Purpose A standardized language system can support the elaboration of clinical guidelines by matching information from similar patterns of response to people. To identify the factors that are related to a higher likelihood of an ineffective health management nursing diagnosis. Methods We conduct a systematic review and meta‐analysis. An electronic search was conducted in MEDLINE databases via PubMed, Web of Science, SciELO, CINAHL, SCOPUS, and Embase between October and November 2020. Descriptive data were extracted from each article. The odds ratios for each etiological factor related to ineffective health management were directly extracted from the articles or calculated from the data described in the articles. The analysis of the measurements of exposure and the magnitude of the effect was performed using the statistical software R, and a forest plot was constructed for each etiological factor. Findings Ten studies were included, and 15 related factors were recovered from the primary studies. The factors that significantly increased the likelihood of an ineffective health management nursing diagnosis were insufficient knowledge of the therapeutic regimen, perceived barriers, powerlessness, economic disadvantage, and difficulty managing complex treatment regimens. No effect was verified with the following factors: decision conflict, family pattern of healthcare, and inadequate number of cues to action. Conclusion Factors related to a higher likelihood of ineffective health management may be the focus of early and targeted nursing interventions, contributing to an improved quality of care. Clinical relevance Understanding exposure to these factors can improve diagnostic reasoning at different population levels.

Objetivo: identificar a produção científica no período de 10 anos completos, a partir da implementação da Atenção Básica no Brasil, sobre os modelos teóricos utilizados e que influenciaram os enfermeiros na avaliação de famílias no brasil e no mundo. Métodos: Trata-se de um estudo teórico-reflexivo, construído com base na leitura crítica da avaliação dos modelos familiares pelos profissionais de enfermagem, em estudos científicos, que referenciam as avaliações familiares como fatores preditores na melhora significativa no cuidado direto ao paciente. Essa construção teórica aproxima-se da abordagem qualitativa, tendo em vista a interpretação e análise dos elementos teóricos obtidos por meio de uma revisão integrativa. Resultados: Foram utilizados 20 artigos e encontrados 19 modelos. Os Modelos Calgary, o APGAR de família e o Genograma e Ecomapa são mais comumente utilizados na prática clínica do enfermeiro. Considerações Finais: A utilização de modelos teóricos de avaliação propicia melhoria na qualidade do cuidado dispensado bem como a sistematização da assistência, a integração da família e suas relações no cuidar promovendo um fortalecimento familiar.

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Objective: to identify, in the scientific literature, the defining characteristics and contributing factors (related factors, associated conditions and populations at risk) for nursing diagnosis decreased cardiac output. Method: an integrative literature review, conducted between September and October 2020, with an update in March 2022, in the MEDLINE via PubMed, LILACS, SciELO, CINAHL and EMBASE databases. Using acronym PEO, studies published in the last 10 years in Portuguese, English and Spanish were included. A descriptive analysis was carried out to present the elements mapped in the literature. Results: analysis of 31 articles identified different elements, highlighting 4 new related factors: hyperglycemic stress, prone position, left lateral position, sleep deprivation. Individuals with a history of cardiovascular disease and males were identified as possible populations at risk. Final considerations: the elements for decreased cardiac output, identified in the literature, add evidence that justifies the permanence of this diagnosis in the NANDA-I classification.

PurposeThe purpose of this study was to evaluate research from Brazilian postgraduate students who provide evidence of effectiveness for Nursing Interventions Classification (NIC).MethodsWe conducted a literature review study of thesis and dissertations available in the Brazilian Digital Library of Dissertations and Theses (D/T) in May 2021 regardless of the year they were conducted. In those studies that did not utilize the NIC in the effectiveness evaluation, the cross‐mapping methodology was employed between NIC and the interventions used by the authors of the studies.ResultsUsing a systematic process, we identified 91 studies. Twenty‐seven met a priori inclusion and exclusion criteria. We found an increase in studies that focused on nursing interventions in the last 10 years (n = 19), a large proportion of clinical trials (n = 16), and the majority of articles from the Southeast region of Brazil (n = 20). The areas of focus were adult and elderly care, and with a special interest in the behavioral domain (n = 11). Two sensitivity criteria were identified in all D/T (n = 27), and each study presented evidence of effectiveness of a minimum of three criteria simultaneously.ConclusionsBased on the effectiveness criteria, the Brazilian scientific production in postgraduate programs carried out by nurses provides evidence of the effectiveness for NIC nursing interventions.Implications for nursing practiceIt is recommended to conduct further research that uses the NIC in the planning, conduct, and evaluation of interventions, based on effectiveness criteria of nursing sensitivity.