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. 2021 Oct;57(4):1950-1959.
doi: 10.1111/ppc.12771. Epub 2021 Apr 16.

Unidimensional analysis of the nursing diagnoses of situational low self-esteem and chronic low self-esteem

Natália B de Castro  1 , Marcos Venícios de O Lopes  1 , Ana Ruth M Monteiro  2 , Camila M Diniz  1 , Larissa C G Martins  1 , Gabriele de L Ferreira  1 , Antônio Elizon A de Sousa  3
Affiliations

Unidimensional analysis of the nursing diagnoses of situational low self-esteem and chronic low self-esteem

Natália B de Castro et al. Perspect Psychiatr Care. 2021 Oct.

Abstract

Purpose: To analyze the unidimensionality of the nursing diagnoses low situational self-esteem and low chronic self-esteem proposed by NANDA-I.

Desing and methods: Diagnostic accuracy study carried out with 180 patients with depressed mood in a psychiatric hospital in northeastern Brazil.

Findings: The analysis of the latent class considered the hypothesis of low self-esteem as a unique construct and included the indicators: Excessive seeking of reassurance, repeatedly unsuccessfulness in life events, rejection of positive feedback, insomnia, solitude, and nonassertive behavior.

Practice implications: The recognition of low self-esteem as a unique diagnostic construct allows nurses to be more assertive in the provision of care.

Keywords: mental health; mood disorders; nursing diagnosis; psychiatric nursing; self-esteem.

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