{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:02:02Z","timestamp":1785412922639,"version":"3.56.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Coordination of Superior Level Staff Improvement \u2013 CAPES\/ Brazil"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To clinically validate the nursing diagnosis (ND) inadequate social support network in breastfeeding mothers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This cross-sectional quantitative study employed clinical indicator accuracy analysis and hierarchical modeling for the etiological factors of the ND inadequate social support network. The study included 285 breastfeeding mothers registered in primary healthcare units.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The most prevalent clinical indicators within the sample were deficit in instrumental support from health services, imposition of appropriate behaviors, weak social bonds, and negative social interactions. The most frequent etiological factors were deficit in strong bonds, fragility of institutional network organization, unwillingness to provide support, refusal to provide support, and deficit in healthcare professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The ND inadequate social support network was clinically validated within the population of breastfeeding mothers, resulting in six clinical indicators with high sensitivity and specificity for identifying the diagnosis. Additionally, the statistical analysis of the etiological factors identified seven antecedents to the emergence of the diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for nursing practice<\/jats:title>\n                    <jats:p>Based on these findings, nurses can better assist breastfeeding mothers with the aim of preventing an inadequate social support network. By identifying this phenomenon, it becomes possible to plan care and implement nursing interventions to address this issue effectively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261449722","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:00:16Z","timestamp":1785409216000},"page":"73-82","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical validation of the nursing diagnosis inadequate social support network in breastfeeding mothers: A cross-sectional study"],"prefix":"10.1177","volume":"37","author":[{"given":"Michelline S.","family":"Fran\u00e7a","sequence":"first","affiliation":[{"name":"Nursing Department\/Graduate Nursing Program, Federal Institute of Pernambuco, Abreu e Lima, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9778-5024","authenticated-orcid":false,"given":"Francisca M. P.","family":"Linhares","sequence":"additional","affiliation":[{"name":"Nursing Department\/Graduate Nursing Program, Federal University of Pernambuco, Recife, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5867-8023","authenticated-orcid":false,"given":"Marcos V. O.","family":"Lopes","sequence":"additional","affiliation":[{"name":"Nursing Department\/Graduate Nursing Program, Federal University of Cear\u00e1, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7554-2662","authenticated-orcid":false,"given":"Ryanne C. M. G.","family":"Mendes","sequence":"additional","affiliation":[{"name":"Nursing Department, University of Pernambuco, Recife, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzana O.","family":"Mangueira","sequence":"additional","affiliation":[{"name":"Nursing Department\/Graduate Nursing Program, Federal University of Para\u00edba, Jo\u00e3o Pessoa, Para\u00edba, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciana P.","family":"Leal","sequence":"additional","affiliation":[{"name":"Nursing Department\/Graduate Nursing Program, Federal University of Pernambuco, Recife, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliane M. R.","family":"Vasconcelos","sequence":"additional","affiliation":[{"name":"Nursing Department\/Graduate Nursing Program, Federal University of Pernambuco, Recife, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4707-6873","authenticated-orcid":false,"given":"Cleide M.","family":"Pontes","sequence":"additional","affiliation":[{"name":"Nursing Department\/Graduate Nursing Program, Federal University of Pernambuco, Recife, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9304202200030013"},{"key":"e_1_3_2_3_1","article-title":"Problemas adaptativos decorrentes do abandono do progenitor ap\u00f3s S\u00edndrome Cong\u00eanita do Zika","volume":"73","author":"Calazans J. C. C.","year":"2020","unstructured":"Calazans J. C. C., Abreu P. D. D., Ara\u00fajo E. C. D., Linhares F. M. P., Pontes C. M., Lacerda A. C. T. D., Vasconcelos M. G. L. D. (2020). Problemas adaptativos