Stephenson Pam Shockey, Berry Devon M
College of Nursing, Kent State University, Ohio.
Innovation and Community Partnerships, Wright State University, Dayton, Ohio.
Oncol Nurs Forum. 2014 Jan 1;41(1):33-9. doi: 10.1188/14.ONF.33-39.
PURPOSE/OBJECTIVES: To examine the theoretical congruency between uncertainty and spirituality at the end of life (EOL).
Relevant empirical and theoretical articles using the key words spirituality, uncertainty, terminal illness, and similar derivatives were drawn from the databases of CINAHL®, MEDLINE®, PsycINFO, and SocINDEX.
Spirituality and uncertainty were compared for theoretical congruency based on five general categories: prevalence, temporality, interpretation, quality, and directionality. The categories were drawn from the uncertainty literature and looked at the ability of spirituality and uncertainty to contribute to or detract from health.
This article presents an innovative way of viewing how spirituality is experienced at the EOL. The likelihood that uncertainty and spirituality can coexist as a simultaneous and even blended construct that influences the EOL is supported and warrants additional exploration.
Health professionals must recognize the prevalence of spiritual uncertainty in the lives of their patients and understand the need to frequently assess for spiritual uncertainty. Specific recommendations are provided to guide professionals in addressing spiritual uncertainty with patients.
目的/目标：探讨临终阶段不确定性与灵性之间的理论一致性。
从CINAHL®、MEDLINE®、PsycINFO和SocINDEX数据库中检索使用关键词灵性、不确定性、绝症及类似衍生词的相关实证和理论文章。
基于五个一般类别对灵性与不确定性进行理论一致性比较：普遍性、时间性、解释、性质和方向性。这些类别源自不确定性文献，探讨了灵性与不确定性对健康产生促进或不利影响的能力。
本文提出了一种看待临终阶段灵性体验的创新方式。支持不确定性与灵性能够作为一种同时存在甚至相互融合的结构共存并影响临终阶段的观点，这值得进一步探索。
卫生专业人员必须认识到患者生活中精神不确定性的普遍性，并理解频繁评估精神不确定性的必要性。提供了具体建议以指导专业人员应对患者的精神不确定性。
