Ineffective health maintenance behaviors: a concept analysis based on a scoping review

Authors

DOI: https://doi.org/10.6018/eglobal.641031
Keywords: Health-related behaviors, Health promotion, Nursing diagnosis

Supporting Agencies

  • Coordination for the Improvement of Higher Education Personnel - Brazil (CAPES)
  • CNPq

Abstract

Background: the concept under study is partially developed according to the literature. According to Morse, if a concept is partially mature, techniques of comparison, clarification, and/or concept correction should be applied.

Objective: To analyze the concept of “ineffective health maintenance behaviors” from Morse's perspective. 

Method: Concept analysis conducted according to Morse's advanced techniques, operationalized through a scoping review performed in the following data sources: Scopus, MEDLINE/PubMed, ScienceDirect, Web of Science, PsycINFO, and Google Scholar, along with manual searches in reference lists.

Results: With a final sample of 35 studies, five attributes, 17 antecedents, 12 outcomes, and the boundaries of the phenomenon of ineffective health maintenance behaviors were identified for the nursing field. The results of this study contribute to the standardized nursing language.

Conclusion: The boundaries of this phenomenon in the field of nursing have been delineated. Conceptual refinement contributes to the development of targeted nursing interventions, facilitating the implementation of personalized care plans with the potential to impact the quality of care provided. Based on this concept analysis, research with observational designs is recommended to validate the indicators of the phenomenon under study, which may help nurses effectively identify, diagnose, plan, implement, and evaluate patients with ineffective health maintenance behaviors during their care.

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References

Herdman TH, Kamitsuru S, Lopes CT. (eds). Diagnósticos de enfermagem da NANDA-I: Definições e classificação 2021-2023. 12 ed. Porto Alegre: Artmed, 2021.

Silva RC, Lima NX, Lopes MVO, Silva VM, Cavalcante AMRZ. Ineffective health management in people with hypertension: Accuracy study. Int J Nurs Knowl. 2023;34, 55–64. https://doi.org/10.1111/2047-3095.12370

Silva RC, Gondim MC, Cavalcante AMRZ, Bachion MM, Silva VM, Lopes MVO. Ineffective health management: A systematic review and meta-analysis of related factors. J Nurs Scholarsh. 2022;54, 376–387. https://doi.org/10.1111/jnu.12747

Culatta E, Clay-Warner J. “I'm an adult now”: Health risk behaviors and identifying as an adult. J Health Psychol. 2022;27(14):3164-3176. https://doi.org/10.1177/13591053221086184

Simons RL, Lei MK, Klopack E, Beach SRH, Gibbons FX, Philibert RA. The effects of social adversity, discrimination, and health risk behaviors on the accelerated aging of African Americans: Further support for the weathering hypothesis. Soc Sci Med. 2020; 282: 113169. https://doi.org/10.1016/j.socscimed.2020.113169

Madudeira VSG, Silva DMGV, Trentini M, Souaz SS. Conceptual analysis methods in nursing: a theoretical reflection. Esc Anna Nery. 2021;25(2):e20200186. https://doi.org/10.1590/2177-9465-EAN-2020-0186

Morse JM. Exploring the theoretical basis of nursing using advanced techniques of concept analysis. ANS Adv Nurs Sci. 1995;17(3):31-46. https://doi.org/10.1097/00012272-199503000-00005

Gunawan J, Aungsuroch Y, Marzilli C. Beyond the classics: A comprehensive look at concept analysis methods in nursing education and research. Belitung Nurs J. 2023;9(5):406-410. https://doi.org/10.33546/bnj.2544

Morse JM, Hupcey JE, Mitcham C, Lenz ER. Concept analysis in nursing research: A critical appraisal. Sch Inq Nurs Pract. 1996;10(3):253-277. https://pubmed.ncbi.nlm.nih.gov/9009821/

Aonso-Diego G, Secades-Villa R, González-Roz A. Episodic future thinking for the prevention and treatment of health risk behaviors. Psychol Papers. 2023;44(1):8-14. https://doi.org/10.23923/pap.psicol.3005

Duarte Junior MA, Pintos Carrillo S, Martínez-Gómez D, Sotos Prieto M, Rodríguez-Artalejo F, Cabanas Sánchez V. Lifestyle behaviors, social and economic disadvantages, and all-cause and cardiovascular mortality: results from the US National Health Interview Survey. Front Public Health. 2024; 12: 1297060. https://doi.org/10.3389/fpubh.2024.1297060

