Reinaldo Gutiérrez Barreiro, Marcos Venícios de Oliveira Lopes
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Their data were subjected to latent class analysis, which facilitated the identification of a comprehensive set of clinical indicators that demonstrated better diagnostic accuracy and established posterior probabilities to guide the inference of inadequate health self‐efficacy. In addition, logistic regression analysis was used to assess the magnitude of the impact of aetiological factors.ResultsThe prevalence of inadequate health self‐efficacy was 76.61%. Among the 13 indicators examined, seven demonstrated notable sensitivity: ‘risk‐prone health behaviour’, ‘failure to take action that prevents health problems’, ‘inadequate self‐control’, ‘avoidance behaviours’, ‘negative health self‐perception’, ‘inadequate health‐related quality of life’ and ‘difficulty feeling good about adopting a healthy lifestyle’. Additionally, two indicators showed high specificity: ‘difficulty feeling good about adopting a healthy lifestyle’ and ‘inadequate adherence to treatment regimen’. Notably, 15 aetiological factors were identified as significantly associated with an increased risk of inadequate health self‐efficacy.ConclusionsA clinical framework consisting of eight clinical indicators and 15 aetiological factors was developed to characterise inadequate health self‐efficacy in individuals with hypertension.Relevance to PracticeClinical validation provides insight into the precision of clinical indicators and the magnitude of the effect of putative causal elements, thereby facilitating identification and tailored intervention for individuals with hypertension and inadequate health self‐efficacy.","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical Validation of the Nursing Diagnosis ‘Inadequate Health Self‐Efficacy’ in People With Hypertension\",\"authors\":\"Reinaldo Gutiérrez Barreiro, Marcos Venícios de Oliveira Lopes\",\"doi\":\"10.1111/jocn.17418\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"AimsTo test the clinical validity of clinical indicators and causal relationships of aetiological factors of the new nursing diagnosis of inadequate health self‐efficacy in people with hypertension.BackgroundThe diagnosis of inadequate health self‐efficacy has both theoretical and content validity. However, a clinical validation study is needed to establish an appropriate framework for distinguishing individuals who manifest this unique human response.DesignThe study adopts a cross‐sectional clinical validation approach, adhering strictly to the STROBE guidelines throughout its design and implementation.MethodsNaturalistic sampling was used to identify 302 adults diagnosed with hypertension. Their data were subjected to latent class analysis, which facilitated the identification of a comprehensive set of clinical indicators that demonstrated better diagnostic accuracy and established posterior probabilities to guide the inference of inadequate health self‐efficacy. In addition, logistic regression analysis was used to assess the magnitude of the impact of aetiological factors.ResultsThe prevalence of inadequate health self‐efficacy was 76.61%. Among the 13 indicators examined, seven demonstrated notable sensitivity: ‘risk‐prone health behaviour’, ‘failure to take action that prevents health problems’, ‘inadequate self‐control’, ‘avoidance behaviours’, ‘negative health self‐perception’, ‘inadequate health‐related quality of life’ and ‘difficulty feeling good about adopting a healthy lifestyle’. Additionally, two indicators showed high specificity: ‘difficulty feeling good about adopting a healthy lifestyle’ and ‘inadequate adherence to treatment regimen’. Notably, 15 aetiological factors were identified as significantly associated with an increased risk of inadequate health self‐efficacy.ConclusionsA clinical framework consisting of eight clinical indicators and 15 aetiological factors was developed to characterise inadequate health self‐efficacy in individuals with hypertension.Relevance to PracticeClinical validation provides insight into the precision of clinical indicators and the magnitude of the effect of putative causal elements, thereby facilitating identification and tailored intervention for individuals with hypertension and inadequate health self‐efficacy.\",\"PeriodicalId\":50236,\"journal\":{\"name\":\"Journal of Clinical Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-09-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/jocn.17418\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jocn.17418","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Clinical Validation of the Nursing Diagnosis ‘Inadequate Health Self‐Efficacy’ in People With Hypertension
AimsTo test the clinical validity of clinical indicators and causal relationships of aetiological factors of the new nursing diagnosis of inadequate health self‐efficacy in people with hypertension.BackgroundThe diagnosis of inadequate health self‐efficacy has both theoretical and content validity. However, a clinical validation study is needed to establish an appropriate framework for distinguishing individuals who manifest this unique human response.DesignThe study adopts a cross‐sectional clinical validation approach, adhering strictly to the STROBE guidelines throughout its design and implementation.MethodsNaturalistic sampling was used to identify 302 adults diagnosed with hypertension. Their data were subjected to latent class analysis, which facilitated the identification of a comprehensive set of clinical indicators that demonstrated better diagnostic accuracy and established posterior probabilities to guide the inference of inadequate health self‐efficacy. In addition, logistic regression analysis was used to assess the magnitude of the impact of aetiological factors.ResultsThe prevalence of inadequate health self‐efficacy was 76.61%. Among the 13 indicators examined, seven demonstrated notable sensitivity: ‘risk‐prone health behaviour’, ‘failure to take action that prevents health problems’, ‘inadequate self‐control’, ‘avoidance behaviours’, ‘negative health self‐perception’, ‘inadequate health‐related quality of life’ and ‘difficulty feeling good about adopting a healthy lifestyle’. Additionally, two indicators showed high specificity: ‘difficulty feeling good about adopting a healthy lifestyle’ and ‘inadequate adherence to treatment regimen’. Notably, 15 aetiological factors were identified as significantly associated with an increased risk of inadequate health self‐efficacy.ConclusionsA clinical framework consisting of eight clinical indicators and 15 aetiological factors was developed to characterise inadequate health self‐efficacy in individuals with hypertension.Relevance to PracticeClinical validation provides insight into the precision of clinical indicators and the magnitude of the effect of putative causal elements, thereby facilitating identification and tailored intervention for individuals with hypertension and inadequate health self‐efficacy.
期刊介绍:
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.