Abstract
Spiritual distress is conceptualized as impairments in 7 constructs of a person's sense of spirituality: (1) connectedness, (2) faith and religious belief system, (3) value system, (4) meaning and purpose in life, (5) self-transcendence, (6) inner peace and harmony, and (7) inner strength and energy. This article clarifies spiritual distress through concept analysis and provides nurses with cues for its recognition in adult patients with cancer.