decorrentes do abandono do progenitor ap\u00f3s S\u00edndrome Cong\u00eanita do Zika. Revista Brasileira de Enfermagem, 73, e20190602.","journal-title":"Revista Brasileira de Enfermagem"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14665"},{"key":"e_1_3_2_5_1","first-page":"1","article-title":"Influ\u00eancia da rede de apoio social na promo\u00e7\u00e3o do aleitamento materno: percep\u00e7\u00e3o das nutrizes","volume":"26","author":"Carvalho M. E. S.","year":"2023","unstructured":"Carvalho M. E. S., Diniz L. P. M., da Silva J. B. A., dos Santos N. M., Pereira V. C. (2023). Influ\u00eancia da rede de apoio social na promo\u00e7\u00e3o do aleitamento materno: percep\u00e7\u00e3o das nutrizes. Revista de APS, 26, 1\u201313.","journal-title":"Revista de APS"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-07248-7"},{"issue":"3","key":"e_1_3_2_7_1","doi-asserted-by":"crossref","first-page":"361","DOI":"10.17921\/1415-6938.2021v25n3p361-368","article-title":"Instrumentos de Avalia\u00e7\u00e3o de Rede e Apoio Social: uma Revis\u00e3o Integrativa","volume":"25","author":"Da Silva Santos E. C.","year":"2021","unstructured":"Da Silva Santos E. C., Rodrigues Brasil A. M. (2021). Instrumentos de Avalia\u00e7\u00e3o de Rede e Apoio Social: uma Revis\u00e3o Integrativa. Ensaios e Ci\u00eancias Biol\u00f3gicas Agr\u00e1rias e da Sa\u00fade, 25(3), 361\u2013368.","journal-title":"Ensaios e Ci\u00eancias Biol\u00f3gicas Agr\u00e1rias e da Sa\u00fade"},{"issue":"3","key":"e_1_3_2_8_1","first-page":"132","article-title":"\u201cM\u00e3e \u00e9 quem cuida\u201d: A legitimidade da maternidade no discurso de m\u00e3es de beb\u00eas com microcefalia em Pernambuco","volume":"23","author":"de Jesus Pereira Pinheiro D. A.","year":"2018","unstructured":"de Jesus Pereira Pinheiro D. A. (2018). \u201cM\u00e3e \u00e9 quem cuida\u201d: A legitimidade da maternidade no discurso de m\u00e3es de beb\u00eas com microcefalia em Pernambuco. Media\u00e7\u00f5es-Revista de Ci\u00eancias Sociais, 23(3), 132\u2013163.","journal-title":"Media\u00e7\u00f5es-Revista de Ci\u00eancias Sociais"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/2055102919898611"},{"issue":"8","key":"e_1_3_2_10_1","first-page":"117","article-title":"A rede de apoio como forma de preven\u00e7\u00e3o \u00e0 depress\u00e3o p\u00f3s parto","volume":"4","author":"Dutra M.","year":"2023","unstructured":"Dutra M., Faria H. (2023). A rede de apoio como forma de preven\u00e7\u00e3o \u00e0 depress\u00e3o p\u00f3s parto. Cadernos de Psicologia, 4(8), 117\u2013133.","journal-title":"Cadernos de Psicologia"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0265407518776134"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11199-019-01117-w"},{"key":"e_1_3_2_13_1","first-page":"1","article-title":"Clinical validation of the ineffective social support network nursing diagnosis in violence-victimized women","author":"Farias C. E.","year":"2024","unstructured":"Farias C. E., Mendes R. C., Lopes M. V., Fran\u00e7a M. S., Perrelli J. G., Pontes C. M., Mangueira S. O. (2024). Clinical validation of the ineffective social support network nursing diagnosis in violence-victimized women. International Journal of Nursing Knowledge, 1\u20139.","journal-title":"International Journal of Nursing Knowledge"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2015.00317"},{"key":"e_1_3_2_15_1","article-title":"Characteristics of the ineffective social support network: Integrative review","volume":"39","author":"Fran\u00e7a M. S. D.","year":"2018","unstructured":"Fran\u00e7a M. S. D., Lopes M. V. D. O., Fraz\u00e3o C. M. F. D. Q., Guedes T. G., Linhares F. M. P., Pontes C. M. (2018). Characteristics of the ineffective social support network: Integrative review. Revista Gaucha de Enfermagem, 39, e20170303.","journal-title":"Revista Gaucha de Enfermagem"},{"key":"e_1_3_2_16_1","first-page":"1","article-title":"Middle range theory for the nursing phenomenon Ineffective social support network","volume":"1","author":"Fran\u00e7a M. S.","year":"2023","unstructured":"Fran\u00e7a M. S., Linhares F. M. P., Marques Gomes Mendes R. C., Lopes M. V. D. O., de Queiroz Fraz\u00e3o C. M. F., de Maria Alves de Sousa S., Pontes C. M. (2023). Middle range theory for the nursing phenomenon Ineffective social support network. International Journal of Nursing Knowledge, 1, 1\u201310.","journal-title":"International Journal of Nursing Knowledge"},{"key":"e_1_3_2_17_1","article-title":"Valida\u00e7\u00e3o de conte\u00fado do diagn\u00f3stico de enfermagem \u201crede social de apoio inadequada\u201d","volume":"57","author":"Fran\u00e7a M. S. D.","year":"2024","unstructured":"Fran\u00e7a M. S. D., Pontes C. M., Lopes M. V. D. O., Mendes