Related factors of the nursing diagnosis "ineffective health self-management" in people living with human immunodeficiency virus: A validation study.

ObjectivesThis 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).MethodsIt 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.ResultsThree 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.ConclusionsIn 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 nursingThe 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.