OBJECTIVE: To map evidence on nursing care for women with HELLP syndrome.
METHODS: A scoping review with searches carried out in May 2023, independently, in the PubMed/MEDLINE, LILACS, Scopus, EMBASE, Web of Science, CINAHL, CAPES Theses and Dissertations Catalog and Cochrane Library databases, correlating the descriptors HELLP Syndrome, Nursing Care and Obstetric Nursing and its synonyms, without delimitation of time and language. Selection was carried out by three researchers independently and resolved by consensus.
RESULTS: Of the 129 studies, ten were selected, which made up the final sample. The studies date from 2004 to 2022, with a predominance of English language and clinical case studies. A greater occurrence of the syndrome was observed in second-time pregnant women in the second decade of life, with a gestational age from 32 weeks, which resulted in an emergency cesarean section, and all newborns were discharged accompanied by their mothers. Studies that described nursing diagnoses and focused on nursing care were retrieved. From the review, 39 nursing care were identified.
CONCLUSIONS: This review pointed out the magnitude of the syndrome, however with a lack of studies.

OBJECTIVE: to identify in the literature the main nursing diagnoses according to the NANDA-I diagnostic classification for people hospitalized with heart failure.
METHODS: an integrative literature review, carried out in February 2019 and updated in July 2023, in the MEDLINE via PubMed, LILACS, SciELO and CINAHL databases. Given the use of acronym PEO, studies without a time cut in Portuguese, English and Spanish were included. Descriptive analysis was carried out to present the identified information.
RESULTS: analysis of 27 articles identified 24 nursing diagnoses, with emphasis on Decreased Cardiac Output, Excessive Fluid Volume, Decreased Activity Tolerance and Fatigue.
CONCLUSIONS: evidence can contribute to better diagnostic decisions centered on people with heart failure in search of more assertive health results and have the potential to support future studies on a possible syndromic pattern in this population.

OBJECTIVE: to develop and evaluate a Middle-Range Theory for the nursing diagnosis \"Disrupted Mother-Fetus Dyad Risk\" in high-risk pregnancies.
METHODS: this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem\'s General Nursing Model was used as the theoretical-conceptual foundation. Evaluation was conducted using the Delphi method with seven judges, and consensus was achieved when the Content Validity Index of the evaluated items was ≥ 0.80.
RESULTS: the theory identified 20 elements of the nursing diagnosis \"Disrupted Mother-Fetus Dyad Risk\" (10 risk factors, 4 at-risk populations, and 6 associated conditions), 14 propositions, and 1 pictogram. After two rounds of evaluation, the theory was considered consistent, with consensus reached for all items, each achieving a Content Validity Index ≥ 0.80.
CONCLUSIONS: the Middle-Range Theory included biopsychosocial factors explaining the nursing phenomenon \"Disrupted Mother-Fetus Dyad Risk,\" which aids in nurses\' diagnostic reasoning.

OBJECTIVE: This study aimed to determine the clinical validation of the nursing diagnosis (ND) of \"spiritual distress (00066)\" and the sensitivity, specificity, likelihood ratio, and predictive value in parents of children with chronic diseases.
METHODS: This cross-sectional study was conducted using the clinical diagnostic validity method proposed by Fehring. The data were collected through structured interviews and using a researcher-made list that included 5 parts of demographic information, parents\' opinions about spiritual distress, the researcher\'s diagnosis, 74 defining characteristics (DCs) of the ND of spiritual distress, and the Spiritual Well-being Questionnaire. Data were analyzed using descriptive statistics as well as sensitivity, specificity, likelihood ratio, and predictive value.
RESULTS: The prevalence of diagnosis was 70% in a sample of 120 parents. Out of the 74 DCs, 39 criteria were validated. Questioning meaning of illness and suffering had the highest sensitivity (98.8%), the highest negative predictive value (88.88%), and the lowest negative likelihood ratio (0.05%). Expressing the lack of meaning in life demonstrated the highest specificity (97.22%), the highest positive predictive value (98.33%), and the highest positive likelihood ratio (25.26%).
CONCLUSIONS: Parents who search for meaning of illness and suffering related to a lack of meaning in life are in spiritual distress. The ND was validated.
CONCLUSIONS: These findings can empower clinical nurses to confidently assess and identify patients experiencing spiritual distress, bridging the gaps caused by the absence of standardized tools for assessing spiritual distress in the inpatient setting.

OBJECTIVE: Discuss the label \"impaired foot health\" to be considered a problem-focused nursing diagnosis according to the taxonomy of NANDA-I.
METHODS: Discussion article based on literature reviews and observational studies based on the authors\' PhD ongoing research about foot health among nursing students and professionals.
RESULTS: Attending to the definition of nursing diagnosis and the scope of nursing practice internationally, several human responses and contexts should be considered, opening new opportunities for NANDA-I completeness.
CONCLUSIONS: A new nursing diagnosis has been disclosed, opening new dimensions to the NANDA-I taxonomy.
CONCLUSIONS: This nursing diagnosis represents an opening door for the taxonomy, particularly for occupational health nursing in an international context.
OBJECTIVE: Descrever de que forma a “saúde do pé comprometida” pode ser considerado um diagnóstico de enfermagem centrado no problema a incluir na taxonomia da NANDA‐I. MÉTODOS: Artigo de discussão baseado em revisões da literatura e estudos observacionais incluídos no estudo de doutoramento em curso dos autores sobre a saúde do pé em estudantes de enfermagem e enfermeiros.
RESULTS: Atendendo à definição de diagnósticos de enfermagem e no âmbito da prática de enfermagem a nível internacional, várias respostas humanas e contextos profissionais devem ser considerados, abrindo novas oportunidades para a completude da NANDA‐I. CONCLUSÕES: Um novo diagnóstico de enfermagem foi revelado, descobrindo novas dimensões para a taxonomia da NANDA‐I. IMPLICAÇÕES PARA A ENFERMAGEM: Este diagnóstico de enfermagem representa uma oportunidade para a taxonomia, nomeadamente para a enfermagem de saúde ocupacional em contexto internacional.

