International Journal of Nursing Knowledge最新文献

{"title":"Clinical Indicators Related to Nursing Diagnosis of Ineffective Health Maintenance Behaviors in Kidney Transplant Recipients: Systematic Review.","authors":"Iorana Candido da Silva, Dayane Dos Reis Araújo Rocha Holanda, Camila Gomes Carvalho, Layane Ryane da Silva Souza, Viviane Martins da Silva, Rafaella Pessoa Moreira, Marcos Venícios de Oliveira Lopes, Ana Luisa Brandão de Carvalho Lira","doi":"10.1177/20473087261471628","DOIUrl":"https://doi.org/10.1177/20473087261471628","url":null,"abstract":"<p><p>PurposeTo identify clinical indicators related to ineffective health maintenance behaviors in kidney transplant recipients.MethodsSearches were conducted in 10 databases: PubMed, Embase, Scopus, Web of Science, PsycINFO, Ovid, CINAHL, Virtual Health Library, Google Scholar, and thesis and dissertation databases.ResultsThe final sample comprised 21 studies, from which 15 clinical indicators related to the nursing diagnosis ineffective health maintenance behaviors in kidney transplant recipients were identified. Of these, nine are included in the NANDA-I 2024-2026 taxonomy, whereas six emerged from the analysis of the included studies. The most frequently reported indicators were failure to act to prevent health problems, sedentary behavior pattern, nonadherence to health activities, and inappropriate health behavior pattern.ConclusionThis systematic review identified clinical indicators potentially related to the nursing diagnosis ineffective health maintenance behaviors in kidney transplant recipients, including indicators not currently included in the NANDA-I taxonomy. These findings expand the available evidence regarding this nursing diagnosis in this population; however, they require confirmation through clinical validation and diagnostic accuracy studies.Implications for nursing practiceThe identified indicators may support nurses' clinical reasoning and facilitate a more comprehensive assessment of health maintenance behaviors in kidney transplant recipients. However, their application in clinical practice should be interpreted with caution until their diagnostic performance has been confirmed through validation studies.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261471628"},"PeriodicalIF":1.3,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622274","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":"Inadequate Digital Health Literacy - Conceptual Validity of a Nursing Diagnosis Proposal.","authors":"Camilla do Rosário Nicolino Chiorino, Bianca Lorena Ligabo, Daniele Cristina Bosco Aprile, Alexia Louisie Pontes Gonçalves, Dolores Eunice Hernandez-Herrera, Edgar Noé Morelos-Garcia, Hortensia Castañeda-Hidalgo, Nora Hilda González-Quirarte, Ana Paula da Conceição, Camila Takáo-Lopes","doi":"10.1177/20473087261471630","DOIUrl":"https://doi.org/10.1177/20473087261471630","url":null,"abstract":"<p><p>PurposeTo evaluate the conceptual validity of the proposed nursing diagnosis, <i>Inadequate digital health literacy</i>.MethodsA concept analysis was conducted following Walker & Avant's methodological framework. An integrative literature review supported the analysis. Searches were performed in PubMed, BVS, CINAHL, Web of Science, Scopus, and Embase for studies published from 2000 onward in English, Portuguese, or Spanish. The SPIDER framework guided the search strategy and eligibility criteria. Two reviewers independently screened titles, abstracts, and full texts. Extracted data included attributes, antecedents, consequences, prevalence estimates, and empirical measures related to inadequate digital health literacy. Identified elements were organized according to the NANDA International (NANDA-I) diagnostic structure, including defining characteristics, related factors, and at-risk populations.FindingsTen essential attributes supported the development of the diagnostic definition. Seventeen consequences informed the identification of 14 defining characteristics. Sixteen antecedents supported the identification of 11 related factors and 5 at-risk populations. Empirical referents were primarily self-report instruments used to assess digital health literacy, including the eHealth Literacy Scale, the Digital Health Literacy Instrument, the eHealth Literacy Questionnaire, and the eHealth Literacy Assessment Toolkit. A model case and a contrary case were developed.ConclusionsThe findings support the conceptual validity of <i>Inadequate digital health literacy</i> as a distinct human response not fully represented by existing NANDA-I diagnoses. The proposed structure clarifies defining characteristics, related factors, and at-risk populations.Implications for Nursing PracticeRecognizing <i>Inadequate digital health literacy</i> as a nursing diagnosis may support more accurate clinical assessment and guide interventions aimed at improving clients' ability to access, appraise, and use digital health resources.