{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T12:13:30Z","timestamp":1788178410014,"version":"build-2803163510"},"reference-count":79,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Coordination for the Improvement of Higher Education Personnel - Brazil (CAPES) - Finance Code 001."}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to analyze evidence of content validity of the related factors (RFs) of the nursing diagnosis (ND) \u201cineffective health self-management\u201d in people living with the human immunodeficiency virus (HIV).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      It is a methodological study carried out between April\/2022 and May\/2023 in three stages: scoping review aimed at the RFs of the ND \u201cineffective health self-management\u201d 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%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05, and a percentage of 85% in the attribution of definitions considered adequate. The content validity index (CVI) was calculated, and when \u2265 0.80, they were considered relevant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three new RFs were proposed as components of the diagnosis, adding to the 30 already included in the NANDA-I version (2021\u20132023). Expert nurses analyzed these components, and all 33 RFs were considered adequate (&gt;85%). All 33 CDs and 33 ODs were validated with CVI \u2265 0.80.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In addition to constructing and validating definitions for the 30 existing RFs, this study identified and validated three new proposed RFs of the diagnosis \u201cineffective health self-management\u201d: (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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for nursing<\/jats:title>\n                    <jats:p>The content analysis of the diagnosis \u201cineffective health self-management\u201d 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261450444","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T13:52:58Z","timestamp":1787579578000},"page":"190-207","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Related factors of the nursing diagnosis \u201cineffective health self-management\u201d in\u00a0people living with human immunodeficiency virus: A validation study"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4926-0500","authenticated-orcid":false,"given":"N\u00e1dia A. 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