), the lowest negative likelihood ratio (0.11%), and the highest negative predictive value (55%), with a frequency of 94.6%. Conversely, the defining characteristic “anger toward a power greater than self” had the highest specificity (90.47%), the highest positive likelihood ratio (9.01%), and the highest positive predictive value (97.7%), with a frequency of 85.9%.

Conclusions

“loss of hope” and “anger toward a power greater than self” emerged as key indicators of “Impaired spiritual well being” within this patient group. The nursing diagnosis was validated.

Implications for Nursing Practice

This study emphasizes the importance of assessing the spiritual well-being of infertility patients alongside their physical health. By addressing these spiritual needs, nurses can formulate an appropriate care plan and deliver optimal interventions.

Keywords

Infertility nursing diagnosis spirituality clinical validation spiritual distress

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