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261471630"},"PeriodicalIF":1.3,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622355","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":"Medication adherence in Chinese adults with chronic hepatitis B based on theory of planned behavior.","authors":"Yumei Wang, Yiqing Huang, Bing Ge, Chen Chen, Jie Xu","doi":"10.1177/20473087261470051","DOIUrl":"https://doi.org/10.1177/20473087261470051","url":null,"abstract":"<p><p>PurposeTo investigate the factors related to medication adherence in patients with chronic hepatitis B (CHB) infection by considering the theory of planned behavior (TPB).MethodsIn this cross-sectional study, medication adherence information was collected from outpatients with CHB in China. Pearson correlation analysis was performed to evaluate the association between medication adherence and TPB items. A structural equation model was established to further assess the effects of the latent TPB variables on medication adherence.ResultsA total of 225 patients with CHB recruited from the outpatient department of Qingdao Public Health Clinical Center were included, 67.6% of whom reported moderate medication adherence, as assessed using Morisky Adherence Assessment Score. Medication adherence was significantly positively correlated with behavioral intention (<i>r</i> = 0.51, <i>P</i> < 0.001), perceived behavioral control (<i>r</i> = 0.63, <i>P</i> < 0.001), and subjective norms (<i>r</i> = 0.52, <i>P</i> < 0.001). Perceived behavioral control both directly and indirectly affected medication adherence, with the correlation coefficients being 0.14 and 0.32, respectively. The structural equation model revealed behavioral attitude and subjective norms as the strongest predictors of medication adherence, both of which indirectly affected behavior (correlation coefficients: 0.13 × 0.66 = 0.09 and 0.39 × 0.66 = 0.25, respectively). The optimal fitted model of TPB variables explained 58.5% of the variance in medication adherence.ConclusionsModerate medication adherence was discovered among Chinese adults with CHB. Behavioral attitude, subjective norms, and perceived behavioral control indirectly affected medication adherence.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261470051"},"PeriodicalIF":1.3,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521230","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":"Identification and Development of NANDA-I, NOC, and NIC (NNN) Linkages for the Nursing Diagnosis <i>Chronic Pain Syndrome</i>.","authors":"Giuliana Morsiani, Dania Comparcini, Silvana Mecheroni, Andreina Saba, Luca Bertocchi, Vianella Agostinelli","doi":"10.1177/20473087261460968","DOIUrl":"https://doi.org/10.1177/20473087261460968","url":null,"abstract":"<p><p>PurposeTo develop NANDA International (NANDA-I), Nursing Outcomes Classification (NOC), and Nursing Interventions Classification (NIC) (NNN) linkages for the <i>Chronic Pain Syndrome (CPS) (00255)</i> nursing diagnosis.MethodsA six-member expert panel, all active members of the NANDA-I Italian Network Group, was purposively selected based on demonstrated expertise in standardized nursing terminologies and clinical or academic background. The study followed the Iowa NNN linkage development process, supported by a narrative literature review across PubMed/MEDLINE, CINAHL, PsycINFO, and Cochrane Library. Panel members developing a structured linkage table, then convening in iterative consensus meetings to reconcile proposals. Final approval required unanimous consensus, followed by a concluding review by the developers of the NOC and NIC classifications (University of Iowa).FindingsThe NNN linkages for the CPS nursing diagnosis were developed. A total of 57 NOC nursing outcomes were identified to guide care based on the syndrome. The following main NOC to measure the resolution of the diagnosis were identified: <i>Comfort Level (2008)</i>; <i>Pain Level (2102)</i>; <i>Pain: Disruptive Effects (2101)</i>; <i>Self-Care: Activities of Daily Living (ADL) (0300)</i>; <i>Self-Care: Instrumental Activities of Daily Living (IADL) (0306)</i>, along with outcomes addressing defining characteristics, related factors, and 35 nursing interventions, such as <i>Pain Management: Chronic (1415)</i>, <i>Relaxation Therapy (6040)</i>, <i>Self-Care Assistance (1800)</i>, <i>Emotional Support (5270)</i>.ConclusionsChronic pain syndrome is a multifaceted condition that significantly affects both individuals and society, and its complexity requires an interdisciplinary approach. Therefore, the identified NNN linkages provide evidence-based guidance for planning and delivering nursing care to effectively manage chronic pain syndrome.Implication for Nursing PracticeThe NNN linkages for the CPS nursing diagnosis serve as a practical, evidence-based resource to improve nursing research, practice and education, as well as support clinical decision-making and documentation. Ultimately, this enhances recognition and visibility of nursing care in the management of patients experiencing chronic pain.