<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1657-5997</journal-id>
<journal-title><![CDATA[Aquichan]]></journal-title>
<abbrev-journal-title><![CDATA[Aquichan]]></abbrev-journal-title>
<issn>1657-5997</issn>
<publisher>
<publisher-name><![CDATA[Universidad de La Sabana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1657-59972023000400003</article-id>
<article-id pub-id-type="doi">10.5294/aqui.2023.23.4.3</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Situation-Specific Theory from Autonomic Dysreflexia Nursing Diagnosis Based on Roy&#8217;s Adaptation Model]]></article-title>
<article-title xml:lang="es"><![CDATA[Teoría de situación específica del diagnóstico de enfermería disreflexia autónoma basada en el modelo de adaptación de Roy]]></article-title>
<article-title xml:lang="pt"><![CDATA[Teoria específica da situação do diagnóstico de enfermagem da disreflexia autonômica com baseada no modelo de adaptação de Roy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos-Garzón]]></surname>
<given-names><![CDATA[Judy Ximena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Jaimes]]></surname>
<given-names><![CDATA[Giovanny Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rueda Díaz]]></surname>
<given-names><![CDATA[Leidy Johanna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de São Paulo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>23</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1657-59972023000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1657-59972023000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1657-59972023000400003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Autonomic dysreflexia (AD) is a condition developed secondary to a spinal cord injury, which manifests with the loss of coordinated autonomic responses and cardiovascular control. For the care of the person, the nurse has the nursing diagnosis of AD, which allows the precise interpretation of the human responses of each individual. However, it is necessary to strengthen and update the diagnosis to the new disciplinary knowledge that evolved with nursing practice. For this, proposing a situation-specific theory is essential to explain the phenomenon of interest and guide practice.  Objective:  To construct a situation-specific theory for the nursing diagnosis of AD derived from the adaptation model of Sor Callista Roy.  Materials and methods: Theoretical study developed in five stages: defining the approach to construct the theory, defining key concepts, developing a pictorial diagram, building propositions, and establishing causal relationships and evidence for practice.  Results:  The situation-specific theory included defining key concepts, developing a pictorial diagram, building propositions, and establishing causal relationships and evidence for practice. We described the concepts and their relationships through seven propositions and identified 19 ineffective behaviors and 43 environmental stimuli. Of them, 39 are focal, and four are contextual stimuli.  Conclusions: This situation-specific theory offers a substantiated and comprehensive explanation of the human response to AD for supporting nursing care.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La direflexia autónoma (DA) es una afección secundaria a una lesión en la médula espinal que se manifiesta en la pérdida de respuestas autónomas coordinadas y de control cardiovascular. Para el cuidado del paciente, las enfermeras cuentan con el diagnóstico de la DA, que permite interpretar adecuadamente las respuestas humanas de cada individuo. Sin embargo, es necesario fortalecer y actualizar el diagnóstico a los nuevos conocimientos disciplinarios que evolucionan con la práctica de la enfermería. Para esto es esencial una teoría de situación específica que explique el fenómeno de interés y guíe la práctica.  Objetivo:  Construir una teoría de situación específica para el diagnóstico en enfermería de la DA derivada de la adaptación del modelo de Sor Callista Roy.  Materiales y métodos:  Estudio teórico desarrollado en cinco etapas: definición del enfoque para construir la teoría, definición de los conceptos clave, desarrollo de un diagrama pictórico, construcción de las proposiciones y establecimiento de las relaciones causales y la evidencia para la práctica.  Resultados:  La teoría de situación específica incluyó la definición del enfoque para construir la teoría, la definición de los conceptos clave, el desarrollo de un diagrama pictórico, la construcción de las proposiciones y el establecimiento de las relaciones causales y la evidencia para la práctica. Se describen los conceptos y sus relaciones por medio de 7 proposiciones y se identificaron 19 comportamientos ineficaces y 43 estímulos ambientales. De ellos, 39 son focales y 4 contextuales.  Conclusiones:  Esta teoría de situación específica proporciona una explicación informada y completa de la respuesta humana a la DA para apoyar el cuidado en enfermería.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  a disreflexia autonômica (DA) é uma condição secundária à lesão da medula espinhal que se manifesta na perda de respostas autonômicas coordenadas e no controle cardiovascular. Para o atendimento ao paciente, os profissionais de enfermagem contam com o diagnóstico de DA que permite a interpretação adequada das respostas humanas do indivíduo. No entanto, há necessidade de fortalecer e atualizar o diagnóstico para o novo conhecimento disciplinar que evolui com a prática de enfermagem. Para isso, é essencial uma teoria situacional específica que explique o fenômeno de interesse e oriente a prática.  Objetivo: Construir uma teoria situacional específica para o diagnóstico de enfermagem da DA derivada da adaptação do modelo de Sor Callista Roy.  Materiais e método:  estudo teórico desenvolvido em cinco etapas: definição da abordagem para construir a teoria, definição de conceitos-chave, desenvolvimento de um diagrama pictórico, construção de proposições e estabelecimento de relações causais e evidências para a prática.  Resultados: a teoria específica da situação incluiu a definição da abordagem para a construção da teoria, a definição dos principais conceitos, o desenvolvimento de um diagrama pictórico, a construção de proposições e o estabelecimento de relações causais e evidências para a prática. Os conceitos e suas relações são descritos por meio de 7 proposições e foram identificados 19 comportamentos ineficazes e 43 estímulos ambientais. Destes, 39 são focais e 4 são contextuais.  Conclusões:  essa teoria específica da situação fornece uma explicação informada e abrangente da resposta humana à DA para apoiar a assistência de enfermagem.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Adult]]></kwd>
<kwd lng="en"><![CDATA[nursing diagnosis]]></kwd>
<kwd lng="en"><![CDATA[nursing theory]]></kwd>
<kwd lng="en"><![CDATA[autonomic dysreflexia]]></kwd>
<kwd lng="en"><![CDATA[spinal cord diseases]]></kwd>
<kwd lng="es"><![CDATA[Adulto]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico de enfermería]]></kwd>
<kwd lng="es"><![CDATA[teoría de enfermería]]></kwd>
<kwd lng="es"><![CDATA[disreflexia autónoma]]></kwd>
<kwd lng="es"><![CDATA[enfermedades de la médula espinal]]></kwd>
<kwd lng="pt"><![CDATA[Adulto]]></kwd>
<kwd lng="pt"><![CDATA[diagnóstico de enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[teoria de enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[disreflexia autonômica]]></kwd>
<kwd lng="pt"><![CDATA[doenças da medula espinal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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