Nádia A V de Moura, Aurean D'Eça Júnior, Richardson A R da Silva, Isaura L T P Rolim, Poliana P C Rabêlo, Joselany A Caetano
{"title":"人类免疫缺陷病毒感染者护理诊断“无效健康自我管理”的相关因素：一项验证性研究","authors":"Nádia A V de Moura, Aurean D'Eça Júnior, Richardson A R da Silva, Isaura L T P Rolim, Poliana P C Rabêlo, Joselany A Caetano","doi":"10.1111/2047-3095.70015","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to analyze evidence of content validity of the related factors (RFs) of the nursing diagnosis (ND) \"ineffective health self-management\" in people living with the human immunodeficiency virus (HIV).</p><p><strong>Methods: </strong>It is a methodological study carried out between April/2022 and May/2023 in three stages: scoping review aimed at the RFs of the ND \"ineffective health self-management\" for people living with HIV (PLHIV); elaboration of conceptual definitions (CDs) and operational definitions (ODs) of the RFs and proposition of new RFs for the ND studied; and content validation of the constructed definitions of the RFs. A sample of 31 expert nurses was selected for content validation. A binomial test was used, with a significance level of 5%, p < 0.05, and a percentage of 85% in the attribution of definitions considered adequate. The content validity index (CVI) was calculated, and when ≥ 0.80, they were considered relevant.</p><p><strong>Results: </strong>Three new RFs were proposed as components of the diagnosis, adding to the 30 already included in the NANDA-I version (2021-2023). Expert nurses analyzed these components, and all 33 RFs were considered adequate (>85%). All 33 CDs and 33 ODs were validated with CVI ≥ 0.80.</p><p><strong>Conclusions: </strong>In addition to constructing and validating definitions for the 30 existing RFs, this study identified and validated three new proposed RFs of the diagnosis \"ineffective health self-management\": (1) unrealistic perception of vulnerability to other diseases and health problems; (2) chemical dependency and escape from reality; and (3) lack of structuring of health services and inefficiency of public policies for PLHIV.</p><p><strong>Implications for nursing: </strong>The content analysis of the diagnosis \"ineffective health self-management\" contributes to nursing as a science and provides specific knowledge for building the care plan, in addition to bringing professionals closer to the specific terminologies of the profession.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Related factors of the nursing diagnosis \\\"ineffective health self-management\\\" in people living with human immunodeficiency virus: A validation study.\",\"authors\":\"Nádia A V de Moura, Aurean D'Eça Júnior, Richardson A R da Silva, Isaura L T P Rolim, Poliana P C Rabêlo, Joselany A Caetano\",\"doi\":\"10.1111/2047-3095.70015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>This study aimed to analyze evidence of content validity of the related factors (RFs) of the nursing diagnosis (ND) \\\"ineffective health self-management\\\" in people living with the human immunodeficiency virus (HIV).</p><p><strong>Methods: </strong>It is a methodological study carried out between April/2022 and May/2023 in three stages: scoping review aimed at the RFs of the ND \\\"ineffective health self-management\\\" for people living with HIV (PLHIV); elaboration of conceptual definitions (CDs) and operational definitions (ODs) of the RFs and proposition of new RFs for the ND studied; and content validation of the constructed definitions of the RFs. A sample of 31 expert nurses was selected for content validation. A binomial test was used, with a significance level of 5%, p < 0.05, and a percentage of 85% in the attribution of definitions considered adequate. The content validity index (CVI) was calculated, and when ≥ 0.80, they were considered relevant.</p><p><strong>Results: </strong>Three new RFs were proposed as components of the diagnosis, adding to the 30 already included in the NANDA-I version (2021-2023). Expert nurses analyzed these components, and all 33 RFs were considered adequate (>85%). 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Related factors of the nursing diagnosis "ineffective health self-management" in people living with human immunodeficiency virus: A validation study.
Objectives: This study aimed to analyze evidence of content validity of the related factors (RFs) of the nursing diagnosis (ND) "ineffective health self-management" in people living with the human immunodeficiency virus (HIV).
Methods: It is a methodological study carried out between April/2022 and May/2023 in three stages: scoping review aimed at the RFs of the ND "ineffective health self-management" for people living with HIV (PLHIV); elaboration of conceptual definitions (CDs) and operational definitions (ODs) of the RFs and proposition of new RFs for the ND studied; and content validation of the constructed definitions of the RFs. A sample of 31 expert nurses was selected for content validation. A binomial test was used, with a significance level of 5%, p < 0.05, and a percentage of 85% in the attribution of definitions considered adequate. The content validity index (CVI) was calculated, and when ≥ 0.80, they were considered relevant.
Results: Three new RFs were proposed as components of the diagnosis, adding to the 30 already included in the NANDA-I version (2021-2023). Expert nurses analyzed these components, and all 33 RFs were considered adequate (>85%). All 33 CDs and 33 ODs were validated with CVI ≥ 0.80.
Conclusions: In addition to constructing and validating definitions for the 30 existing RFs, this study identified and validated three new proposed RFs of the diagnosis "ineffective health self-management": (1) unrealistic perception of vulnerability to other diseases and health problems; (2) chemical dependency and escape from reality; and (3) lack of structuring of health services and inefficiency of public policies for PLHIV.
Implications for nursing: The content analysis of the diagnosis "ineffective health self-management" contributes to nursing as a science and provides specific knowledge for building the care plan, in addition to bringing professionals closer to the specific terminologies of the profession.
期刊介绍：
The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge.
The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages.
The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy.
The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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