The middle-range theory of the nursing diagnosis "ineffective health self-management".

IF 1.2 Q3 NURSING

Revista Brasileira De Enfermagem Pub Date : 2025-07-11 eCollection Date: 2025-01-01 DOI:10.1590/0034-7167-2024-0470

Rebecca Stefany da Costa, Harlon França de Menezes, Nanete Caroline da Costa Prado, Ana Beatriz Pereira, Thais Targino Ferreira, Jose Rebberty Rodrigo Holanda, Richardson Augusto Rosendo da Silva

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引用次数: 0

Abstract

Objectives: to develop a middle-range theory for the nursing diagnosis "ineffective health self-management" in individuals living with the human immunodeficiency virus.

Methods: this is a methodological study aimed at theoretical development to establish the theoretical-causal validity of the nursing diagnosis "ineffective health self-management" based on the theoretical frameworks of Callista Roy and Lopes, Silva, and Herdman. We conducted a scoping review, resulting in a final sample of 31 articles.

Results: the findings identified five essential attributes, 30 antecedents, and nine clinical consequences. We constructed a middle-range theory comprising 1 pictorial diagram, 8 propositions, and 30 causal relationships (15 predisposing factors, 10 disabling factors, 2 precipitating factors, and 3 reinforcing factors).

Conclusions: the development of this theory enables nurses' clinical judgment regarding the nursing diagnosis "ineffective health self-management" in the context of individuals living with human immunodeficiency virus.

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护理诊断的中庸理论“无效健康自我管理”。

目的：为人类免疫缺陷病毒感染者“无效健康自我管理”的护理诊断建立一种中庸理论。方法：以Callista Roy和Lopes、Silva和Herdman的理论框架为基础，进行方法学研究，旨在建立护理诊断“无效健康自我管理”的理论因果效度。我们进行了范围审查，最终样本为31篇文章。结果：研究结果确定了5个基本属性、30个前因和9个临床后果。我们构建了一个由1个图示、8个命题和30个因果关系（15个诱发因素、10个使人失能因素、2个促成因素和3个强化因素）组成的中程理论。结论：该理论的发展使护士对人类免疫缺陷病毒感染者“健康自我管理无效”的护理诊断有了临床判断能力。

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 Brasileira De Enfermagem NURSING-

CiteScore

2.30

自引率

7.70%

发文量

477

审稿时长

21 weeks

期刊介绍： The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.