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261460968"},"PeriodicalIF":1.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438510","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":"Identification of Linkages Between the NANDA-I Nursing Diagnosis Impaired End-of-Life Comfort Syndrome, NOC, and NIC for Individuals in End-of-Life Care.","authors":"Andreina Saba, Luca Bertocchi, Giuliana Morsiani, Dania Comparcini, Silvana Mecheroni, Vianella Agostinelli","doi":"10.1177/20473087261460966","DOIUrl":"https://doi.org/10.1177/20473087261460966","url":null,"abstract":"<p><p>AimTo identify linkages using interoperable standardized nursing terminologies of NANDA-International (NANDA-I), Nursing Outcomes Classification (NOC), and Nursing Intervention Classification (NIC) - for the \"Impaired End-of-Life Comfort Syndrome\" nursing diagnosis for guiding nurses' decision-making in promoting comfort in end-of-life care.MethodsUsing a consensus process, a research group of six experts with clinical and theoretical expertise developed the NANDA-I, NOC, and NIC (NNN) linkages in a multistep process. In the first step, for each nursing diagnosis, outcomes aligned with all its components were categorized. Then, relevant nursing interventions were identified. The whole process was supported by a preliminary literature review to inform the consensus process and support decision-making during linkage development.FindingsA total of 46 NOC nursing outcomes were identified to guide care based on the syndrome, and 29 NIC interventions were identified as suggested interventions for the management of <i>Impaired End-of-Life Comfort Syndrome</i>, reflecting the multidimensional nature of end-of-life comfort.ConclusionsThe NNN linkages selected provide a solid foundation for consensus-derived framework to support person-centered nursing care planning, offer an opportunity to make nursing care visible, and promote comfort in end-of-life care.Implications for Nursing PracticeThe identified linkages between NANDA-I, NOC, and NIC provide a consensus-derived framework to support nursing care decision-making and promote comfort in end-of-life care.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261460966"},"PeriodicalIF":1.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438520","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":"Defining Characteristics and Aetiological Factors of the Nursing Diagnosis <i>Disrupted thought process</i>: A Clinical Validation Study.","authors":"Paula Escalada-Hernández, Nelia Soto-Ruiz, Isabel San Martín-Erice, Sara Furtado-Eraso, Concepción Molina-Pérez, Cristina García-Vivar","doi":"10.1177/20473087261460987","DOIUrl":"https://doi.org/10.1177/20473087261460987","url":null,"abstract":"<p><p>AimTo evaluate the clinical validity of the defining characteristics and the aetiological factors of the nursing diagnosis <i>Disrupted thought process</i> (00493) among institutionalized elderly people.MethodsCross-sectional analytical study. Data were collected between 2021 and 2022, in 7 nursing homes in Spain. Beyond sociodemographic profiling, the accuracy of the diagnosis's defining characteristics was analyzed with diagnostic test validity tests (sensitivity and specificity). Prevalence of the nursing diagnosis was estimated through Latent Variable Modeling.ResultsIn a sample of 252 residents (59.8% female), nine of the 14 defining characteristics showed a frequency above 20%. Latent Class Analysis revealed a 31.7% prevalence rate for the nursing diagnosis <i>Disrupted Thought Process</i>. Accuracy measures identified 6 defining characteristics with high specificity and sensitivity values.ConclusionsThese results contribute to establish the clinical validity of the diagnosis among institutionalized elderly people. The results suggest the inclusion of new diagnostic elements for this nursing diagnosis. This study enables nurses in the development of targeted, individualized care plans to respond to the needs of individual with impairment of cognitive function.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"20473087261460987"},"PeriodicalIF":1.