International Journal of Nursing Knowledge最新文献

{"title":"Evidence of Content Validity of the Outcome \"Knowledge: Wound Management\" for Family Caregivers of Individuals with Surgical Wounds.","authors":"Giovanny Andres Perez-Jaimes, Luis Fernando Arévalo Viveros, Leidy Johanna Rueda-Díaz","doi":"10.1177/20473087261443257","DOIUrl":"10.1177/20473087261443257","url":null,"abstract":"<p><p>PurposeTo obtain evidence of content validity for the nursing outcome \"Knowledge: Wound Management (3209)\" for family caregivers from Brazil and Colombia of individuals with primary closure surgical wounds in the abdominal area.MethodsThis methodological study was conducted with nurses and family caregivers from Brazil and Colombia, adapting the Nurse-Patient outcome content validation method. Nurses and caregivers evaluated the importance of the indicators using a five-point Likert-type scale. A total of 41 indicators were evaluated, including 32 specific outcome indicators and nine proposed for inclusion in the classification. For each country, the importance index was calculated and classified, identifying critical, complementary, or unnecessary indicators. The importance indices from both countries were combined to determine the outcome content validity (OCV).FindingsThe study included 60 participants, 15 nurses, and 15 family caregivers from each country. Combining the importance indices from Brazil and Colombia, 18 (43.9%) indicators were classified as critical, and 16 (39.0%) indicators as complementary. Seven (17.1%) indicators were not considered important for assessing knowledge about primary wound closure in the abdominal area. The OCV score for the outcome was 0.8 out of 1.ConclusionThis study presents evidence of content validity for the outcome \"Knowledge: Wound Management (3209)\", where 34 indicators were considered adequate to evaluate the knowledge of family caregivers from Brazil and Colombia regarding the care of primary surgical closure wounds in the abdominal area. These indicators are critical because they were developed by considering the perspectives of wound care nurses and family caregivers in both countries.Implications for Nursing PracticeThis study presents a validated set of nursing outcome indicators from \"Knowledge: Wound Management (3209)\" specifically tailored to assess the knowledge of family caregivers from Brazil and Colombia who assist individuals with primary closure surgical wounds in the abdominal area.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"629-638"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786800","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":"Thirst Management Nursing Strategies in Post-Anesthesia Care Units: A Scoping Review.","authors":"Hong Zhu, Qiaozhen Zhang, Xiufeng Chen, Jing Shi, Jun Jin, Sujuan Ye","doi":"10.1177/20473087261445591","DOIUrl":"10.1177/20473087261445591","url":null,"abstract":"<p><p>PurposeTo synthesize current evidence on nursing-led strategies for managing postoperative thirst in post-anesthesia care units (PACUs), including assessment tools, influencing factors, and intervention effectiveness.DesignScoping review conducted following the Joanna Briggs Institute methodology and reported according to PRISMA-ScR guidelines.MethodsComprehensive searches were performed in PubMed, Embase, CINAHL, Web of Science, and the Cochrane Library, supplemented by grey literature, to identify studies examining nursing interventions for postoperative thirst. Inclusion criteria encompassed experimental or quasi-experimental studies in PACU populations assessing thirst intensity, safety, or patient satisfaction. Data were extracted and synthesized narratively.ResultsTen randomized controlled trials involving pediatric, adult, and elderly populations were included. Nursing-led interventions, including early oral hydration, ice- or menthol-based strategies, and plain water administration, consistently reduced thirst intensity and improved oral comfort. Ice- and menthol-based modalities provided faster relief than water alone, while all interventions were safe and feasible.ConclusionNursing interventions effectively alleviate postoperative thirst, with early hydration and sensory-stimulating strategies offering the most rapid relief. Individualized assessment and protocol standardization are recommended to optimize patient-centered outcomes.Implications for clinical practiceIntegrating evidence-based thirst management into routine PACU care can enhance comfort, satisfaction, and recovery quality.