# Middle-range theory of the risk for ineffective glucose pattern self-management in hemodialysis

## TL;DR

This paper develops a middle-range nursing theory to understand ineffective glucose self-management in hemodialysis patients.

## Contribution

A novel middle-range theory for a nursing diagnosis in hemodialysis patients' glucose self-management is proposed.

## Key findings

- Two essential attributes and 18 clinical antecedents were identified for the nursing diagnosis.
- Six theoretical propositions and causal relationships were developed using a scoping review and Roy’s model.
- The theory includes linear, domino, and qualitative leap effects to explain the phenomenon.

## Abstract

to develop a middle-range theory for the “Risk for ineffective glucose pattern self-management” nursing diagnosis in patients undergoing hemodialysis.

this is a methodological study to validate the nursing diagnosis, based on a middle-range theory, conducted in six stages: defining the approach, theoretical-conceptual models, and concepts, developing the pictogram, propositions, and causal relationships. The construction was operationalized through a scoping review and supported by Roy’s model.

two essential attributes were identified, as well as 18 clinical antecedents, subdivided into seven risk factors, seven associated conditions, and four at-risk populations. A pictogram, six theoretical propositions, and causal relationships were identified in linear, domino, and qualitative leap effects.

the middle-range theory of the “Risk for ineffective glucose pattern self-management” nursing diagnosis in hemodialysis patients was developed, helping to better understand this phenomenon.

elaborar uma teoria de média alcance do diagnóstico de enfermagem “Risco de autogestão ineficaz do padrão de glicemia” em pacientes submetidos à hemodiálise.

estudo metodológico de validação do diagnóstico de enfermagem, a partir de uma teoria de médio alcance, realizado em seis etapas: definição da abordagem, dos modelos teórico-conceituais e dos conceitos, elaboração do pictograma, das proposições e das relações de causalidade. A construção foi operacionalizada pela scoping review e subsidiada pelo modelo de Roy.

foram identificados dois atributos essenciais, 18 antecedentes clínicos, subdivididos em sete fatores de risco, sete condições associadas e quatro populações em risco, um pictograma, seis proposições teóricas, e as relações de causalidade em efeitos linear, dominó e salto de qualidade.

a teoria de médio alcance do diagnóstico de enfermagem “Risco de autogestão ineficaz do padrão de glicemia” nos pacientes em hemodiálise foi elaborada, auxiliando na maior compreensão desse fenômeno.