Risk for Unstable Blood Pressure in Hospitalized Cardiac Patients - A Multi-Aggregation Content Analysis

American Educational Research Association, American Psychological Association, & National Council on Measurement in Education. (2018). Standards for educational and psychological testing. American Educational Research Association.

Ashghab A. Vahedian-Azimi A. Vafadar Z. Mollahadi M. Sepandi M. (2024). Nursing interventions to improve the sleep quality of hospitalized patients: A systematic review and meta-analysis. Intensive Care Research, 4(1), 55–71. https://doi.org/10.1007/s44231-024-00056-9

Babu G. R. Jotheeswaran A. Mahapatra T. Mahapatra S. Kumar A. Detels R. Pearce N. (2014). Is hypertension associated with job strain? A meta-analysis of observational studies. Occupational and Environmental Medicine, 71(3), 220–227. https://doi.org/10.1136/oemed-2013-101396

Barreiro R. G. Lopes M. V. d. O. (2023). Content validity of the nursing diagnosis low self-efficacy in health. International Journal of Nursing Knowledge, 34(3), 216–225. https://doi.org/10.1111/2047-3095.12395

Bellon F. Mora-Noya V. Pastells-Peiró R. Abad-Corpa E. Gea-Sánchez M. Moreno-Casbas T. (2021). The efficacy of nursing interventions on sleep quality in hospitalized patients: A systematic review of randomized controlled trials. International Journal of Nursing Studies, 115, 103855. https://doi.org/10.1016/j.ijnurstu.2020.103855

Benner P. Tanner C. Chesla C. (2009). Expertise in Nursing Practice: Caring, Clinical Judgment, and Ethics. Springer Publishing.

Brekke I. J. Puntervoll L. H. Pedersen P. B. Kellett J. Brabrand M. (2019). The value of vital sign trends in predicting and monitoring clinical deterioration: A systematic review. PLOS ONE, 14(1), e0210875. https://doi.org/10.1371/journal.pone.0210875

Brennan R. L. (2010). Generalizability theory. In International encyclopedia of education (pp. 61–68). Elsevier. https://doi.org/10.1016/B978-0-08-044894-7.00246-3

Bress A. P. , Anderson T. S. , Flack J. M. , Ghazi L. , Hall M. E. , Laffer C. L. , Still C. H. , Taler S. J. , Zachrison K. S. , Chang T. I. , & American Heart Association Council on Hypertension; Council on Cardiovascular and Stroke Nursing; and Council on Clinical Cardiology (2024). The management of elevated blood pressure in the acute care setting: A scientific statement from the American Heart Association. Hypertension (Dallas, Tex. : 1979), 81(8), e94–e106. https://doi.org/10.1161/HYP.0000000000000238

Cardoso R. B. Caldas C. P. Brandão M. A. G. de Souza P. A. Santana R. F. (2023). Readiness for enhanced healthy aging” nursing diagnosis: Content validation by experts. International Journal of Nursing Knowledge, 34(1), 65–71. https://doi.org/10.1111/2047-3095.12361

Connor N. McArthur D. Camargo Plazas P. (2021). Reflections on vital sign measurement in nursing practice. Nursing Philosophy, 22(1), 1–9. https://doi.org/10.1111/nup.12326

Cubas M. R. da Silva R. S. Primo C. C. Brandão M. A. G. Félix N. D. d. C. Jensen R. (2024). Contributions of representing the elements of nursing practice in the ISO 18.104:2023 standard: A theoretical study. Revista da Escola de Enfermagem da USP, 58, e20230358. https://doi.org/10.1590/1980-220X-REEUSP-2023-0358en

da Silva D. E. S. Santana R. F. Lopes M. V. d. O. Passarelles D. M. d. A. Almeida A. R. (2021b). Nursing diagnosis “terminality syndrome”: A content analysis. Revista Brasileira de Enfermagem, 74(1), 6–11. https://doi.org/10.1590/0034-7167-2019-0808

da Silva G. P. Lopes M. V. d. O. Perrelli J. G. A. Guedes T. G. Lopes C. T. Mangueira S. d. O. Linhares F. M. P. (2021a). Risk for impaired cardiovascular function nursing diagnosis: Content analysis to evaluate women in jail. International Journal of Nursing Knowledge, 32(3), 185–191. https://doi.org/10.1111/2047-3095.12310

da Silva R. C. (2025). Evidências de validade para o diagnóstico de enfermagem “risco de pressão arterial instável” em adultos cardiopatas hospitalizados [Tese de doutorado, Universidade Federal de Goias].