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"526-536"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018332","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":"Concept, Content, and Clinical Validation of the Nursing Diagnosis Impaired Skin Integrity (00046): An Integrative Review.","authors":"Denise Desconsi, Angelo Antonio Paulino Martins Zanetti, Rafaella Manhoni Lima de Miranda, Juliane Pagliari Araujo, Camila Takao Lopes, Tracy Heather Herdman, Clarita Terra Rodrigues Serafim","doi":"10.1177/20473087261443260","DOIUrl":"10.1177/20473087261443260","url":null,"abstract":"<p><p>PurposeTo identify and synthesize the scientific evidence available in the literature on the NANDA-I nursing diagnosis <i>Impaired Skin Integrity</i> (00046), with a focus on the analysis of its concept validity, content validity, and clinical validity.MethodsAn integrative review with a critical synthesis approach was conducted to investigate the nursing diagnosis <i>Impaired Skin Integrity</i> (00046). The literature search was performed in databases using controlled and free-text terms related to impaired skin integrity and nursing diagnoses. Studies addressing concept analysis, content validation, or clinical validation of the diagnosis were included, with no time restrictions. Data extraction encompassed methodological characteristics, type of validation, diagnostic indicators, and contributions to taxonomic refinement.FindingsFive studies published between 1994 and 2025 met the inclusion criteria, four conducted in Brazil and one originating from the United States. The evidence demonstrated a predominance of content validation studies and clinical validation investigations. No studies addressing concept validation were identified. Across all studies, defining characteristics related to epidermal or cutaneous disruption, impaired skin continuity, and exposure to moisture or mechanical forces were consistently supported. However, variability was observed in the relevance of diagnostic indicators across different populations and care settings. Limited empirical evidence was found regarding related factors, indicating gaps in the etiological structure of the diagnosis.ConclusionThe nursing diagnosis <i>Impaired Skin Integrity</i> shows advanced conceptual development but remains at an intermediate level of empirical maturity. Although defining characteristics are relatively well established, the limited number of clinical validation studies and the insufficient exploration of related factors restrict diagnostic accuracy and taxonomic robustness.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"655-667"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844976","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":"A Systematic Review and Meta-Analysis of Clinical Indicators for the Nursing Diagnosis of Ineffective Health Self-Management in Adults With Cardiometabolic Conditions.","authors":"João Cruz Neto, Viviane Martins da Silva, Marcos Venícios de Oliveira Lopes","doi":"10.1177/20473087261443270","DOIUrl":"10.1177/20473087261443270","url":null,"abstract":"<p><p>ObjectiveDetermine the accuracy of clinical indicators for the nursing diagnosis of ineffective self-management of health in adults with cardiometabolic conditions.MethodA systematic review of diagnostic accuracy was conducted according to the Cochrane methodology. The literature search was performed in March 2025. Studies involving adults with cardiometabolic conditions and the presence of clinical indicators for ineffective health self-management were included. The results were systematically presented, accuracy measures were developed, and a meta-analysis was established.FindingsTwenty-three studies and nineteen clinical indicators were identified. The main indicators for ineffective self-management in cardiometabolic conditions are: inadequate blood pressure control, insufficient management of signs and symptoms, lack of medication adherence, lack of regular blood glucose monitoring, and inadequate nutritional intake. Ineffective self-management was four times higher among individuals with a longer duration of negative effects of the disease and almost eight times higher in those who fail to manage the treatment regimen.ConclusionsThe clinical indicators identified provide important support for identifying ineffective health self-management in cardiometabolic conditions and advance scientific knowledge on the topic of nursing diagnoses by identifying new needs inherent to self-management.