Tadin A, Poljak Guberina R, Domazet J, Gavic L. Oral Hygiene Practices and Oral Health Knowledge among Students in Split, Croatia. Healthcare (Basel). 2022;10(2):406. https://doi.org/10.3390/healthcare10020406

Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil, H. Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis, JBI. 2020. https://doi.org/10.46658/JBIMES-20-12

Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018; 169: 467-473. https://doi.org/10.7326/M18-0850

Dantas AC. Ineffective health maintenance behaviors: scoping review protocol for concept analysis [Internet]. OSF. 2023. Available from: osf.io/m92wf

Polit D, Beck C. Lippincott Course Point Enhanced for Polit’s Essentials of Nursing Research (10th ed.). Wolters Kluwer Health; 2021.

Plascak JJ, Desire-Brisard T, Mays D, Keller-Hamilton B, Rundle AG, Rose E, et al. Associations between observed neighborhood physical disorder and health behaviors, New Jersey behavioral risk factor Surveillance System 2011-2016. Prev Med Rep. 2023; 32: 102131. https://doi.org/10.1016/j.pmedr.2023.102131

Verra SE, Poelman MP, Mudd AL, Vet E, Wit J, Kamphuis CBM. Socioeconomic inequalities in self-assessed health and food consumption: the mediating roles of daily hassles and the perceived importance of health. BMC Public Health. 2023;23(1):439. https://doi.org/10.1186/s12889-023-15077-0

Rapoport O, Möcklinghoff S, Merz S, Neidhardt E. Can I please postpone my dentist appointment? - Exploring a new area of procrastination. Curr Psychol. 2023. https://doi.org/10.1007/s12144-023-04598-x

David LR, Murphy F, Guraya SS, Abuzaid MM. Community and Policy Factors Influencing the Decision to Undergo Screening Mammography amongst Indian Women in the United Arab Emirates. Asian Pac J Cancer Prev. 2023;24(1), 307-312. https://doi.org/10.31557/APJCP.2023.24.1.307

Heuel L, Lübstorf S, Otto AK, Wollesen B. Chronic stress, behavioral tendencies, and determinants of health behaviors in nurses: a mixed-methods approach. BMC Public Health. 2022;22(1):624. https://doi.org/10.1186/s12889-022-12993-5

Cavalcante TF, Oliveira LR, Moreira RP, Costa EC, Ferreira JESM. Ineffective health management in people with type 2 diabetes. Int J Nurs Knowl. 2022;33(1):64-71. https://doi.org/10.1111/2047-3095.12331

Zhang J, Liu X, Gong D, Peng Y, Li H, Yang Y. Health beliefs, lifestyle, and cognitive aging among Chinese community residents: A structural equation model analysis. Front Public Health. 2022; 10: 1028679. https://doi.org/10.3389/fpubh.2022.1028679

Fernández-Gutiérrez DÁ, Brito-Brito PR, Darias-Curvo S, Cabrera-de-León A, Martínez-Alberto CE, Aguirre-Jaime A. Cross-mapping medical records to NANDA-I to identify nursing diagnoses in a vulnerable population. Int J Nurs Knowl. 2023;34(1):42-54. https://doi.org/10.1111/2047-3095.12371

Wainwright K, Romanowich P, Crabtree MA. Associations between impulsivity and self-care adherence in individuals diagnosed with Type 2 or prediabetes. PLoS One. 2022;17(3): e0263961. https://doi.org/10.1371/journal.pone.0263961

Kertzman S, Kagan A, Vainder M, Lapidus R, Weizman A. Relationship between smoking, narcissism, and impulsiveness among young women. BMC Psychol. 2022;10(1):127. https://doi.org/10.1186/s40359-022-00809-5

Akbar H, Gallegos D, Anderson D, Windsor C. Deconstructing type 2 diabetes self-management of Australian Pacific Islander women: Using a community participatory research and talanoa approach. Health Soc Care Community. 2022;30(5):1988-1999. https://doi.org/10.1111/hsc.13580

Alvarez C, Andrade N, Jackie BJ, Okyere R, Cooper LA. Challenges with hypertension self-care among survivors of adverse childhood experiences. SSM Qual Res Health. 2022; 2: 100065. https://doi.org/10.1016/j.ssmqr.2022.100065

