{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T12:13:27Z","timestamp":1788178407248,"version":"build-2803163510"},"reference-count":25,"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":[{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"publisher","award":["CNPQ\/MCTI N.10\/2023"],"award-info":[{"award-number":["CNPQ\/MCTI N.10\/2023"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"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>Background<\/jats:title>\n                    <jats:p>Clinical indicators (CI) of the nursing diagnosis (ND) ineffective health maintenance behaviors (IHMB) (00292) may be present in women who do not wish to become pregnant. Thus, nurses should to be attentive of the individual, cultural, and social characteristics of these women in order to identify behaviors (CI) that may represent a risk for unwanted pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to identify CI of IHMB in women of childbearing age who do not wish to become pregnant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Systematic review of diagnostic test accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>Scopus, PubMed\/MEDLINE, Embase, Biblioteca Virtual em Sa\u00fade, PsycINFO (Searched on November 12, 2023) and Ovid, Web of Science, CINAHL, Google Scholar, and ProQuest (searched on June 10, 2024).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data synthesis<\/jats:title>\n                    <jats:p>The final sample resulted in five articles, in which two CI were identified in women who manifested the ND IHMB. \u201cIneffective choices in daily life for meeting health goals\u201d was identified in women when they did not discuss contraceptive methods with their partners. \u201cFailure to perceive health risk\u201d was identified when women had low or no perception of pregnancy risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Two CI of IHMB were identified in women who do not wish to become pregnant: \u201cineffective choices in daily life for meeting health goals\u201d and \u201cfailure to perceive health risk.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the profession and\/or patient care<\/jats:title>\n                    <jats:p>These findings will provide nurses a better understanding of behaviors expressed by women who do not wish to become pregnant that prevent them to use contraception, that way nurses can make specific interventions on these issues. Including the indicator failure to perceive health risk to the NANDA International can broaden the spectrum of nurse's assessment for the study population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261450456","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T13:52:58Z","timestamp":1787579578000},"page":"225-233","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical indicators of ineffective health maintenance behaviors in women who do\u00a0not wish to become pregnant: A\u00a0systematic review"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1793-9829","authenticated-orcid":false,"given":"Nathaly B. M.","family":"Fr\u00f3es","sequence":"first","affiliation":[{"name":"Federal University of Cear\u00e1, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1902-5019","authenticated-orcid":false,"given":"Dayane dos R. A. R.","family":"Holanda","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1828-0202","authenticated-orcid":false,"given":"Mariana G.","family":"Pagio","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7908-5292","authenticated-orcid":false,"given":"Rebeca R. M.","family":"Nunes","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0405-7517","authenticated-orcid":false,"given":"Nirla G.","family":"Guedes","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8033-8831","authenticated-orcid":false,"given":"Viviane M.","family":"da Silva","sequence":"additional","affiliation":[{"name":"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 V. de O.","family":"Lopes","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-016-0283-9"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.11.046"},{"key":"e_1_3_2_4_1","article-title":"STARD 2015: An updated list of essential items for reporting diagnostic accuracy studies","volume":"351","author":"Bossuyt P. M.","year":"2015","unstructured":"Bossuyt P. M., Reitsma J. B., Bruns D. E., Gatsonis C. A., Glasziou P. P., Irwig L., Lijmer J. G., Moher D., Rennie D., de Vet H. C. W., Kressel H. Y., Rifai N., Golub R. M., Altman D. G., Hooft L., Korevaar D. A., Cohen J. F. (2015). STARD 2015: An updated list of essential items for reporting diagnostic accuracy studies. Bmj, 351, h5527. https:\/\/doi.org\/10.1136\/bmj.h5527","journal-title":"Bmj"},{"key":"e_1_3_2_5_1","unstructured":"Chandra K. Slater B. Ma M. (2025). ResearchRabbit. ResearchRabbit. Retrieved June 10 2025 from https:\/\/www.researchrabbit.ai\/"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119756194"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/23293691.2022.2090304"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0291110"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/sifp.12209"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2022.09.135"},{"key":"e_1_3_2_11_1","volume-title":"NANDA International nursing diagnoses: Definitions & classification, 2024\u20132026","author":"Herdman T.","year":"2024","unstructured":"Herdman T., Kamitsuru S., Lopes C. (2024). NANDA International nursing diagnoses: Definitions & classification, 2024\u20132026 (13th ed.). Thieme Medical Publishers.","edition":"13"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.11606\/s1518-8787.2023057004863"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.70138"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.19163"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-020-01032-4"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.09.004"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102005000500015"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-016-0384-4"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.36367\/ntqr.8.2021.707-714"},{"key":"e_1_3_2_20_1","volume-title":"Adding it up: Investing in sexual and reproductive health 2019","author":"Sully E. A.","year":"2020","unstructured":"Sully E. A., Biddlecom A., Darroch J. E., Riley T., Ashford L. S., Lince-Deroche N., Firestein L., Murro R. (2020). Adding it up: Investing in sexual and reproductive health 2019. Guttmacher Institute."},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-018-4031-0"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413-81232021269.2.24332019"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/27550834221115979"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-8-201110180-00009"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.2147\/OAJC.S284129"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.2147\/OAJC.S285358"}],"container-title":["International Journal of Nursing Knowledge"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20473087261450456","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20473087261450456","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20473087261450456","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T11:13:59Z","timestamp":1788174839000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20473087261450456"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/20473087261450456"],"URL":"https:\/\/doi.org\/10.1177\/20473087261450456","relation":{},"ISSN":["2047-3087","2047-3095"],"issn-type":[{"value":"2047-3087","type":"print"},{"value":"2047-3095","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]}}}