{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:17:18Z","timestamp":1787962638923,"version":"build-2784847793"},"reference-count":97,"publisher":"SAGE Publications","issue":"5-6","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Research in Nursing"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Promoting health self-management is an essential component of nursing care for maintaining quality of life in individuals with cardiovascular conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This systematic review aimed to identify aetiological factors associated with ineffective health self-management (IHSM) in adults with cardiovascular conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Systematic review of aetiological factors. Databases: Medline, Web of Science, CINAHL, Scopus, and LILACS in July 2024. Combined key terms: adult, health risk behaviours, self-management, and cardiovascular diseases (CVDs). Inclusion criteria: adults with cardiovascular conditions and aetiological factors for IHSM. Exclusion criteria: acute disease exacerbations, intensive, palliative, or immediate post-surgical settings. All included studies were critically appraised for bias using the relevant assessment tools. Data were synthesised according to the theory of causation and validation of nursing diagnoses, and a meta-analysis was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty-five studies were included, predominantly cross-sectional studies, clinical trials, and cohort studies. The most common cardiovascular conditions addressed were systemic arterial hypertension and congestive heart failure. Thirty-five potential factors associated with IHSM were identified and categorised in factors: predisposing, disabling, precipitating, and reinforcing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The identified factors provide insights for nursing practice when caring for patients with cardiovascular conditions and contribute to scientific knowledge by highlighting patient self-management needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for nursing practice:<\/jats:title>\n                    <jats:p>This review identifies novel aetiological factors that should be integrated into nursing care plans for patients with CVD. It also validates and expands upon related factors within the NANDA-I taxonomy. Critically, our findings underscore the value of using theory to clarify the origins of a nursing diagnosis, enabling nurses to identify more precisely the root causes of ineffective health self-management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17449871251384506","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T13:28:07Z","timestamp":1764077287000},"page":"439-457","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Ineffective health self-management: a systematic review and meta-analysis of aetiological factors in adults with cardiovascular conditions"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0972-2988","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Cruz Neto","sequence":"first","affiliation":[{"name":"Nursing Department, Federal University of Cear\u00e1, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5867-8023","authenticated-orcid":false,"given":"Marcos Ven\u00edcios","family":"de Oliveira Lopes","sequence":"additional","affiliation":[{"name":"Professor Titular, Nursing Department, Federal University of Cear\u00e1, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17186538"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945916651824"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2016.12.003"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_752_19"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.5830\/CVJA-2017-016"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/hr.2012.12"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.37765\/ajmc.2022.88844"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.17533\/udea.iee.v37n2e08"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/2047-3095.12142"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.11.006"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000203"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/2047-3095.12489"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmm005"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.08.028"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/21925682221110527"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcm.2019.05.012"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010926"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.2196\/17559"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2017.10.001"},{"key":"e_1_3_3_21_1","doi-asserted-by":"crossref","unstructured":"Dye CJ Williams JE Evatt JH (2015) Improving hypertension self-management with community health coaches. 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