Brown R, Bateman CJ, Gossell-Williams M. Influence of Jamaican Cultural and Religious Beliefs on Adherence to Pharmacotherapy for Non-Communicable Diseases: A Pharmacovigilance Perspective. Front Pharmacol. 2022; 13: 858947. https://doi.org/10.3389/fphar.2022.858947

Prihanto JB, Nurhayati F, Wahjuni ES, Matsuyama R, Tsunematsu M, Kakehashi M. Health Literacy and Health Behavior: Associated Factors in Surabaya High School Students, Indonesia. Int J Environ Res Public Health. 2021;18(15):8111. https://doi.org/10.3390/ijerph18158111

McCutchan G, Weiss B, Quinn-Scoggins H, et al. Psychosocial influences on help-seeking behaviour for cancer in low-income and lower middle-income countries: a mixed-methods systematic review. BMJ Glob Health. 2021;6(2): e004213. https://doi.org/10.1136/bmjgh-2020-004213

Roth EG, Chard S. Affective Practices of Diabetes Self-Management Among Older Adults: Cumulative Effects of Childhood Adversity. Gerontologist. 2022;62(4):568-576. https://doi.org/10.1093/geront/gnab124

Kamp KJ, Luo Z, Holmstrom A, Given B, Wyatt G. Self-Management Through Social Support Among Emerging Adults With Inflammatory Bowel Disease. Nurs Res. 2019;68(4):285-295. https://doi.org/10.1097/NNR.0000000000000354

Algren MH, Ekholm O, Nielsen L, Ersbøll AK, Bak CK, Andersen PT. Social isolation, loneliness, socioeconomic status, and health-risk behaviour in deprived neighbourhoods in Denmark: A cross-sectional study. SSM Popul Health. 2020; 10: 100546. https://doi.org/10.1016/j.ssmph.2020.100546

Celene WQ, Lim JNW, Liu J, Hartman M. Presentation of breast cancer, help seeking behaviour and experience of patients in their cancer journey in Singapore: a qualitative study. BMC Cancer. 2020; 20: 1080. https://doi.org/10.1186/s12885-020-07585-8

Waszczuk MA, Ruggero C, Li K, Luft BJ, Kotov R. The role of modifiable health-related behaviors in the association between PTSD and respiratory illness. Behav Res Ther. 2019; 115: 64-72. https://doi.org/10.1016/j.brat.2018.10.018

Maher JP, Dunton GF. Editor's Choice: Dual-process model of older adults' sedentary behavior: an ecological momentary assessment study. Psychol Health. 2020;35(5):519-537. https://doi.org/10.1080/08870446.2019.1666984

Dalton ED, Hammen CL. Independent and relative effects of stress, depressive symptoms, and affect on college students' daily health behaviors. J Behav Med. 2018;41(6):863-874. https://doi.org/10.1007/s10865-018-9945-4

Kang AW, Dulin A, Nadimpalli S, Risica PM. Stress, adherence, and blood pressure control: A baseline examination of Black women with hypertension participating in the SisterTalk II intervention. Prev Med Rep. 2020; 20: 101282. https://doi.org/10.1016/j.pmedr.2018.08.002

Craig BA, Morton DP, Morey PJ, et al. The association between self-rated health and social environments, health behaviors and health outcomes: a structural equation analysis. BMC Public Health. 2018;18(1):440. https://doi.org/10.1186/s12889-018-5323-y

Rademakers J, Heijmans M. Beyond Reading and Understanding: Health Literacy as the Capacity to Act. Int J Environ Res Public Health. 2018;15(8):1676. https://doi.org/10.3390/ijerph15081676

Taniguchi-Tabata A, Ekuni D, Mizutani S, Yamane-Takeuchi M, Kataoka K, Azuma T, et al. Associations between dental knowledge, source of dental knowledge and oral health behavior in Japanese university students: A cross-sectional study. PLoS One. 2017;12(6):e0179298. https://doi.org/10.1371/journal.pone.0179298

Plow M, Moore SM, Sajatovic M, Katzan I. A mixed methods study of multiple health behaviors among individuals with stroke. PeerJ. 2017;5: e3210. https://doi.org/10.7717/peerj.3210

Friis K, Lasgaard M, Rowlands G, Osborne RH, Maindal HT. Health Literacy Mediates the Relationship Between Educational Attainment and Health Behavior: A Danish Population-Based Study. J Health Commun. 2016;21(sup2):54-60. https://doi.org/10.1080/10810730.2016.1201175