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438382","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":"Measurement Instruments Based on the Nursing Outcomes Classification (NOC): A Scoping Review.","authors":"Giovanny Andres Perez-Jaimes, Iliana Milena Ulloa-Sabogal, Leidy Johanna Rueda-Díaz","doi":"10.1177/20473087261443252","DOIUrl":"10.1177/20473087261443252","url":null,"abstract":"<p><p>PurposeTo map and describe the measurement instruments that have been developed from the outcomes of the Nursing Outcomes Classification (NOC).Data sourcesA scoping review was conducted following the Joanna Briggs Institute (JBI) methodology. The search for published and unpublished literature was carried out in April 2023 and updated in September 2025, using the following information sources: PubMed, CINAHL, EMBASE, Web of Science, ProQuest One Academic, Scopus, Virtual Health Library, Science Direct, LA , and Google Scholar. Two independent reviewers performed data selection and extraction.Data synthesisOne hundred studies published between 2007 and 2025 were included. Eighty-nine measurement instruments were identified, which used 140 different NOC outcomes. Of the 89 identified instruments, 80 (89.89%) evaluated their psychometric properties. Content validity was evidenced in 57 (64.04%) instruments, response processes in 22 (24.72%), internal structure in 30 (33.71%), and relationships with other variables in 29 (32.58%) instruments. Reliability tests focused on the use of measurement indices, agreement between different evaluators, sensitivity to change, and test-retest.ConclusionsThe findings of this review show that the NOC nursing outcomes indicators have been fundamental in developing measurement instruments that allow for the measurement of various phenomena relevant to nursing practice in different populations and contexts.Implications for nursing practiceThis study not only describes measurement instruments based on NOC outcome indicators but also provides evidence of the validity and reliability of these instruments, helping nursing professionals select appropriate tools to assess care and nursing-related phenomena in individuals, families, or communities.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"361-385"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786816","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":"Evaluating the Outcomes of Nursing Care for Older Adults Diagnosed with Elder Frailty Syndrome (NANDA-I): A Six-Step Nursing Process Using NANDA-I, NOC, and NIC.","authors":"Keiko Kira","doi":"10.1177/20473087261443267","DOIUrl":"10.1177/20473087261443267","url":null,"abstract":"<p><p>IntroductionFrailty among older adults is a critical issue in Japan's super-aged society. Although potentially reversible, frailty may progress to disability if left unaddressed. Home-visit nursing plays a key role, yet outcome evaluation remains limited. This study examined the effectiveness of care for older adults with frailty using a six-step nursing process based on standardized nursing terminologies NANDA-I, NOC, and NIC.MethodsNine older adults diagnosed with Elder frailty syndrome <b>received individualized home-visit nursing</b> a six-step NNN process over three months. NOC indicators were defined as each participant's \"best possible state\" and were evaluated monthly. Data were recorded in Excel and analyzed using EZR. Ethical approval was obtained, and informed consent was independently managed.ResultsAll nine participants completed the study. Most showed improvement in NOC indicators, and some demonstrated resolution of frailty-related symptoms. One participant showed improvement in the initially selected NOC indicators, but new nursing diagnoses emerged and other frailty-related indicators worsened, resulting in no overall improvement in frailty status. Six NOC outcomes showed statistically significant improvement (p < .05), with several demonstrating large effect sizes (Cohen's d > 0.8). Nurses reported that using NNN helped clarify care focus and promoted team collaboration. In some cases, reassessment shifted the diagnostic framework from Elder frailty syndrome to Readiness for Enhanced Healthy Aging.ConclusionThe NNN-based six-step nursing process may support frailty improvement by visualizing individualized outcomes and guiding targeted care. It may also support collaboration and structured evaluation in home-visit nursing.Practical ImplicationsAlthough preliminary, NNN-based care shows potential for addressing frailty through individualized assessment. Defining NOC outcomes as the \"best possible state\" may reflect diverse aging trajectories. Visualizing care transitions may promote team knowledge sharing. Future implementation requires standardized documentation and practitioner training.