DeCarlo L. T. (1997). On the meaning and use of kurtosis. Psychological Methods, 2(3), 292–307. https://doi.org/10.1037/1082-989X.2.3.292

de Oliveira Lopes M. V. da Silva V. M. (2025). Methodological insights into content validity studies for nursing diagnoses. International Journal of Nursing Knowledge, 1–12. https://doi.org/10.1111/2047-3095.70010

de Souza C. S. Veras E. R. Santos O. D. d. Ferrão L. L. Machado A. R. d. C. (2015). Sodium amount in hospital meals in Rio de Janeiro. International Journal of Cardiovascular Sciences, 28(4), 305–312. https://doi.org/10.5935/2359-4802.20150044

de Souza N. M. G. da Silva V. M. Lopes M. V. d. O. Guedes N. G. Pascoal L. M. Beltrão B. A. (2021). Content validity of the nursing diagnostic breathing pattern, ineffective, in children with congenital heart defects. Revista Brasileira de Enfermagem, 74(suppl 4), 1–8. https://doi.org/10.1590/0034-7167-2019-0844

Diniz C. M. Lopes M. V. d. O. Nunes M. M. de Menezes A. P. da Silva V. M. Leal L. P. (2020). A content analysis of clinical indicators and etiological factors of ineffective infant feeding patterns. Journal of Pediatric Nursing, 52(xxxx), e70–e76. https://doi.org/10.1016/j.pedn.2020.01.007

Fehring R. J. (1987). Methods to validate nursing diagnoses. Heart & Lung : The Journal of Critical Care, 16(6 Pt 1), 625–629.

Feitosa A. D. d. M. Barroso W. K. S. Mion Junior D. Nobre F. Mota-Gomes M. A. Jardim P. C. B. V. Amodeo C. Oliveira A. C. Alessi A. Sousa A. L. L. Brandão A. A. Pio-Abreu A. Sposito A. C. Pierin A. M. G. de Paiva A. M. G. Spinelli A. C. d. S. Machado C. A. Poli-de-Figueiredo C. E. Rodrigues C. I. S. … Nadruz Junior W. (2024). Diretrizes brasileiras de medidas da pressão arterial dentro e fora do consultório – 2023. Arquivos Brasileiros de Cardiologia, 121(4), 1–48. https://doi.org/10.36660/abc.20240113

Field A. Miles J. Field Z. (2012). Discovering statistics using R. Sage. http://choicereviews.org/review/10.5860/CHOICE.50-2114 .

Fontenele Nascimento L. Maia Pascoal L. de Oliveira Lopes M. V. Santos Neto M. Arrais Sampaio Santos F. A. Pereira de Jesus Costa A. C. Stabnow Santos F. (2024). Content analysis of the nursing diagnosis of ineffective peripheral tissue perfusion in patients with diabetic foot. Journal of Clinical Nursing, 33(10), 3991–4004. https://doi.org/10.1111/jocn.17063

Ford D. M. Budworth L. Lawton R. Teale E. A. O’Connor D. B. (2023). In-hospital stress and patient outcomes: A systematic review and meta-analysis. PLoS ONE, 18(3 March), 1–17. https://doi.org/10.1371/journal.pone.0282789

Gel Y. R. Gastwirth J. L. (2008). A robust modification of the Jarque–Bera test of normality. Economics Letters, 99(1), 30–32. https://doi.org/10.1016/j.econlet.2007.05.022

Grillo S. Coruzzi S. Parati . (2019). Sodium intake and hypertension. Nutrients, 11(9), 1970. https://doi.org/10.3390/nu11091970

Gupta A. Whiteley W. N. Godec T. Rostamian S. Ariti C. Mackay J. Whitehouse A. Janani L. Poulter N. R. Sever P. S. Aldegather J. Collier D. Delles C. Dyker A. Eaton M. Heller S. Hildick-Smith D. Kristinsson A. Lip G. … Webster J. (2024). Legacy benefits of blood pressure treatment on cardiovascular events are primarily mediated by improved blood pressure variability: The ASCOT trial. European Heart Journal, 45(13), 1159–1169. https://doi.org/10.1093/eurheartj/ehad814

Haidar A. Gajjar A. Parikh R. V. Benharash P. Fonarow G. C. Watson K. Needleman J. Ziaeian B. (2025). National costs for cardiovascular-related hospitalizations and inpatient procedures in the United States, 2016 to 2021. American Journal of Cardiology, 234, 63–70. https://doi.org/10.1016/j.amjcard.2024.10.003

Hayes A. F. Coutts J. J. (2020). Use Omega rather than cronbach’s alpha for estimating reliability. But…. Communication Methods and Measures, 14(1), 1–24. https://doi.org/10.1080/19312458.2020.1718629

Herdman T. H. Kamitsuru S. (2018). NANDA International nursing diagnoses: Definitions and classification, 2018–2020 (11th ed.). Thieme.

