{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:50:32Z","timestamp":1791809432733,"version":"4.3.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"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":["International Journal of Nursing Knowledge"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To validate the NANDA-I nursing diagnosis \u201cRisk for Shock\u201d through content analysis and expert evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a methodological study with a quantitative approach, conducted in two phases: (1) theoretical-causal validation of the nursing diagnosis Risk for Shock in individuals with acute myocardial infarction (AMI), and (2) content validation performed by subject-matter experts was conducted between March and September 2024, involving two rounds of expert assessment based on predefined criteria of expertise. The Delphi technique and the Content Validity Index (CVI) were employed, with a cutoff point of \u22650.80. The definitions, defining characteristics, risk factors, and at-risk populations related to the diagnosis were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 62 experts participated in the first round and 51 in the second, predominantly female, with high academic qualifications and substantial experience in intensive care, cardiology, and the nursing process. In the first round, most indicators reached a CVI\u2009\u2265\u20090.80, except for some risk factors that were subsequently revised. In the second round, all diagnostic elements achieved consensus and satisfactory CVI, consolidating the validated diagnostic proposal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The nursing diagnosis \u201cRisk for Shock\u201d was validated in terms of content, presenting refined definitions and indicators for clinical practice, thereby contributing to diagnostic accuracy and patient safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261460971","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T08:36:28Z","timestamp":1783326988000},"page":"639-654","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Content Validation of the Nursing Diagnosis \u2018Risk of Shock\u2019 in Individuals with Acute Myocardial Infarction"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9908-2901","authenticated-orcid":false,"given":"Anna Livia de Medeiros","family":"Dantas","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7449-746X","authenticated-orcid":false,"given":"Semiramis Mesquita Ciriaco da Silva","family":"Dionisio","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6148-0575","authenticated-orcid":false,"given":"Jessica Fernanda","family":"Galon","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0759-0928","authenticated-orcid":false,"given":"Adelson de Oliveira da Cruz","family":"Filho","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3177-8466","authenticated-orcid":false,"given":"Beatriz de Oliveira Fernandes","family":"Felipe","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6290-9365","authenticated-orcid":false,"given":"Richardson Augusto Rosendo da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"issue":"2","key":"e_1_3_2_2_1","article-title":"Use of vasoactive drugs in intensive care units: a pharmacokinetic and pharmacodynamic review","volume":"16","author":"Agostinho C. 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