Aims To compare factors associated with the sedentary lifestyle described in the literature with the factors listed in NANDA International. Design Systematic review with meta‐analysis of factors associated with a sedentary lifestyle in adolescents, adults and older people. Data sources An electronic search of PubMed, Scopus, CINAHL and Latin America and the Caribbean Literature on Health and Science databases conducted in May 2016. Review methods Descriptive data were extracted according to a standardized form. The odds ratios for each etiological factor associated with a sedentary lifestyle were extracted directly from the articles or calculated from the data described therein. The meta‐analysis was conducted for factors that were investigated in more than one study. Results Thirty‐five articles were included. The statistically significant factors were: lack of social support, of physical space, of time, of motivation, of sports skills and of interest in physical activity, intolerance to activity, being retired, living in a low‐income country, laziness, not having a job/studying, low socioeconomic status and level of knowledge about physical activity, female gender, living in an urban area, negative self‐perception of health, using public transportation, being in the oldest age group in the study and perceived physical disability. Conclusion The new factors associated with a sedentary lifestyle and those already included in the NANDA International classification will lead to better clinical guidance for nurses. Impact Knowledge about these factors can contribute directly to public health policies.

PURPOSETo verify the relevance of the clinical indicators, the clarity and precision of the conceptual, and operational definitions for Ineffective breathing pattern (IBP).METHODSA content analysis by 39 judges.FINDINGSThe results showed 28 clinical indicators for IBP. However, only seven were not considered relevant for the diagnosis. These are not listed in NANDA International taxonomy. All conceptual and operational definitions were adequate, according to the analysis of the judges.CONCLUSIONThe list of 28 clinical indicators of IBP was submitted for analysis by judges, which then resulted in the validation of 21 of these elements.IMPLICATIONS FOR NURSING PRACTICEThis study clarifies that gaps in the structure of diagnoses, helping nurses' diagnostic reasoning process in clinical practice.

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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.

Objective: to identify the prevalence of nursing diagnosis Sedentary lifestyle (SL) and to analyze its association with clinical indicators (CI) and related factors (RF) in patients with hypertension. Method: cross-sectional study with 285 patients with hypertension at a reference center for outpatient care in Northeastern Brazil. To collect data it was used an instrument based on operational defi nitions of the CI and RF previously validated. Four nurses rated SL as present or absent. To evaluate the association between CI and RF with the presence of SL it was applied the chi-square test. The prevalence ratio and confi dence interval was calculated to verify the magnitude of the effect between RF and SL. Results: SL was identifi ed in 55.8% of the sample. Five IC and six RF showed a signifi cant association with SL. Conclusion: the study identifi es main indicators for inference of SL as well as their possible causal factors among people with hypertension. Key words: Nursing Diagnosis; Sedentary Lifestyle; Hypertension. RESUMO Objetivo: identifi car a prevalência do diagnóstico de enfermagem Estilo de Vida Sedentário (EVS) e analisar sua associação com os indicadores clínicos (IC) e fatores relacionados (FR) em indivíduos com hipertensão arterial (HA). Método: estudo transversal com 285 pacientes com HAS em um centro de referência em atendimento ambulatorial no nordeste do Brasil. Para a coleta de dados, utilizouse instrumento baseado nas defi nições operacionais dos IC e FR validados anteriormente. Quatro enfermeiros classifi caram EVS como presente ou ausente. Para avaliar a associação entre IC e FR com a presença de EVS aplicou-se o Teste de Qui-quadrado. Calculou-se a razão de prevalência e intervalo de confi ança para verifi car a magnitude do efeito entre FR e EVS. Resultados: identifi cou-se EVS em 55,8% da amostra. Cinco IC e seis FR apresentaram associação estatística signifi cante com EVS. Conclusão: o estudo identifi cou os principais indicadores para inferência de EVS, bem como seus possíveis fatores causais entre pessoas com HAS. Descritores: Diagnóstico de Enfermagem; Estilo de Vida Sedentário; Hipertensão. RESUMEN Objetivo: identifi car la prevalencia del diagnóstico de enfermería, estilo de vida sedentario (EVS) y analizar su asociación con indicadores clinicos (IC) y factores relacionados (FR) en pacientes con hipertensión. Método: es un estudio transversal con 285 pacientes con hipertensión, en un centro de referencia con atención ambulatoria en el noreste de Brasil. Para recolectar los datos, se utilizó un instrumento basado en las defi niciones operacionales de la IC y FR previamente validado. Cuatro enfermeras califi caron EVS como presente o ausente. Para evaluar la asociación entre IC y RFcon la presencia de EVS se aplicó la prueba de chi-cuadrado. Se calculó la razón de prevalencia e intervalo de confi anza para verifi car la magnitud del efecto entre la FR y EVS. Resultados: EVS fue identifi cado en 55,8% en la muestra. Cinco IC y seis FR mostraron una asociación signif...