{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:03:30Z","timestamp":1785427410412,"version":"3.56.0"},"reference-count":63,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"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":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["420358\/2023-4"],"award-info":[{"award-number":["420358\/2023-4"]}],"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"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To identify clinical indicators related to ineffective health maintenance behaviors in kidney transplant recipients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Searches were conducted in 10 databases: PubMed, Embase, Scopus, Web of Science, PsycINFO, Ovid, CINAHL, Virtual Health Library, Google Scholar, and thesis and dissertation databases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The final sample comprised 21 studies, from which 15 clinical indicators related to the nursing diagnosis ineffective health maintenance behaviors in kidney transplant recipients were identified. Of these, nine are included in the NANDA-I 2024\u20132026 taxonomy, whereas six emerged from the analysis of the included studies. The most frequently reported indicators were failure to act to prevent health problems, sedentary behavior pattern, nonadherence to health activities, and inappropriate health behavior pattern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This systematic review identified clinical indicators potentially related to the nursing diagnosis ineffective health maintenance behaviors in kidney transplant recipients, including indicators not currently included in the NANDA-I taxonomy. These findings expand the available evidence regarding this nursing diagnosis in this population; however, they require confirmation through clinical validation and diagnostic accuracy studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for nursing practice<\/jats:title>\n                    <jats:p>The identified indicators may support nurses\u2019 clinical reasoning and facilitate a more comprehensive assessment of health maintenance behaviors in kidney transplant recipients. However, their application in clinical practice should be interpreted with caution until their diagnostic performance has been confirmed through validation studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261471628","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:36:34Z","timestamp":1785425794000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Indicators Related to Nursing Diagnosis of Ineffective Health Maintenance Behaviors in Kidney Transplant Recipients: Systematic Review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0815-1703","authenticated-orcid":false,"given":"Iorana Candido da","family":"Silva","sequence":"first","affiliation":[{"name":"Federal University of Cear\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1902-5019","authenticated-orcid":false,"given":"Dayane dos Reis Ara\u00fajo","family":"Rocha Holanda","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila Gomes","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0052-1770","authenticated-orcid":false,"given":"Layane Ryane da Silva","family":"Souza","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8033-8831","authenticated-orcid":false,"given":"Viviane Martins da","family":"Silva","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2341-7936","authenticated-orcid":false,"given":"Rafaella Pessoa","family":"Moreira","sequence":"additional","affiliation":[{"name":"University of International Integration of Afro-Brazilian Lusophony"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5867-8023","authenticated-orcid":false,"given":"Marcos Ven\u00edcios de Oliveira","family":"Lopes","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7255-960X","authenticated-orcid":false,"given":"Ana Luisa Brand\u00e3o de Carvalho","family":"Lira","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1"}],"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":"10.1007\/s11845-009-0363-z"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12030977"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/0886022X.2025.2480246"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-012799"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105315604889"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2025.e42179"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119756194"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/152692480601600108"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-025-04153-9"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.70029"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.70161"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2011.06.051"},{"issue":"88","key":"e_1_3_2_14_1","article-title":"Factors associated with health-related quality of life in renal transplant recipients: Results of a national survey in France","volume":"11","author":"Gentile S.","year":"2013","unstructured":"Gentile S., Beauger D., Speyer E., Jouve E., Dussol B., Jacquelinet C., Brian\u00e7on S. 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