R. C. M. G., Perrelli J. G. A., Morais S. C. R. V., Linhares F. M. P. (2024). Valida\u00e7\u00e3o de conte\u00fado do diagn\u00f3stico de enfermagem \u201crede social de apoio inadequada\u201d. Revista da Escola de Enfermagem da USP, 57, e20230250.","journal-title":"Revista da Escola de Enfermagem da USP"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/10778012221150272"},{"key":"e_1_3_2_19_1","volume-title":"International nursing diagnoses: Definitions & classification 2024\u20132026","author":"Herdman T. H.","year":"2024","unstructured":"Herdman T. H., Kamitsuru S., Lopes C. T. (2024). International nursing diagnoses: Definitions & classification 2024\u20132026 (13th ed.). Thieme Publishers.","edition":"13"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0235977"},{"key":"e_1_3_2_21_1","first-page":"1","article-title":"Family function fully mediates the relationship between social support and perinatal depression in rural Southwest China","volume":"21","author":"Huang Y.","year":"2021","unstructured":"Huang Y., Liu Y., Wang Y., Liu D. (2021). Family function fully mediates the relationship between social support and perinatal depression in rural Southwest China. BMC Psychiatry [Electronic Resource], 21, 1\u201310.","journal-title":"BMC Psychiatry [Electronic Resource]"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1590\/1981-22562022025.220129.pt"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1590\/1983-80422020281372"},{"key":"e_1_3_2_24_1","first-page":"09","volume-title":"PRONANDA\u2014Programa de atualiza\u00e7\u00e3o em diagn\u00f3sticos de enfermagem: Conceitos b\u00e1sicos","author":"Lopes M. V. O.","year":"2016","unstructured":"Lopes M. V. O., Silva V. M. (2016). M\u00e9todos avan\u00e7ados de valida\u00e7\u00e3o de diagn\u00f3sticos de enfermagem. In Herdman T. H., Carvalho E. C. (Eds.), PRONANDA\u2014Programa de atualiza\u00e7\u00e3o em diagn\u00f3sticos de enfermagem: Conceitos b\u00e1sicos (1st ed., pp. 09\u201351). Artmed Panamericana Editora Ltda.","edition":"1"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0249538"},{"issue":"1","key":"e_1_3_2_26_1","first-page":"124","article-title":"Social and affective support of women who have experienced intimate partner violence","volume":"12","author":"Rocha R. Z.","year":"2019","unstructured":"Rocha R. Z., Rodegheri P. G., De Antoni C. (2019). Social and affective support of women who have experienced intimate partner violence. Contextos Cl\u00ednicos, 12(1), 124.","journal-title":"Contextos Cl\u00ednicos"},{"key":"e_1_3_2_27_1","volume-title":"As din\u00e2micas de rede e o trabalho social","author":"Sanicola L.","year":"2015","unstructured":"Sanicola L. (2015). As din\u00e2micas de rede e o trabalho social. Veras Editora."},{"key":"e_1_3_2_28_1","volume-title":"Diagnostic testing accuracy: Sensitivity, specificity, predictive values and likelihood ratios","author":"Shreffler J.","year":"2020","unstructured":"Shreffler J., Huecker M. R. (2020). Diagnostic testing accuracy: Sensitivity, specificity, predictive values and likelihood ratios. StatPearls."},{"issue":"2","key":"e_1_3_2_29_1","first-page":"127","article-title":"Pr\u00e1ticas familiares relacionadas \u00e0 manuten\u00e7\u00e3o da amamenta\u00e7\u00e3o: revis\u00e3o da literatura e metass\u00edntese","volume":"34","author":"Sousa A. M. D.","year":"2013","unstructured":"Sousa A. M. D., Fracolli L. A., Zoboli E. L. C. P. (2013). Pr\u00e1ticas familiares relacionadas \u00e0 manuten\u00e7\u00e3o da amamenta\u00e7\u00e3o: revis\u00e3o da literatura e metass\u00edntese. Revista Panamericana de Salud Publica, 34(2), 127\u2013134.","journal-title":"Revista Panamericana de Salud Publica"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-021-06098-9"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10805-019-09336-2"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/02724316211058061"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2021.1989107"}],"container-title":["International Journal of Nursing Knowledge"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20473087261449722","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20473087261449722","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20473087261449722","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:00:54Z","timestamp":1785409254000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20473087261449722"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/20473087261449722"],"URL":"https:\/\/doi.org\/10.1177\/20473087261449722","relation":{},"ISSN":["2047-3087","2047-3095"],"issn-type":[{"value":"2047-3087","type":"print"},{"value":"2047-3095","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}