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

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

METHODS 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.

RESULTS 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.

CONCLUSIONS 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.