Herdman T. H. Kamitsuru S. Lopes C. T. (2024). NANDA International nursing diagnoses: Definitions and classification, 2024–2026 (13th ed.). Thieme.

Hernández-Nieto R. (2011). Instrumentos de Recolección de Datos en Ciencias Sociales y Ciencias Biomédicas. CreateSpace Independent Publishing Platform.

Kulpatcharapong S. Chewcharat P. Ruxrungtham K. Gonlachanvit S. Patcharatrakul T. Chaitusaney B. Muntham D. Reutrakul S. Chirakalwasan N. (2020). Sleep quality of hospitalized patients, contributing factors, and prevalence of associated disorders. Sleep Disorders, 2020(8518396), 1–7. https://doi.org/10.1155/2020/8518396

Lloyd-Jones D. M. Allen N. B. Anderson C. A. M. Black T. Brewer L. C. Foraker R. E. Grandner M. A. Lavretsky H. Perak A. M. Sharma G. Rosamond W. (2022). Life’s essential 8: Updating and enhancing the American Heart Association’s construct of cardiovascular health: A presidential advisory from the American Heart Association. Circulation, 146(5), E18–E43. https://doi.org/10.1161/CIR.0000000000001078

Lopes M. V. d. O. da Silva V. M. (2016). Métodos avançados de validação de diagnósticos de enfermagem. In Herdman S. V. Napoleão T. H. Lopes A. A. T C. (Eds.), PRONANDA: Programa de atualização em diagnósticos de enfermagem (Ciclo 4, p. 43). Artmed Panamericana.

Lopes M. V. d. O. da Silva V. M. de Araujo T. L. (2013). Validação de diagnósticos de enfermagem: Desafios e alternativas. Revista Brasileira de Enfermagem, 66(5), 649–655. https://doi.org/10.1590/s0034-71672013000500002

Lynn M. R. (1986). Determination and quantification of content validity. Nursing Research, 35(6), 382–385. http://www.ncbi.nlm.nih.gov/pubmed/3640358

Machado M. H. Filho W. A. De Lacerda W. F. De Oliveira E. Lemos W. Wermelinger M. Vieira M. Dos Santos M. R. Junior P. B. d. S. Justino E. Barbosa C. (2016). Caracteristicas gerais Da enfermagem: O perfil sócio demográfico. Enfermagem Em Foco, 7(ESP), 9. https://doi.org/10.21675/2357-707x.2016.v7.nesp.686

Mendes R. C. M. G. Frazão C. M. F. d. Q. de Lacerda A. C. T. Lopes M. V. d. O. Linhares F. M. P. Mangueira S. D. O. (2021). Content validation of the nursing diagnosis risk for disturbed maternal-fetal dyad. Revista Da Escola de Enfermagem Da USP, 55, e03689. https://doi.org/10.1590/S1980-220X2019041403689

Munakata M. (2018). Clinical significance of stress-related increase in blood pressure: Current evidence in office and out-of-office settings. Hypertension Research, 41(8), 553–569. https://doi.org/10.1038/s41440-018-0053-1

Nascimento L. A. d. Garcia A. K. A. Conchon M. F. Lopes M. V. d. O. Fonseca L. F. (2021). Concept analysis of perioperative thirst for the development of a new nursing diagnosis. Revista Brasileira de Enfermagem, 74(1), e20200065. https://doi.org/10.1590/0034-7167-2020-0065

Nishizawa K. Honda I. Doi T. (2024). Content validation of the defining characteristics of the nursing diagnosis “impaired swallowing” using the delphi technique: A study with dysphagia nursing experts in Japan. International Journal of Nursing Knowledge, 36(2), 158–168. https://doi.org/10.1111/2047-3095.12471

Noh S. A. Kim H.-S. Kang S.-H. Yoon C.-H. Youn T.-J. Chae I.-H. (2024). History and evolution of blood pressure measurement. Clinical Hypertension, 30(1), 9. https://doi.org/10.1186/s40885-024-00268-7

Ohishi M. Kubozono T. Higuchi K. Akasaki Y. (2021). Hypertension, cardiovascular disease, and nocturia: A systematic review of the pathophysiological mechanisms. Hypertension Research, 44(7), 733–739. https://doi.org/10.1038/s41440-021-00634-0

Page S. E. (2007). The difference: how the power of diversity creates better groups, firms, schools, and societies (Vol. 45, Issue 03). https://doi.org/10.5860/CHOICE.45-1534

