Rafael Oliveira Pitta Lopes, Thamiris da Silva E Silva, Eduardo da Silva Gomes, Joice Cesar de Aguiar Barbosa, Wisley Araújo de Lima Almeida, Lucas Eduardo Mello Barboza, Andreza Pereira Rodrigues
{"title":"Planetary Health Self-Management: Concept Analysis for a Proposed Nursing Diagnosis.","authors":"Rafael Oliveira Pitta Lopes, Thamiris da Silva E Silva, Eduardo da Silva Gomes, Joice Cesar de Aguiar Barbosa, Wisley Araújo de Lima Almeida, Lucas Eduardo Mello Barboza, Andreza Pereira Rodrigues","doi":"10.1177/20473087261496443","DOIUrl":"https://doi.org/10.1177/20473087261496443","url":null,"abstract":"<p><p>PurposeTo analyze the concept of planetary health self-management and establish its theoretical foundation for developing the nursing diagnosis Readiness for enhanced planetary health self-management.MethodsConcept analysis was conducted using the Walker and Avant method and was informed by a scoping review. Following the concept analysis, the findings were critically interpreted in accordance with the multiaxial structure of the NANDA International taxonomy and translated into the context of health-promotion nursing diagnoses.FindingsThe results defined the concept as a framework for managing attitudes, behaviors, and lifestyle changes that promote integration between human health and the Earth's natural systems, while respecting the planet's ecological limits, developing a construct of \"self-management of planetary health\". Based on this construct, the health-promotion nursing diagnosis <i>Readiness for enhanced planetary health self-management</i> was proposed to identify individuals who demonstrate the willingness and capacity to strengthen attitudes, behaviors, and lifestyle choices that simultaneously promote human health and environmental sustainability.ConclusionsThrough conceptual analysis, this study developed the disciplinary construct of \"self-management of planetary health\" and provided a theoretical basis for developing the nursing diagnosis \"Readiness for enhanced planetary health self-management\", which contributes to the profession's capacity to educate about sustainable health practices, advocate for health policies, and promote behaviors that improve human and planetary health.Implications for Nursing PracticeContributes to the advancement of the discipline in the area of nursing diagnoses, establishing the concept of planetary health self-management through concept analysis and allowing for the improvement of nursing diagnosis taxonomies.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261496443"},"PeriodicalIF":1.3,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna Livia de Medeiros Dantas, Semiramis Mesquita Ciriaco da Silva Dionisio, Adelson de Oliveira da Cruz Filho, Beatriz de Oliveira Fernandes Felipe, Isaque Augusto Rosendo Costa, Richardson Augusto Rosendo da Silva
{"title":"Clinical Validation of the Nursing Diagnosis \"Risk for Shock\" in Patients with Acute Myocardial Infarction Admitted to the ICU.","authors":"Anna Livia de Medeiros Dantas, Semiramis Mesquita Ciriaco da Silva Dionisio, Adelson de Oliveira da Cruz Filho, Beatriz de Oliveira Fernandes Felipe, Isaque Augusto Rosendo Costa, Richardson Augusto Rosendo da Silva","doi":"10.1177/20473087261496445","DOIUrl":"https://doi.org/10.1177/20473087261496445","url":null,"abstract":"<p><p>ObjectiveTo clinically validate the nursing diagnosis \"Risk for shock\" in patients with acute myocardial infarction (AMI) admitted to an Intensive Care Unit (ICU).MethodA retrospective case-control study conducted at a high-complexity university hospital in Brazil. The sample consisted of 116 medical records of adult patients with AMI, equally distributed between the case group (with cardiogenic shock; n = 58) and the control group (without cardiogenic shock; n = 58). Diagnostic accuracy measures (sensitivity, specificity, predictive values, and likelihood ratios) were calculated, and multivariate binary logistic regression using the Stepwise Forward method was applied to identify independent predictors and control for confounders.ResultsIn the accuracy analysis, the indicator \"Unstable blood pressure\" showed the best clinical balance, with a sensitivity of 85.0% (95% CI: 76.2-93.8) and a specificity of 83.6% (95% CI: 74.4-92.8). \"Hyperthermia\" and \"Inadequate fluid volume\" showed the highest individual specificities (90.1% and 80.3%, respectively). After adjusting the logistic regression model (Nagelkerke R<sup>2</sup> = 0.614; Hosmer-Lemeshow p = 0.782), only four factors remained significant