{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T04:27:42Z","timestamp":1786422462044,"version":"build-2736575974"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Global demographic shifts necessitate effective health management for older adults, with blood pressure variability indicating early adverse outcomes. Nurses require theory-guided care for optimal blood pressure management. This study aims to integrate NANDA-I, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) to support care for older adults diagnosed with \u201cRisk for imbalanced blood pressure\u201d from the perspective of the Multidimensional Model of Successful Aging (MMSA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This descriptive study utilized an expert nurse consensus process, based on established NANDA-I-NIC-NOC (NNN) linkage recommendations. The multi-step methodology involved analysis of the NANDA-I diagnosis, a preliminary literature review, selection of relevant NOC outcomes, and identification of corresponding NIC interventions. A cross-mapping technique was then applied to compare semantically and conceptually the MMSA domains (physiological, psychological, sociological) with NANDA-I, NOC, and NIC. All linkages were reviewed and validated through expert consensus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The NNN integration resulted in NIC interventions and NOC outcomes organized by MMSA domains. NIC interventions identified within the Physiological: Complex Care (57.9%) aligned with the MMSA physiological domain. NIC intervention within the Behavioral (70.0%) aligned with the MMSA psychological domain and corresponded to the MMSA sociological domain. NOC outcomes were primarily distributed between the physiological (48%) and psychological (44.4%) MMSA domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The integration of NANDA-I, NIC, and NOC for older adults with \u201cRisk for imbalanced blood pressure\u201d, guided by the MMSA, encompassed all three domains of successful aging. Despite the physiological domain predominated, psychological and sociological elements are essential for promoting overall well-being and reinforcing a biopsychosocial approach to nursing care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Practice<\/jats:title>\n                    <jats:p>Nurses must broaden assessments beyond physical parameters to include older adults\u2019 subjective aging perceptions, emotional well-being, social engagement, and self-efficacy in managing \u201cRisk for imbalanced blood pressure\u201d. Systematically utilizing NIC and NOC will enhance care planning, fostering an individualized approach that empowers older adults for quality aging amidst chronic diseases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261462595","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T03:32:06Z","timestamp":1786419126000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["NANDA-I, NIC, NOC for Successful Aging in Older Adults with Risk for Imbalance Blood Pressure: Cross-Mapping"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1355-5262","authenticated-orcid":false,"given":"Ricardo Costa da","family":"Silva","sequence":"first","affiliation":[{"name":"State University of Goias, Campus Ceres and Clinical Hospital of the Federal University of Goias"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6442-7396","authenticated-orcid":false,"given":"Clarissa Santos de Lima","family":"Araujo","sequence":"additional","affiliation":[{"name":"Federal University of Goias and Clinical Hospital of the Federal University of Goias"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3910-2162","authenticated-orcid":false,"given":"Agueda Maria Ruiz Zimmer","family":"Cavalcante","sequence":"additional","affiliation":[{"name":"Federal University of Goias"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2024.03.001"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11357-022-00697-y"},{"issue":"25","key":"e_1_3_3_4_1","volume":"76","author":"Brodmann M.","year":"2020","unstructured":"Brodmann M., Cahill T. 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