Nursing interventions for ineffective self-management of health in heart disease patients in the outpatient setting: a scoping review protocol

Non-communicable chronic diseases have become the leading causes of premature mortality and disability in the population. Among them, cardiovascular diseases stand out as the main cause of global mortality. In this scenario, the role of the nurse is considered substantial for the progression of health indicators, with strategies aimed at health promotion, injury prevention and patient rehabilitation. In the field of nursing, the NANDA International diagnosis of ineffective self-management of health (00276) is listed among the health promotion diagnoses, specifically in people with chronic diseases. Previous studies have highlighted new diagnostic elements about this phenomenon, which points to new demands for intervention. The objective of this study is to describe the protocol for a scoping review on ineffective self-management of health in heart disease patients in the outpatient setting, with the aim of mapping evidence on nursing interventions for this diagnosis. This is a scoping review protocol, the study of which will be conducted according to the guidelines of the JBI Manual for Evidence Synthesis. Nine steps will be developed, namely: following the structure proposed by Arksey and O’Malley (2005), through nine steps: (1) definition of the research question, (2) alignment of the inclusion and exclusion criteria with the research question, (3) protocol developed for searching for evidence, selection, extraction and presentation of data, (4) search for evidence, (5) selection of evidence, (6) extraction of evidence, (7) analysis of evidence, (8) presentation of results and (9) synthesis of evidence, with conclusions and implications of the findings. It will be registered on the Open Science Framework platform, with the information described according to PRISMA-ScR. The search strategy includes relevant databases and gray literature to ensure a broad mapping of scientific production on the topic. Quantitative variables will be analyzed using simple descriptive statistics, with absolute and relative frequencies, while qualitative data will undergo thematic content analysis, following the preparation, organization, and reporting steps. The results of this study are expected to contribute to the advancement of nursing science by providing support that can assist nurses in decision-making when providing care to people with the nursing diagnosis of Ineffective Self-Management of Health. In addition, it can support the future development of nursing care plans and public policies for health promotion and disease prevention.