Update of the Situation-specific Theory for health management in heart failure: Delphi study.

IF 1.3 4区医学 Q3 NURSING

Revista Latino-Americana De Enfermagem Pub Date : 2025-05-19 eCollection Date: 2025-01-01 DOI:10.1590/1518-8345.7663.4554

Gisele Saraiva Bispo Hirano, Viviane Martins da Silva, Alba Lucia Bottura Leite de Barros

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Abstract

to describe the process of analyzing the intrinsic elements of the Situation-specific Theory for health control in heart failure and present its respective update.

analysis of the intrinsic elements of the theory using the Delphi technique. Nurses whose expertise involved knowledge in Cardiology Nursing, Nursing theories, heart failure and/or Nursing terminology were selected.

the Theory was analyzed by 15 experts in the first round and 14 in the second round; all items evaluated obtained agreement greater than 80% regarding their adequacy, after two rounds of analysis. The theory maintained its original structure; however, the relationship between the factors that influence the health control of individuals with heart failure and the pictogram were updated.

the updated theory offers a better understanding of the factors that can influence the health control of individuals with heart failure and, although the focus of the theory is in the outpatient setting, it assumes the possibility of its application in other settings. The Delphi technique proved to be useful for theoretical validation, considering the specificity of the theme; however, the response time of the experts can be slow, which tends to impact the time to complete the study.

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心力衰竭健康管理情境理论的更新：德尔菲研究。

描述分析心衰健康控制情境理论内在要素的过程，并介绍其各自的更新。运用德尔菲法对该理论的内在要素进行分析。选择具有心脏病学护理、护理理论、心力衰竭和/或护理术语等专业知识的护士。第一轮由15名专家分析，第二轮由14名专家分析；经过两轮分析，所有评估项目的充分性均达到80%以上的一致性。该理论保持了原来的结构；然而，影响心力衰竭患者健康控制的因素与象形图之间的关系得到了更新。更新的理论提供了一个更好的理解因素，可以影响个人的健康控制心力衰竭，虽然该理论的重点是在门诊设置，它假设其应用于其他设置的可能性。考虑到主题的特殊性，德尔菲技术被证明对理论验证是有用的；然而，专家的反应时间可能很慢，这往往会影响完成研究的时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Latino-Americana De Enfermagem NURSING-

自引率

11.10%

发文量

142

期刊介绍： A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.