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

• Published in: Perspectives in psychiatric care Vol. 57; no. 4; pp. 1950 - 1959
• Main Authors: Castro, Natália B., Lopes, Marcos Venícios de O., Monteiro, Ana Ruth M., Diniz, Camila M., Martins, Larissa C. G., Ferreira, Gabriele de L., Sousa, Antônio Elizon A.
• Format: Journal Article
• Language: English
• Published: United States Hindawi Limited 01-10-2021
• Subjects: Classification; Medical diagnosis; Mental depression; Mental health; mood disorders; Nursing; nursing diagnosis; psychiatric nursing; Psychiatric-mental health nursing; Self esteem; Brazil; self-esteem; psychiatric nursing; mental health; mood disorders; nursing diagnosis
• ISSN: 0031-5990; 1744-6163
• DOI: 10.1111/ppc.12771

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.