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"501-513"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786745","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 Unstable Blood Pressure in Hospitalized Cardiac Patients - A Multi-Aggregation Content Analysis.","authors":"Ricardo Costa da Silva, Marcos Venicios de Oliveira Lopes, Viviane Martins da Silva, Agueda Maria Ruiz Zimmer Cavalcante","doi":"10.1177/20473087261460979","DOIUrl":"10.1177/20473087261460979","url":null,"abstract":"<p><p>AimTo analyze the content of the nursing diagnosis 'Risk for Unstable Blood Pressure' in hospitalized cardiac patients by reviewing the terminological structure (label, definition, and risk factors) in NANDA-I classification.DesignA methodological study with a quantitative approach was performed.MethodFrom September 2023 to January 2024, 54 nurses and physicians with relevant expertise analyzed 18 risk factors for their relevance to the diagnosis, using eight content indices (Weighted Mean, Weighted Median, Aiken's V, Median of Attributions, Hernández-Nieto Content Validity Coefficient, Fehring's Diagnostic Content Validity Index, Content Validity Index - Proposal adapted from Lynn, and Content Validity Ratio - Proposal adapted from Lawshe). Overall content validity was assessed through generalizability theory. EQUATOR guidelines were adhered to using the GRRAS checklist for reporting reliability and agreement studies.ResultsOf the 18 risk factors assessed, 14 were relevant to the causal structure. Reliability measures showed strong internal consistency. The set of risk factors for this nursing diagnosis is high quality, well intercorrelated, and accurately represents the diagnostic content.ConclusionFourteen risk factors were deemed valid and relevant to the causal chain in the context of hospitalization of cardiac patients, based on the aggregation of eight content validity indices. This finding presents new aspects to be managed early by the clinical nurse, in addition to presenting a new methodological approach for studies of this nature.Implications for nursing practiceThis study advances nurses' clinical diagnostic reasoning by supporting professional practice through the early identification of risk factors requiring management during the hospitalization of cardiac patients. It is proposed to add new risk factors, revise terminology, and update the NANDA International definition of this diagnosis.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"568-580"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473343","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":"Effectiveness of Educational Intervention for Caregivers of Older Adults who have Suffered a Stroke Evaluated by Nursing Outcomes Classification.","authors":"Débora Francisco do Canto, Francine Melo da Costa, Lisiane Manganelli Girardi Paskulin, Amália de Fátima Lucena","doi":"10.1177/20473087261443274","DOIUrl":"10.1177/20473087261443274","url":null,"abstract":"<p><p>ObjectiveTo analyze the effectiveness of a virtual educational intervention on care performance and knowledge of family caregivers of older adults with stroke sequels, when compared with usual guidance.MethodsA randomized pragmatic trial was carried out with 58 family caregivers of older adults with stroke sequels, randomized to the Intervention Group and Management Group. For Intervention Group a massive, open, online course was made available to equip caregivers with the necessary tools to assist older adults in activities of daily living after discharge. Moreover, telecommunication consultations were held on the seventh, thirtieth, sixtieth and eightieth days to check the course progress and possible difficulties. The course and telephone calls were made by research nurses. Caregiver assessment was carried out close to hospital discharge, before the intervention, and 90 days later, using three indicators of the outcome \"Caregiver Performance: Direct Care\" and six indicators of the outcome \"Knowledge: Stroke Management\" of the Nursing Outcomes Classification.ResultsA significant improvement was observed in intragroup assessment in Intervention Group for the indicator \"Assists with care recipient's activities of daily living needs\" (p < 0.001) of the outcome \"Caregiver Performance: Direct Care\" and for the indicator \"Causes and contributing factors\" (p = 0.021) of the outcome \"Knowledge: Stroke Management\". The indicator \"Strategies to maintain skin integrity\" of the outcome \"Knowledge: Stroke Management\" showed statistical significance in intergroup assessment, with better results for Control Group (p = 0.040), in addition to a significant improvement in intragroup assessment for Intervention Group (p = 0.008).ConclusionsThe intervention was effective for Intervention Group members, improving performance and knowledge about care for older adults when comparing baseline and final assessments.Implications for PracticeThe use of a massive, open, online course and telephone monitoring improves outcomes in care for older adults after discharge, which reflects the importance of nurses' educational. Registered in Clinical Trials (NCT05553340).DescriptorsStroke; Family Caregiver; Educational Technology; Standardized Nursing Terminology; Geriatric Nursing; Transition from Hospital to Home.