Parati G. Bilo G. Kollias A. Pengo M. Ochoa J. E. Castiglioni P. Stergiou G. S. Mancia G. Asayama K. Asmar R. Avolio A. Caiani E. G. De La Sierra A. Dolan E. Grillo A. Guzik P. Hoshide S. Head G. A. Imai Y. … Zhang Y. (2023). Blood pressure variability: Methodological aspects, clinical relevance and practical indications for management - a European society of hypertension position paper ∗. Journal of Hypertension, 41(4), 527–544. https://doi.org/10.1097/HJH.0000000000003363

Rabelo-Silva E. R. Dantas Cavalcanti A. C. Ramos Goulart Caldas M. C. Lucena A. d. F. Almeida M. d. A. Linch G. F. d. C. da Silva M. B. Müller-Staub M. (2017). Advanced nursing process quality: Comparing the international classification for nursing practice (ICNP) with the NANDA-international (NANDA-I) and nursing interventions classification (NIC). Journal of Clinical Nursing, 26(3–4), 379–387. https://doi.org/10.1111/jocn.13387

Rivasi G. Menale S. Turrin G. Coscarelli A. Giordano A. Ungar A. (2022). The effects of pain and analgesic medications on blood pressure. Current Hypertension Reports, 24(10), 385–394. https://doi.org/10.1007/s11906-022-01205-5

Romero Jeldres M. Díaz Costa E. Faouzi Nadim T. (2023). A review of lawshe’s method for calculating content validity in the social sciences. Frontiers in Education, 8(November), 1–8. https://doi.org/10.3389/feduc.2023.1271335

Rubin D. B. Cronbach L. J. Gleser G. C. Nanda H. Rajaratnam N. (1974). The Dependability of Behavioral Measurements: Theory of Generalizability for Scores and Profiles. Journal of the American Statistical Association, 69(348). https://doi.org/10.2307/2286194

Saccò M. Meschi M. Regolisti G. Detrenis S. Bianchi L. Bertorelli M. Pioli S. Magnano A. Spagnoli F. Giuri P. G. Fiaccadori E. Caiazza A. (2013). The relationship between blood pressure and pain. The Journal of Clinical Hypertension, 15(8), 600–605. https://doi.org/10.1111/jch.12145

Sá Gomes E Farias A. V. de Lima Cavalcanti M. P. de Passos Junior M. A. Vechio Koike B. D. (2022). The association between sleep deprivation and arterial pressure variations: A systematic literature review. Sleep Medicine, X, 4. https://doi.org/10.1016/j.sleepx.2022.100042

Scochi C. G. S. Gelbcke F. L. Ferreira M. d. A. Lima M. A. D. d. S. Padilha K. G. Padovani N. A. Munari D. B. (2015). Nursing doctorates in Brazil: Research formation and theses production. Revista Latino-Americana de Enfermagem, 23(3), 387–394. https://doi.org/10.1590/0104-1169.0590.2564

Silva G. P. Mendes R. C. M. G. Lopes C. T. Lopes M. V. Perrelli J. G. Mangueira S. O. Linhares F. M. (2025). Evidence of content validity of the nursing diagnosis risk for unstable blood pressure. International Journal of Nursing Knowledge, 36(1), 73–80. https://doi.org/10.1111/2047-3095.12464

Stanistreet B. Nicholas J. A. Bisognano J. D. (2020). An evidence-based review of elevated blood pressure for the inpatient. The American Journal of Medicine, 133(2), 165–169. https://doi.org/10.1016/j.amjmed.2019.10.004

Surowiecki J. (2004). The wisdom of crowds: why the many are smarter than the few and how collective wisdom shapes business, economies, societes, and nations. Anchor Books.

Tomitani N. Kanegae H. Kario K. (2023). The effect of psychological stress and physical activity on ambulatory blood pressure variability detected by a multisensor ambulatory blood pressure monitoring device. Hypertension Research, 46(4), 916–921. https://doi.org/10.1038/s41440-022-01123-8

Ventura-León J. (2019). De regreso a la validez basada en el contenido. Adicciones, 34(4), 323. https://doi.org/10.20882/adicciones.1213

Wooldridge J. B. Brown O. F. Herman J. (1993). Nursing diagnosis: The central theme in nursing knowledge. International Journal of Nursing Terminologies and Classifications, 4(2), 50–55. https://doi.org/10.1111/j.1744-618X.1993.tb00085.x

Yi S. K. M. Steyvers M. Lee M. D. Dry M. J. (2012). The wisdom of the crowd in combinatorial problems. Cognitive Science, 36(3), 452–470. https://doi.org/10.1111/j.1551-6709.2011.01223.x