as independent predictors of the outcome: unstable blood pressure (aOR = 7.80; 95% CI: 3.10-19.60; p < 0.001), hypoxia (aOR = 3.70; 95% CI: 1.50-9.20; p = 0.006), hypoxemia (aOR = 2.90; 95% CI: 1.40-6.10; p = 0.004), and inadequate fluid volume (aOR = 2.10; 95% CI: 1.00-4.50; p = 0.048). Thermal and hemorrhagic indicators lost significance after adjustment.ConclusionThe study clinically validated the diagnosis and confirmed a robust predictive model composed of four indicators. Prioritizing the monitoring of these risk factors enables critical care nurses to anticipate hemodynamic collapse, support targeted care protocols, and optimize multiprofessional decision-making at the bedside.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261496445"},"PeriodicalIF":1.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk-Informed Self-Care for Recurrence Risk Reduction among Breast Cancer Survivors: A Concept Analysis for Nursing Language Development.","authors":"Dian Anggraini, Tuty Pahria, Hartiah Haroen, Pandji Irani Fianza","doi":"10.1177/20473087261496446","DOIUrl":"https://doi.org/10.1177/20473087261496446","url":null,"abstract":"<p><p>BackgroundBreast cancer survivors live with heterogeneous recurrence risks. Recurrence-related nursing guidance often combines follow-up, adherence, symptom monitoring, lifestyle behaviors, and fear management under broad self-care language, limiting precision for nursing assessment and language development.PurposeTo analyze the concept of risk-informed self-care for recurrence risk reduction among breast cancer survivors and clarify its relevance for nursing language development.MethodsWalker and Avant's method guided the analysis. Literature searches were updated on 5 July 2026 in PubMed, CINAHL, Scopus, ScienceDirect, ProQuest, Google Scholar, and guideline sources. English-language literature from 2013-2026 was prioritized; older landmark theory and instrument sources were retained when conceptually necessary. Thirty-four core sources were mapped to concept uses, attributes, antecedents, consequences, empirical referents, and possible nursing language descriptors.ResultsThe concept is defined as a supported process through which breast cancer survivors use credible recurrence-related information and survivorship recommendations to maintain treatment continuity, participate in appropriate surveillance, manage modifiable survivorship-related determinants, monitor symptoms proportionally, and seek help when needed. Five attributes were identified: risk-calibrated understanding, guideline-concordant treatment continuity and surveillance participation, management of modifiable survivorship-related determinants, proportional symptom monitoring and timely help-seeking, and adaptive self-care management decision-making.ConclusionsRisk-informed self-care for recurrence risk reduction offers a more precise construct than general survivor self-care. It may inform recurrence-related nursing assessment, diagnostic reasoning, care planning, documentation, outcomes evaluation, and future standardized nursing language development.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261496446"},"PeriodicalIF":1.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beatrys Rosa Medeiros de Menezes, Júlia Souza Gomes, Clara Fróes de Oliveira Sanfelice, Herica Silva Dutra, Fernanda Souza Freiras Abbud, Elenice Valentim Carmona, Suéllen Cristina Dias Emidio
{"title":"Clinical Applicability of the Nursing Outcome \"Client Satisfaction: Birth Process\".","authors":"Beatrys Rosa Medeiros de Menezes, Júlia Souza Gomes, Clara Fróes de Oliveira Sanfelice, Herica Silva Dutra, Fernanda Souza Freiras Abbud, Elenice Valentim Carmona, Suéllen Cristina Dias Emidio","doi":"10.1177/20473087261476778","DOIUrl":"https://doi.org/10.1177/20473087261476778","url":null,"abstract":"<p><p>PurposeTo clinically apply the Nursing Outcome <i>Client Satisfaction: Birth Process</i> to postpartum women in a rooming-in setting.MethodsA descriptive-analytical study was conducted in a philanthropic hospital in southwestern Brazil to assess the Nursing Outcome <i>Client Satisfaction: Birth Process</i> in 125 postpartum women. The outcome data were collected at 24 h postpartum, 7 days later, and again at 45 days postpartum using a mobile application. Associations between sociodemographic variables and satisfaction scores (Likert 4-5) were analyzed using the chi-square test and Fisher's exact test (<i>p</i> < .05). Longitudinal changes over time were assessed using Poisson regression with Generalized