Carlsson V, Hakeberg M, Wide Boman U. Associations between dental anxiety, sense of coherence, oral health-related quality of life and health behavior--a national Swedish cross-sectional survey. BMC Oral Health. 2015; 15: 100. https://doi.org/10.1186/s12903-015-0088-5

Bernecker K, Job V. Beliefs About Willpower Are Related to Therapy Adherence and Psychological Adjustment in Patients With Type 2 Diabetes. Basic Appl Soc Psych. 2015;37(3):188-195. https://doi.org/10.1080/01973533.2015.1049348

Watkins YJ, Quinn LT, Ruggiero L, Quinn MT, Choi YK. Spiritual and religious beliefs and practices and social support's relationship to diabetes self-care activities in African Americans. Diabetes Educ. 2013;39(2):231-239. https://doi.org/10.1177/0145721713475843

Mishali M, Omer H, Heymann AD. The importance of measuring self-efficacy in patients with diabetes. Fam Pract. 2011;28(1):82-87. https://doi.org/10.1093/fampra/cmq086

Flynn PM, Betancourt H, Ormseth SR. Culture, emotion, and cancer screening: an integrative framework for investigating health behavior. Ann Behav Med. 2011;42(1):79-90. https://doi.org/10.1007/s12160-011-9267-z

Gonzalez JS, Safren SA, Cagliero E, Wexler DJ, Delahanty L, Wittenberg E, et al. Depression, self-care, and medication adherence in type 2 diabetes: relationships across the full range of symptom severity. Diabetes Care. 2007;30(9):2222-2227. https://doi.org/10.2337/dc07-0158

Valdez LA, Amezquita A, Hooker SP, Garcia DO. Mexican-origin male perspectives of diet-related behaviors associated with weight management. Int J Obes (Lond). 2017;41(12):1824-1830. https://doi.org/10.1038/ijo.2017.173

National Academies of Sciences, Engineering, and Medicine. Committee on the Future of Nursing 2020–2030. Flaubert JL, Le Menestrel S, Williams DR, Wakefield MK. (Eds.). The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. National Academies Press (US); 2021. https://doi.org/10.17226/25982

Martins TCF, Silva JHCM, Máximo GC, Guimarães RM. Transição da morbimortalidade no Brasil: um desafio aos 30 anos de SUS. Ciênc Saúde Coletiva. 2021;26(10):4483-4496. https://doi.org/10.1590/1413-812320212610.10852021

Hacker K. The Burden of Chronic Disease. Mayo Clin Proc Innov Qual Outcomes. 2024;8(1):112-119. https://doi.org/10.1016/j.mayocpiqo.2023.08.005

Cardoso PC, Gussatschenko Caballero L, Brasil Ruschel K, Pereira de Moraes MA, Rabelo da Silva ER. Profile of the nursing diagnoses in stable heart disease patients. Invest Educ Enferm. 2019;37(2):e08. https://doi.org/10.17533/udea.iee.v37n2e08

Dinh TTH, Bonner A. Exploring the relationships between health literacy, social support, self-efficacy and self-management in adults with multiple chronic diseases. BMC Health Serv Res. 2023; 23: 923. https://doi.org/10.1186/s12913-023-09907-5

Tharani A, Van Hecke A, Ali TS, Duprez V. Factors influencing nurses’ provision of self-management support for patients with chronic illnesses: A systematic mixed studies review. Int J Nurs Stud. 2021; 120: 103983. https://doi.org/10.1016/j.ijnurstu.2021.103983

Ruggeri SY, Emerson A, Russell CL. A concept analysis of routines for improving health behaviors. Int J Nurs Stud. 2023;10(3):277-287. https://doi.org/10.1016/j.ijnss.2023.06.004

Fawcett J. The structural hierarch of nursing knowledge: components and their definitions. In: King I, Fawcett J. (Ed.) The language at nursing theary and metatheary. Indianapolis: Sigma Theta Tau International, 1997.

Fawcett J. More thoughts about the evolution of the metaparadigm od nursing: addition of culture as another metaparadigm concept and definitions of all the concepts. Nurs Sci Q. 2024;37(2):183-184. https://doi.org/10.1016/10.1177/08940894318423122440

Published
02-09-2025
How to Cite
[1]
Dantas, A.C. et al. 2025. Ineffective health maintenance behaviors: a concept analysis based on a scoping review. Global Nursing. 24, 2 (Sep. 2025). DOI:https://doi.org/10.6018/eglobal.641031.