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"483-492"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934817","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":"Content Validation of the Nursing Diagnosis 'Risk of Shock' in Individuals with Acute Myocardial Infarction.","authors":"Anna Livia de Medeiros Dantas, Semiramis Mesquita Ciriaco da Silva Dionisio, Jessica Fernanda Galon, Adelson de Oliveira da Cruz Filho, Beatriz de Oliveira Fernandes Felipe, Richardson Augusto Rosendo da Silva","doi":"10.1177/20473087261460971","DOIUrl":"10.1177/20473087261460971","url":null,"abstract":"<p><p>ObjectiveTo validate the NANDA-I nursing diagnosis \"Risk for Shock\" through content analysis and expert evaluation.MethodsThis is a methodological study with a quantitative approach, conducted in two phases: (1) theoretical-causal validation of the nursing diagnosis Risk for Shock in individuals with acute myocardial infarction (AMI), and (2) content validation performed by subject-matter experts was conducted between March and September 2024, involving two rounds of expert assessment based on predefined criteria of expertise. The Delphi technique and the Content Validity Index (CVI) were employed, with a cutoff point of ≥0.80. The definitions, defining characteristics, risk factors, and at-risk populations related to the diagnosis were analyzed.ResultsA total of 62 experts participated in the first round and 51 in the second, predominantly female, with high academic qualifications and substantial experience in intensive care, cardiology, and the nursing process. In the first round, most indicators reached a CVI ≥ 0.80, except for some risk factors that were subsequently revised. In the second round, all diagnostic elements achieved consensus and satisfactory CVI, consolidating the validated diagnostic proposal.ConclusionThe nursing diagnosis \"Risk for Shock\" was validated in terms of content, presenting refined definitions and indicators for clinical practice, thereby contributing to diagnostic accuracy and patient safety.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"639-654"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392168","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":"Excessive Caregiving Burden in Caregivers of Individuals with Heart Failure: Concept Analysis and Diagnostic Refinement.","authors":"Harriet Bárbara Maruxo, Giovanna Mariana Mota Golovattei, Daiane Lopes Grisante, Sérgio Henrique Simonetti, Nuno Damácio de Carvalho Félix, Camila Takáo Lopes","doi":"10.1177/20473087261445589","DOIUrl":"10.1177/20473087261445589","url":null,"abstract":"<p><p>ObjectiveTo analyze the concept of <i>excessive caregiving burden in caregivers of individuals with heart failure</i> and to refine the NANDA-I diagnosis, Excessive caregiving burden.MethodsA concept analysis based on Walker and Avant's framework was conducted, supported by an integrative review of studies retrieved from PubMed, the Virtual Health Library, Web of Science, and Scopus. Fifty-eight studies were included that supported identification of essential attributes, antecedents, consequents, and empirical referents. Model and contrary cases were developed.ResultsSix essential attributes, 13 antecedents, 28 consequents, and 12 empirical referents were identified. The essential attributes reflected a multidimensional response with negative impacts across psychological, functional, social, physical, and financial domains, compromising the caregiver's quality of life. The consequents supported identification and refinement of defining characteristics, including anxiety, sadness, worry, distress, social isolation, neglect of self-care, sleep disturbances, and exhaustion. The antecedents comprised both modifiable and non-modifiable factors, with the most frequent being lack of emotional, psychosocial, and professional support; severity of heart failure; the patient's functional dependence; and prolonged caregiving duration. Twelve empirical referents were identified, with the Zarit Burden Inventory and the Dutch Objective Burden Inventory being the most frequently used.ConclusionThe study advances the understanding of excessive caregiving burden in caregivers of individuals with heart failure by clarifying its complex and multidimensional nature and refining its diagnostic components.Implications for nursing practiceThe refined diagnostic components may support nurses in the systematic assessment and identification of this human response, enabling the implementation of targeted, multidimensional interventions.