{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:48:26Z","timestamp":1791827306096,"version":"4.3.4"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"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>Objective<\/jats:title>\n                    <jats:p>To clinically validate the nursing diagnosis \u201cRisk for shock\u201d in patients with acute myocardial infarction (AMI) admitted to an Intensive Care Unit (ICU).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A retrospective case-control study conducted at a high-complexity university hospital in Brazil. The sample consisted of 116 medical records of adult patients with AMI, equally distributed between the case group (with cardiogenic shock; n\u2009=\u200958) and the control group (without cardiogenic shock; n\u2009=\u200958). Diagnostic accuracy measures (sensitivity, specificity, predictive values, and likelihood ratios) were calculated, and multivariate binary logistic regression using the Stepwise Forward method was applied to identify independent predictors and control for confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the accuracy analysis, the indicator \u201cUnstable blood pressure\u201d showed the best clinical balance, with a sensitivity of 85.0% (95% CI: 76.2\u201393.8) and a specificity of 83.6% (95% CI: 74.4\u201392.8). \u201cHyperthermia\u201d and \u201cInadequate fluid volume\u201d showed the highest individual specificities (90.1% and 80.3%, respectively). After adjusting the logistic regression model (Nagelkerke R\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.614; Hosmer-Lemeshow p\u2009=\u20090.782), only four factors remained significant as independent predictors of the outcome: unstable blood pressure (aOR = 7.80; 95% CI: 3.10\u201319.60; p\u2009&lt;\u20090.001), hypoxia (aOR = 3.70; 95% CI: 1.50\u20139.20; p\u2009=\u20090.006), hypoxemia (aOR = 2.90; 95% CI: 1.40\u20136.10; p\u2009=\u20090.004), and inadequate fluid volume (aOR = 2.10; 95% CI: 1.00\u20134.50; p\u2009=\u20090.048). Thermal and hemorrhagic indicators lost significance after adjustment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study clinically validated the diagnosis and confirmed a robust predictive model composed of four indicators. Prioritizing the monitoring of these risk factors enables critical care nurses to anticipate hemodynamic collapse, support targeted care protocols, and optimize multiprofessional decision-making at the bedside.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261496445","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:13:53Z","timestamp":1791825233000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Validation of the Nursing Diagnosis \u201cRisk for Shock\u201d in Patients with Acute Myocardial Infarction Admitted to the ICU"],"prefix":"10.1177","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\/0009-0004-0759-0928","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\/0009-0001-4732-3582","authenticated-orcid":false,"given":"Isaque Augusto Rosendo","family":"Costa","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":[[2026,10,12]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.119.013876"},{"issue":"3","key":"e_1_3_2_3_1","first-page":"194","article-title":"Accuracy of nursing diagnoses in cardiac intensive care units: A systematic review","volume":"31","author":"Barros L. 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