Estimating Equations.ResultsSatisfaction was high immediately postpartum but declined over time, especially for pain relief, vaginal exams, labor interventions, waiting time, continuity of care, cleanliness, and staff consideration, with lower scores among low-income and brown or black women.ConclusionsMaternal satisfaction changes over the postpartum period and is affected by care quality and social inequities, with the Nursing Outcome proving effective in capturing women's perceptions. Implications for Nursing Practice: Standardized nursing outcomes facilitate the evaluation of the quality of obstetric care and support ongoing monitoring of women's experiences, thereby reinforcing woman-centered and respectful maternity care in practice.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261476778"},"PeriodicalIF":1.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jackeline Kérollen Duarte de Sales, Alessandra de Andrade Costa, Adenilson da Silva Gomes, Maria Edilma Mendes de Sousa, Girliani Silva de Sousa, Juliana Lourenço de Araujo Veras, Jaqueline Galdino Albuquerque Perrelli, Camila Takáo Lopes, Cecília Maria Farias de Queiroz Frazão
{"title":"Risk of Self-Mutilation In School Adolescents: A Concept Analysis and Refinement of a Nursing Diagnosis.","authors":"Jackeline Kérollen Duarte de Sales, Alessandra de Andrade Costa, Adenilson da Silva Gomes, Maria Edilma Mendes de Sousa, Girliani Silva de Sousa, Juliana Lourenço de Araujo Veras, Jaqueline Galdino Albuquerque Perrelli, Camila Takáo Lopes, Cecília Maria Farias de Queiroz Frazão","doi":"10.1177/20473087261445592","DOIUrl":"10.1177/20473087261445592","url":null,"abstract":"<p><p>PurposeTo analyze the concept <i>risk of self-mutilation in school adolescents</i> and to refine the nursing diagnosis<i>, Risk for non-suicidal self-injurious behavior</i>.MethodsWalker and Avant's theoretical framework was adopted for a concept analysis, including a scoping review. Correspondence was established between the antecedent factors identified in the concept analysis and those in the nursing diagnosis<i>, Risk for non-suicidal self-injurious behavior</i>. Potentially new diagnostic elements were proposed.FindingsThe scoping review identified 29 studies and synthesized 41 antecedents, 22 attributes, and 12 consequents. <i>Risk of self-mutilation in school adolescents</i> refers to <i>susceptibility of individuals aged 13 to 18 years to deliberately inflict damage or injury on their own body tissue without suicidal intent</i>. The most frequently antecedents found were <i>substance abuse</i>, <i>excessive anxiety</i>, <i>female sex</i>, <i>depressive symptoms</i>, <i>poor academic performance</i>, <i>experiences of bullying</i>, <i>and disturbed interpersonal</i> relationships.ConclusionsNon-suicidal self-injurious behavior in school adolescents requires a comprehensive approach, including identification of antecedent factors to implement preventive actions. The concept demonstrates conceptual convergence with the NANDA-I diagnosis.Implications for nursing practiceThis study provides evidence-based support for identifying vulnerable, as well as for the development and implementation of educational programs and campaigns in nursing practice.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"610-628"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sogand Sarmadi, Akbar Zare-Kaseb, Neda Sanaie, Mitra Zandi, Sara Beigzadeh
{"title":"Definition, Validation, and Defining Characteristics of \"Impaired Gas Exchange\" Nursing Diagnosis: A Systematic Review and Meta-Analysis.","authors":"Sogand Sarmadi, Akbar Zare-Kaseb, Neda Sanaie, Mitra Zandi, Sara Beigzadeh","doi":"10.1177/20473087261460986","DOIUrl":"10.1177/20473087261460986","url":null,"abstract":"<p><p>Background<b>\"</b>Impaired Gas Exchange\" (NANDA-I 00030) is a prevalent respiratory nursing diagnosis, yet individual validation studies report conflicting findings regarding the frequency and diagnostic accuracy of its defining characteristics (DCs).ObjectiveTo synthesize evidence on the frequency and diagnostic accuracy of the DCs of the nursing diagnosis \"Impaired Gas Exchange\".MethodsA systematic review and meta-analysis was conducted in accordance with PRISMA 2020 guidelines. A systematic search was performed across six databases, including PubMed, CINAHL, Scopus, Web of Science, Embase, and ProQuest, from each database's start date through December 14, 2025, to find relevant studies. Keywords covered \"Impaired Gas Exchange,\" \"Pulmonary Gas Exchange,\" \"Nursing Terminologies,\" \"NANDA-International,\" and \"Nursing Diagnosis.