Middle-range theory of the diagnosis of low situational self-esteem in undergraduate nursing students

Authors

  • Laís Vasconcelos Santos Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil. https://orcid.org/0000-0002-9678-4350
  • Layane Ryane da Silva Souza Universidade Federal do Ceará, Fortaleza, CE, Brasil. Bolsista do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil. https://orcid.org/0009-0003-0052-1770
  • Marcos Manoel Sousa Silva Universidade Federal do Ceará, Fortaleza, CE, Brasil. Bolsista do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil. https://orcid.org/0009-0007-3727-2404
  • Marcos Venícios de Oliveira Lopes Universidade Federal do Ceará, Fortaleza, CE, Brasil. Bolsista do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil. https://orcid.org/0000-0001-5867-8023
  • Ana Luisa Brandão de Carvalho Lira Universidade Federal do Ceará, Fortaleza, CE, Brasil. Bolsista do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil. https://orcid.org/0000-0002-7255-960X

DOI:

https://doi.org/10.1590/1518-8345.7662.4651

Keywords:

Nursing Theory; Self Concept; Students, Nursing; Nursing Diagnosis; Nursing Research; Nursing Process

Abstract

Objective: to elaborate a Middle-Range Theory for the diagnosis of situational low self-esteem in nursing students based on the mapping of scientific literature. Method: methodological study aimed at building a Middle-Range Theory, developed on the basis of the causal-theoretical model and based on Roy’s Adaptation Model. The process was operationalized in six stages: (1) defining the approach to building the theory; (2) defining the theoretical-conceptual models; (3) identifying the key concepts; (4) drawing up a pictorial scheme; (5) formulating propositions; and (6) establishing causal relationships and evidence for practice. Results: five essential attributes, 15 antecedents and 23 clinical consequents were identified. The analysis of these elements enabled the development of the Middle-Range Theory, consisting of an illustrative diagram, eight propositions, 12 causal relationships and evidence for practice. Conclusion: the small number of studies shows how little the subject has been explored in national and international contexts. The Middle-Range Theory broadened the understanding of the diagnosis of situational low self-esteem, offering support for nurses’ work in the university context.

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Published

2025-08-18

Issue

Section

Original Articles

How to Cite

Santos, L. V., Souza, L. R. da S., Silva, M. M. S., Lopes, M. V. de O., & Lira, A. L. B. de C. (2025). Middle-range theory of the diagnosis of low situational self-esteem in undergraduate nursing students. Revista Latino-Americana De Enfermagem, 33, e4651. https://doi.org/10.1590/1518-8345.7662.4651