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. 2025 Apr;36(2):147-157.
doi: 10.1111/2047-3095.12470. Epub 2024 Jun 24.

Ineffective coping (00069): A Walker and Avant conceptual analysis

Yanka Alcântara Cavalcante  1 , Cristina Costa Bessa  1 , Francisca Evangelista Alves Feitosa  1 , Marcos Venícios de Oliveira Lopes  1 , Viviane Martins da Silva  1 , Cristiana Brasil de Almeida Rebouças  1 , Nirla Gomes Guedes  1
Affiliations

Ineffective coping (00069): A Walker and Avant conceptual analysis

Yanka Alcântara Cavalcante et al. Int J Nurs Knowl. 2025 Apr.

Abstract
in English, Portuguese

Purpose: To analyze the diagnostic concept of "ineffective coping" (00069) proposed by NANDA-I, using Walker and Avant's framework.

Data sources: The theoretical framework of Walker and Avant was used for the concept analysis. A search was performed in the Virtual Health Library portal using the keywords "ineffective coping" and "enfrentamento ineficaz."

Data synthesis: According to the literature, ineffective coping is defined as an adoption of inadequate psychosocial and behavioral strategies in response to a set of contextual stressors that negatively affect well-being and lifestyle.

Conclusions: The concept created for ineffective coping has the potential to address the psychosocial elements associated with life experiences in the face of coping mechanisms.

Implications for nursing practice: This analysis may contribute to the improvement of nursing care for patients experiencing difficult situations in their lives, as well as the challenges of nursing interventions that promote positive adaptation.

Objetivo: Analisar o conceito diagnóstico de “Enfrentamento Ineficaz” proposto pela NANDA‐Internacional, por meio do referencial de Walker e Avant.

Fonte dos dados: O referencial teórico de Walker e Avant foi adotado para a análise de conceito. Assim, realizou‐se busca no portal da Biblioteca Virtual em Saúde, por meio das palavras‐chaves “ineffective coping” e “enfrentamento ineficaz.” SÍNTESE DOS DADOS: Pela literatura, o enfrentamento ineficaz é definido como uma adoção de estratégias inadequadas comportamentais e psicossociais em resposta a uma configuração de estressores contextuais que negativamente afetam o bem estar e o estilo de vida. CONCLUSÃO: O conceito criado para o enfrentamento ineficaz possui potencial em ajustar os elementos psicossociais interligados às experiências de vida perante o mecanismo de enfrentamento. IMPLICAÇÕES PARA A PRÁTICA DE ENFERMAGEM: Tal análise pode contribuir na melhoria dos cuidados de enfermagem a pacientes que estejam experienciando situações limites em suas vidas, assim como os desafios para intervenções de enfermagem que favoreçam a adaptação positiva.

Keywords: concept; ineffective coping; nursing; nursing diagnosis; stress.

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References

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