\" Methodological quality was assessed using QUADAS-2. Diagnostic accuracy parameters were pooled using bivariate random-effects models in Meta-DiSc 1.4.ResultsThirteen studies (n = 2,346) were included. Pooled frequencies were calculable for 12 of 19 NANDA-I DCs; the most prevalent were hypoxia (96%; 95% CI: 94-98%), tachypnea (48%; 95% CI: 43-53%), hypercapnia (44%; 95% CI: 15-100%), and tachycardia (42%; 95% CI: 4-80%). Three studies were eligible for diagnostic accuracy meta-analysis across seven DCs. Hypoxemia had the highest sensitivity (0.94). Irritable mood had the highest specificity (0.95). Dyspnea performed poorly (DOR = 0.46).ConclusionObjective physiological indicators, particularly hypoxemia, hypoxia, and hypercapnia, were the most frequent and diagnostically accurate DCs. Future multicentre studies using standardized definitions and objective reference standards are needed to refine the diagnostic profile of \"Impaired Gas Exchange\".</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"537-556"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José Antonio da Silva Júnior, Ana Beatriz Silva, Marcos Venicios de Oliveira Lopes, Ísis Kelly Dos Santos, Daria Raquel Queiroz de Almeida, Cleber de Mesquita Andrade, Thales Allyrio Araújo de Medeiros Fernandes, Ellany Gurgel Cosme do Nascimento
{"title":"Theoretical-Causal Validation of Risk Factors for the Nursing Diagnosis of Decreased Cardiac Output: A Systematic Review of the Literature with Meta-Analysis.","authors":"José Antonio da Silva Júnior, Ana Beatriz Silva, Marcos Venicios de Oliveira Lopes, Ísis Kelly Dos Santos, Daria Raquel Queiroz de Almeida, Cleber de Mesquita Andrade, Thales Allyrio Araújo de Medeiros Fernandes, Ellany Gurgel Cosme do Nascimento","doi":"10.1177/20473087261460960","DOIUrl":"10.1177/20473087261460960","url":null,"abstract":"<p><p>PurposeThis systematic review aimed to identify risk factors related to decreased cardiac output in adults, thereby supporting the theoretical-causal validation of the nursing diagnosis Risk for Decreased Cardiac Output.MethodsA systematic review of etiology and risk was conducted in accordance with recognized guidelines, including meta-analysis of studies published between 1987 and 2024. Observational studies involving adult and older adult populations were selected from major electronic databases. Data extraction and quality appraisal were independently performed by multiple reviewers. Effect measures were synthesized using a random-effects model, with heterogeneity assessed across studies.FindingsSixty-three studies were included, the majority with cohort designs. Key risk factors identified for decreased cardiac output were lower body surface area and lower body weight, with advanced age and female sex recognized as significant risk population characteristics. Associated conditions contributing to elevated risk included a history of stroke, shock, emergency cardiac surgery, diabetes, renal and pulmonary diseases, lower ejection fraction, and heart failure. Methodological variability in cardiac output measurement and significant heterogeneity among studies were notable challenges.ConclusionsSeveral significant risk factors for decreased cardiac output were identified and classified, providing scientific support for the theoretical-causal validation process of this nursing diagnosis. Addressing study heterogeneity and standardizing measurement methods are recommended for future research.Implications for Nursing PracticeThe findings reinforce the clinical relevance of the nursing diagnosis Risk for Decreased Cardiac Output and highlight the need for tailored interventions by nursing professionals to prevent complications among at-risk cardiovascular patients.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"596-609"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk for Suicidal Behavior Nursing Diagnosis in Youth Addiction Community Care: Prevalence and Risk Factors.","authors":"Claudia Fantuzzi, Alessandra Zarl, Teresa Nicola, Valentina Zeffiro, Gianfranco Sanson","doi":"10.1177/20473087261442862","DOIUrl":"10.1177/20473087261442862","url":null,"abstract":"<p><p>IntroductionYouth with substance use disorders (SUDs) might be at heightened risk for suicidal behavior, yet early identification remains challenging. This study aimed to estimate the prevalence of the NANDA-I nursing diagnosis (ND) Risk for suicidal behavior in this population and explore its associations with clinical and socio-demographic