残障健康素养的中程护理理论

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-07-12 DOI:10.1016/j.puhe.2025.105792

A.B. Silva , J.N.M. Araújo , M.V.O. Lopes , A.C. Dantas , B.E.C. Borges , A.F. Vitor

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引用次数: 0

摘要

目的探讨健康素养障碍护理诊断的中程理论。研究设计：中级护理理论。方法综合文献资料和Imogene King的开放系统概念模型（Conceptual Model of Open Systems）的概念，构建该理论。使用的方法包括五个步骤：定义构建捷运的方法，确定关键概念，创建图形图表，提出命题，建立因果关系和实践证据。结果该理论包括14个病因，8个定义特征，3个相关条件和2个高危人群。他们提出了九个主张。结论护理诊断命题“健康素养受损”的中程理论的早期发展，为准确的诊断推断提供了必要的临床前因和后果。因此，它提供了一个理论框架和诊断结构，可用于推断受损的健康素养。了解在他们的临床状况或治疗背景下对个人产生负面影响的因素是一项必要的和不断发展的社会实践。需要进一步的研究来解决验证步骤，特别是关于临床有效性，以便在临床实践中支持对命题的检验和对证据的认可。

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Middle range nursing theory for impaired health literacy

Objective

This study aimed to begin the development of a middle range theory for the nursing diagnosis impaired health literacy.

Study design

Middle-range nursing theory.

Methods

The theory was constructed based on data obtained from an integrative literature review and the concepts from Imogene King's Conceptual Model of Open Systems. The approach used involved five steps: defining the approach to constructing the MRT, determining key concepts, creating a pictorial diagram, formulating propositions and establishing causal relationships and evidence for practice.

Results

The theory encompasses 14 etiological factors, eight defining characteristics, three associated conditions and two populations at risk. And nine propositions were developed.

Conclusions

The early development of the middle-range theory for the nursing diagnostic proposition “impaired health literacy” allowed the compilation of the clinical antecedents and consequences necessary for an accurate diagnostic inference. Therefore, it offers a theoretical framework and a diagnostic structure that can be used for the inference of impaired health literacy. Understanding the factors that negatively impact individuals within the context of their clinical condition or treatment is an essential and evolving social practice. Further studies are needed to address the validation steps, especially regarding clinical validity, in order to favor the testing of the propositions and the recognition of evidence in clinical practice.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.