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...

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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
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author 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
author_facet 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
author_sort Rebecca Stefany da Costa
collection DOAJ
description 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.
format Article
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institution Kabale University
issn 1984-0446
language English
publishDate 2025-07-01
publisher Associação Brasileira de Enfermagem
record_format Article
series Revista Brasileira de Enfermagem
spelling doaj-art-495cffbd016849be84a6ef927f5010772025-08-20T03:50:48ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462025-07-0178310.1590/0034-7167-2024-0470The middle-range theory of the nursing diagnosis “ineffective health self-management”Rebecca Stefany da Costahttps://orcid.org/0000-0002-1191-0232Harlon França de Menezeshttps://orcid.org/0000-0001-9884-6511Nanete Caroline da Costa Pradohttps://orcid.org/0000-0002-9079-0450Ana Beatriz Pereirahttps://orcid.org/0000-0001-8339-6482Thais Targino Ferreirahttps://orcid.org/0000-0001-7409-4669Jose Rebberty Rodrigo Holandahttps://orcid.org/0000-0003-2307-4515Richardson Augusto Rosendo da Silvahttps://orcid.org/0000-0001-6290-9365ABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672025000300159&lng=en&tlng=enNursing TheoryNursing DiagnosisHIVPatient Acceptance of Health CareTreatment Adherence and Compliance
spellingShingle 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
The middle-range theory of the nursing diagnosis “ineffective health self-management”
Revista Brasileira de Enfermagem
Nursing Theory
Nursing Diagnosis
HIV
Patient Acceptance of Health Care
Treatment Adherence and Compliance
title The middle-range theory of the nursing diagnosis “ineffective health self-management”
title_full The middle-range theory of the nursing diagnosis “ineffective health self-management”
title_fullStr The middle-range theory of the nursing diagnosis “ineffective health self-management”
title_full_unstemmed The middle-range theory of the nursing diagnosis “ineffective health self-management”
title_short The middle-range theory of the nursing diagnosis “ineffective health self-management”
title_sort middle range theory of the nursing diagnosis ineffective health self management
topic Nursing Theory
Nursing Diagnosis
HIV
Patient Acceptance of Health Care
Treatment Adherence and Compliance
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672025000300159&lng=en&tlng=en
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