factors and diagnostic indicators burden and risk profiles emerging from clustering risk factors (RFs).MethodsA cross-sectional study was conducted in July 2024 at a public youth community addiction care service. All clients under 25 receiving nursing care were included. The ND was formulated by consensus through a structured clinical assessment based on NANDA-I diagnostic indicators.ResultsAmong 90 participants (median age 21; 62.2% male), the Risk for suicidal behavior ND was identified in 81 individuals (90.0%). Higher frequency was observed among those lacking family support (<i>p</i> <i>=</i> 0.027), unemployed (<i>p</i> <i>=</i> 0.010), with lower education (<i>p</i> <i>=</i> 0.025), involved with multiple services (<i>p</i> <i>=</i> 0.003) or receiving longer duration of care (<i>p</i> <i><</i> 0.001<i>)</i>. Among those, 42 of 60 possible RFs were present at least once, with a median of nine RFs per person. A two-cluster solution revealed a subgroup with a markedly higher indicator burden and a prominent affective profile characterized by deep sadness, unhappiness, depressive symptoms, hopelessness and greater social adversity. The other subgroup showed a lower burden and more externalizing features.ConclusionsThe high prevalence <i>Risk for suicidal behavior</i> ND suggest that the diagnosis may function as a universal safety flag in youth addiction care. However, differences in indicator burden and cluster-derived profiles offer a more nuanced understanding of vulnerability, supporting the need to prioritize care based on individualized configurations of RFs rather than the diagnostic label alone. Findings reinforce the relevance of standardized nursing language for structured assessment and tailored intervention planning in this population.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"514-525"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Silvia Domínguez-Fernández, Francisco Javier Pérez-Rivas
{"title":"Effectiveness of NANDA-I Nursing Diagnosis 'Risk for Falls' on Fall Incidence in Elderly: A Prospective Cohort Study.","authors":"Silvia Domínguez-Fernández, Francisco Javier Pérez-Rivas","doi":"10.1177/20473087261443273","DOIUrl":"10.1177/20473087261443273","url":null,"abstract":"<p><p>AimTo assess the incidence of falls in community-dwelling older adults aged over 75 years according to the use of NANDA-I nursing diagnosis \"Risk for Falls\" by the patients' nurses.DesignAn analytical prospective cohort study involving 18 nurses and 250 patients from eight Primary Healthcare System Centers in the Community of Madrid, Spain.MethodsA 16-month prospective cohort study was conducted in health centers in Madrid: one included 123 patients cared for by nurses who regularly used NANDA-I nursing diagnosis \"Risk for Falls\" and another cohort consisted of 127 patients whose nurses did not use it.ResultsThe frequency of falls in patients over the age of 75 was 25.6%, with women accounting for 68.8% of all falls. Among patients cared for by nurses using NANDA-I nursing diagnosis \"Risk for Falls\", the incidence of falls was 18.7%, compared to 32.3% in those cared for by nurses who did not use it.ConclusionsPatients cared for by nurses who routinely use \"Risk for Falls\", had 54% lower odds of falling (adjusted OR: 0.46) than patients cared for by nurses who do not use it. NANDA-I nursing diagnosis \"Risk for Falls\" along with associated nursing interventions, may support its inclusion in clinical guidelines and fall prevention protocols, encouraging its routine use by primary care nurses.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"557-567"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rafaella Pessoa Moreira, Vanessa Emille Carvalho de Sousa Freire, Tahissa Frota Cavalcante, Huana Carolina Cândido Morais, Andressa Suelly Saturnino de Oliveira, Alexandre Cunha Costa, Cleiton da Silva Silveira, Yrene Esperanza Urbina Rojas, Sue Moorhead, T Heather Herdman
{"title":"From Climate Change to Nursing Diagnosis: Nurses' Response to the Global Climate Crisis.","authors":"Rafaella Pessoa Moreira, Vanessa Emille Carvalho de Sousa Freire, Tahissa Frota Cavalcante, Huana Carolina Cândido Morais, Andressa Suelly Saturnino de Oliveira, Alexandre Cunha Costa, Cleiton da Silva Silveira, Yrene Esperanza Urbina Rojas, Sue Moorhead, T Heather Herdman","doi":"10.1177/20473087261443263","DOIUrl":"10.1177/20473087261443263","url":null,"abstract":"","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"668-670"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}