UNASSIGNED: Seafood poisoning is common worldwide but is relatively unknown by clinicians and the general public and can be confused with other causes. This article discusses two common seafood poisoning cases-ciguatera and scombroid poisoning-and offers recommended nursing considerations.

This study investigates how to reduce nurses\' repetitive electronic nursing record tasks. We applied generative AI by learning nursing record data practiced with virtual patient data. We aim to evaluate generative AI\'s usefulness, usability, and availability when applied to nursing record creation tasks. The nursing record data collected through the electronic nursing record system for nursing students without privacy issues is in the form of NANDA, FocusDAR, SOAPIE, and narrative records. We trained 50,000 nursing record data and upgraded the performance through generative AI and fine-tuning. A separate API was used to connect with the practice electronic nursing record system, and 40 experienced nurses from a university hospital conducted tests. The electronic nursing record, through generative AI, is expected to contribute to easing the workload of nurses.

OBJECTIVE: Apply Graph Theory to analyze and map knowledge about nursing diagnoses and interventions, based on records of consultations carried out by nurses, in women\'s health, in primary health care.
METHODS: Secondary data from a cross-sectional study were used. Records of nursing consultations carried out during the month of October 2016, in 21 health units, in a Brazilian municipality were analyzed. Network analysis was carried out using Graphs from 61 nursing consultations.
RESULTS: 175 diagnoses were recorded, an average of three per consultation; and 380 interventions, an average of six per consultation. In the analysis, four diagnostic and four intervention network groupings were identified.
CONCLUSIONS: The mapping allowed reflection on phenomena of interest to Nursing and fostering critical thinking in decision making. The findings are useful for teaching and training nurses, as well as strengthening the use of standardized language systems.

UNASSIGNED: Infections from Clostridioides difficile (often called C. diff) have long presented challenges for both patients and clinicians. Traditionally, C. diff has been considered a nosocomial infection, but in recent years, a noticeable spike in community-acquired cases has occurred. C. diff infection (CDI) testing is often complicated, as various testing options with differing sensitivity and specificity for active infection are available. Also, recent guideline changes have altered the recommended treatment of infection. This article discusses recent changes to both the diagnosis and management of CDI and how they can be applied to everyday NP practice.

OBJECTIVE: To verify clinical validity evidence for the ineffective social support network nursing diagnosis.
METHODS: A quantitative, descriptive, cross-sectional study was performed with 98 violence-victimized women treated in two reference centers for violence in the city of Recife, Pernambuco, Brazil. The women were interviewed from August 2021 to June 2022.
RESULTS: The clinical indicators that best predicted the nursing diagnosis were as follows: Frustration with unmet support expectations, negative social interaction, perceived neglect of support demands, feeling of abandonment, low reciprocity, and encouragement of negative behaviors. Etiological factors that showed greater association were excessive demand for support, limited social network, social isolation, the fragility of institutional service networked organizations, and inadequate appreciation of available social support.
CONCLUSIONS: The clinical validity evidence for the ineffective social support network nursing diagnosis has been verified. Thus, the validated clinical indicators and etiological factors can accurately diagnose and predict the emergence of this phenomenon in violence-victimized women.
CONCLUSIONS: The results contribute to advancing scientific knowledge in nursing teaching, research, and practice and support the nursing process in violence-victimized women.
OBJECTIVE: Verificar evidências de validade clínica para o diagnóstico de enfermagem Rede de Apoio Social Ineficaz. MÉTODO: Estudo quantitativo, descritivo e transversal realizado com 98 mulheres vítimas de violência atendidas em dois centros de referência em violência na cidade do Recife, Pernambuco, Brasil. As mulheres foram entrevistadas no período de agosto de 2021 a junho de 2022.
RESULTS: Os indicadores clínicos que melhor predisseram o diagnóstico de enfermagem foram: Frustração com Expectativas de Apoio Não Atendidas, Interação Social Negativa, Negligência Percebida nas Demandas de Apoio, Sentimento de Abandono, Baixa Reciprocidade e Incentivo a Comportamentos Negativos. Os fatores etiológicos que apresentaram maior associação foram Demanda Excessiva de Apoio, Rede Social Limitada, Isolamento Social, Fragilidade das Organizações em Rede de Serviços Institucionais e Valorização Inadequada do Apoio Social Disponível. CONCLUSÕES: Foram verificadas evidências de validade clínica para o diagnóstico de enfermagem Rede de Apoio Social Ineficaz. Assim, os indicadores clínicos e fatores etiológicos validados têm a capacidade de diagnosticar e prever com precisão o surgimento deste fenômeno em mulheres vítimas de violência. IMPLICAÇÕES PARA A PRÁTICA DE ENFERMAGEM: A validação clínica do diagnóstico fundamenta as intervenções de enfermagem direcionadas às mulheres vítimas de violência e à sua rede de apoio social. PALAVRAS‐CHAVE: Apoio social; Educação saudável; diagnóstico de enfermagem; rede social; violência contra as mulheres.