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"581-595"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786806","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":"Evaluation of Wound Healing Following Bariatric Surgery Using the Nursing Outcomes Classification (NOC).","authors":"Merve Kaya, Gamze Bulut Özlü, Ayşegül Yayla, Zeynep Karaman Özlü","doi":"10.1177/20473087261443272","DOIUrl":"10.1177/20473087261443272","url":null,"abstract":"<p><p>BackgroundThis study was conducted to evaluate the wound healing process in patients who underwent bariatric surgery using the Nursing Outcomes Classification (NOC) \"Wound Healing: Primary Intention (1102)\" outcome.MethodsThe study was conducted using a descriptive research design between December 2024 and June 2025 at a hospital in the Black Sea Region, involving 84 adult patients who underwent Roux-en-Y gastric bypass surgery. Data were collected 24 h after surgery during the first dressing change and on the fifth postoperative day using the \"Information Form\" and the \"Nursing Outcomes Classification (NOC) Wound Healing: Primary Intention (1102)\" scale. Data were analysed using the SPSS 20.0 software package, and results were interpreted at a significance level of p < 0.05.ResultsWhen comparing the NOC \"Wound Healing: Primary Intention (1102)\" mean scores on days 1 and 5 post-surgery, significant differences were found in some clinical indicators. Skin approximation (p = 0.047), serous drainage (p = 0.005), serosanguineous drainage (p = 0.001), sanguineous drainage from drain(p = 0.018), skin perimeter erythema (p = 0.010), wound perimeter edema (p = 0.003) and foul wound odour (p = 0.017). In addition, a significant negative correlation was found between BMI and the NOC total score on day 5 (p = 0.009).ConclusionThis study demonstrated that the Nursing Outcomes Classification (NOC) \"Wound Healing: Primary Intention (1102)\" outcome is effective in assessing wound healing in patients who have undergone bariatric surgery. It may be recommended to integrate NOC-based outcome measures into routine nursing care to monitor wound healing and identify complications early in bariatric surgery patients.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"493-500"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786788","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":"Methods of Nursing Theory Analysis: A Scoping Review.","authors":"Maedeh MortezaNasab, Farahnaz Mohammadi-Shahboulaghi","doi":"10.1177/20473087261489308","DOIUrl":"10.1177/20473087261489308","url":null,"abstract":"<p><p>BackgroundTheory analysis is a vital tool for the development, refinement, and application of theoretical knowledge in the nursing profession. This scoping review aimed to map the methods used, examine the style of reporting analytical stages, and assess the level of execution compliance with claimed methods in the nursing literature.Materials and MethodsThis study was conducted as a scoping review following the five-stage framework of Arksey and O'Malley. The search strategy was developed using the keywords: Theory analysis, Nursing theory and theory development. articles published between 2015 and 2025 were retrieved from PubMed, ScienceDirect, Scopus, and Google Scholar. A total of 831 articles were initially identified. After applying inclusion/exclusion criteria and content screening relevant to the study's aim, 12 studies were ultimately included. No eligible Persian-language studies using an explicit nursing theory analysis framework were identified during the review period. Data were extracted focusing on the claimed theory analysis method, reporting characteristics (including clarity of aim and stages), and the level of methodological compliance, and analyzed descriptively.ResultsThe findings demonstrated that the frameworks developed by Walker and Avant, Fawcett, and Afaf Meleis were the <u>only</u> theory analysis frameworks identified among the included studies. In most studies, the analytical aim and key stages of the selected framework were explicitly reported, and methodological congruence was observed between the claimed theory analysis method and the procedures reported. In some studies, the analytical framework was presented in an integrated or narrative manner within the text rather than in a separate section. However, when the analytical stages were clearly reported and traceable, this presentation style did not preclude the identification of methodological congruence.ConclusionThe predominance of structured frameworks underscores the importance of established approaches in theory analysis. However, greater transparency is needed, particularly when analytical procedures are not presented in a clearly structured manner. Selection of a theory analysis method should be deliberate and aligned with the purpose of the analysis to strengthen methodological credibility and reproducibility in nursing knowledge production.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261489308"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082713","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}