The middle-range theory of the nursing diagnosis “ineffective health self-management”

ABSTRACT Objectives: to develop a middle-range theory for the nursing diagnosis “ineffective health self-management” in individuals living with the human immunodeficiency virus. Methods: this is a methodological study aimed at theoretical development to establish the theoretical-causal validity of...

Full description

Saved in:
Bibliographic Details
Main Authors: Rebecca Stefany da Costa, Harlon França de Menezes, Nanete Caroline da Costa Prado, Ana Beatriz Pereira, Thais Targino Ferreira, Jose Rebberty Rodrigo Holanda, Richardson Augusto Rosendo da Silva
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2025-07-01
Series:Revista Brasileira de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672025000300159&lng=en&tlng=en
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:ABSTRACT Objectives: to develop a middle-range theory for the nursing diagnosis “ineffective health self-management” in individuals living with the human immunodeficiency virus. Methods: this is a methodological study aimed at theoretical development to establish the theoretical-causal validity of the nursing diagnosis “ineffective health self-management” based on the theoretical frameworks of Callista Roy and Lopes, Silva, and Herdman. We conducted a scoping review, resulting in a final sample of 31 articles. Results: the findings identified five essential attributes, 30 antecedents, and nine clinical consequences. We constructed a middle-range theory comprising 1 pictorial diagram, 8 propositions, and 30 causal relationships (15 predisposing factors, 10 disabling factors, 2 precipitating factors, and 3 reinforcing factors). Conclusions: the development of this theory enables nurses’ clinical judgment regarding the nursing diagnosis “ineffective health self-management” in the context of individuals living with human immunodeficiency virus.
ISSN:1984-0446