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"442-451"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845018","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":"Linking the Sustainable Development Goals to Standardized Nursing Language: An Educational Strategy Using the Nursing Interventions Classification (NIC).","authors":"Claudia González López, Abraham Bernárdez-Gómez, Jose Luis Buceta Hazas, Mª Paz Diéguez Montes","doi":"10.1177/20473087261443258","DOIUrl":"10.1177/20473087261443258","url":null,"abstract":"<p><p>PurposeThis study explores an educational strategy designed to bridge the perceived abstraction of the United Nations Sustainable Development Goals (SDGs) by linking them directly to standardized nursing interventions through the Nursing Interventions Classification (NIC). The aim was to enhance nursing students' understanding of global health and reinforce their professional agency.MethodsA cross-sectional descriptive study with exploratory comparative analysis was conducted at a School of Nursing in Spain. A total of 164 undergraduate nursing students across four academic years participated in a structured classroom activity. Each student group was assigned one SDG, selected a relevant target, and aligned it with an appropriate NIC intervention and related nursing activities. Data were analyzed thematically using Atlas.ti.FindingsAll 17 SDGs were represented in student submissions. A total of 68 NIC interventions were selected, corresponding to 42 unique codes. Thematic analysis revealed four dominant clusters: (1) community and environmental health, (2) health promotion and education, (3) protection and advocacy for vulnerable populations, and (4) systems thinking and interprofessional collaboration. Clear patterns emerged by academic level: early-year students focused on individual-level care, while final-year students selected system-level and policy-oriented interventions.ConclusionsStudents effectively translated global goals into context-specific nursing actions using standardized language. The integration of NIC helped them conceptualize nursing's contribution to sustainable development in structured, measurable terms.Implications for Nursing PracticeThis study offers an original contribution to international nursing education by linking the SDGs with NIC, a standardized nursing taxonomy. This alignment provides a structured, discipline-specific strategy for operationalizing sustainability through nursing practice. By using NIC as both a pedagogical and conceptual bridge, this intervention reinforces the value of standardized language and supports nursing's leadership in advancing the 2030 Agenda through evidence-based, context-sensitive action.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"411-420"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786783","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 Patients with Hyperthermia According to the Thermoregulation Nursing Outcomes Classification.","authors":"Şengül Korkmaz Binay, Seçil Erden Melikoğlu","doi":"10.1177/20473087261443269","DOIUrl":"10.1177/20473087261443269","url":null,"abstract":"<p><p>PurposeThis study was designed to evaluate the process of controlling body temperature in patients who were diagnosed with infection and followed up with the diagnosis of \"hyperthermia\" according to the NANDA-I nursing diagnosis classification according to the outcome criterion \"NOC (0800) Thermoregulation Assessment.\"MethodThis methodological and descriptive study was conducted with 102 inpatients followed up with the nursing diagnosis of \"hyperthermia\" in the Department of Infectious Diseases and Clinical Microbiology of a training and research hospital between June 2024 and June 2025. The data were collected using the \"Patient Information Form\" and the \"NOC (0800) Thermoregulation Assessment Scale.\" Statistical analyses specific to groups that were normally distributed (t-test) or not (Mann-Whitney U, Kruskal-Wallis, and Spearman correlation analysis) were done to analyze the data. For validity and reliability, the Davis Technique, Cronbach's α coefficient, Standardized Root Mean Square Residual fit indices, and item-total correlation statistical analyses were done.FindingsThe content validity index of the NOC scale was calculated as 0.97. When the mean scores of the patients on the NOC (0800) Thermoregulation Assessment Scale were analyzed, a statistically significant difference was observed for repeated assessments (<i>p</i> < 0.01). The indicators \"dropped skin temperature\", \"hypothermia\", \"heat cramps\", \"heat stroke\", and \"cold-related tissue damage\" were \"not applicable\" in the study population. No statistically significant difference was found between the NOC scale mean scores of the patients according to their gender, marital status, educational level, occupation, and presence of chronic diseases (<i>p</i> > 0.05).ConclusionsThe Turkish version of the NOC (0800) Thermoregulation Assessment Scale was a valid tool that could be used during the process of controlling body temperature in patients with infection.Implications of nursing practiceThe use of the NOC (0800) Thermoregulation Assessment Scale would create a common language for delivering nursing care while assessing the process of controlling body temperature.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":"421-430"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786768","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}