Silva, Richardson Augusto Rosendo daAlmino, Romanniny Hevillyn Silva Costa2023-05-172023-05-172023-02-15ALMINO, Romanniny Hevillyn Silva Costa. Desenvolvimento e validação de conteúdo da proposição do diagnóstico de enfermagem em estresse ocupacional a partir de uma teoria de médio alcance. Orientador: Richardson Augusto Rosendo da Silva. 2023. 390f. Tese (Doutorado em Enfermagem na Atenção à Saúde) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2023.https://repositorio.ufrn.br/handle/123456789/52457Occupational stress has affected several workers. The recognition of related factors and symptoms of occupational stress facilitates the development of interventions by nurses, but it is evident that the nursing diagnosis Occupational Stress does not exist in NANDA International. In this sense, the general objective of this study was to develop and validate the content of the proposition of the Occupational Stress as a nursing diagnosis based on a Medium-Range Theory. Therefore, this is a methodological study, which was carried out in two stages, which were: theoreticalcausal validation and content validation. The research was approved by the Ethics Committee of the University Hospital Onofre Lopes (HUOL) of the Federal University of Rio Grande do Norte. Data analysis was performed using descriptive and inferential statistics. Initially, a concept analysis was carried out based on the theoretical framework of Walker and Avant, which was operationalized by scoping review, using new data sources. The final sample corresponded to 138 studies. Four attributes, 24 antecedents and 28 clinical consequences of the concept Occupational Stress in health professionals were listed. Then, the Medium Range Theory of Occupational Stress in Health Professionals (TMA-EOPS) was built based on the derivation of Betty Neuman's Systems Model, according to the theoretical framework of Fawcett and Gigliotti. Sixteen concepts, 20 propositions and 35 causal relationships between Occupational Stress and the stressors and symptoms present in the TMA-EOPS were identified, in addition to the construction of the pictogram/diagram and C-T-E structure. The second stage included content validation by judges about the elements of the diagnostic proposition. Forty-nine judges participated in this step, who validated the following elements regarding relevance: 04 attributes, 22 related factors and 28 defining characteristics of the proposed nursing diagnosis. Furthermore, they validated 03 attributes, 19 related factors and 26 defining characteristics regarding the clarity and precision of the conceptual and operational definitions of the respective elements of the diagnostic proposition. In this sense, the diagnostic proposal presented after content validation: 02 attributes, 29 defining characteristics, 15 related factors, 06 populations at risk and 01 associated condition. Subsequently, the evaluation of TMA-EOPS was carried out in two rounds. Five judges participated. In the first round, TMA-EOPS was considered adequate for all items related to significance, parsimony, testability and empirical adequacy; only 01 item related to internal consistency and 01 item related to pragmatic adequacy were not considered adequate. In the second round of TMAEOPS evaluation, items not previously validated were considered adequate. It is concluded that the study contributed to the advancement of knowledge in the discipline of Nursing through the development of a proposal for a nursing diagnosis based on a Medium Range Theory that does not exist in the NANDA International taxonomy.Acesso AbertoEstresse ocupacionalDiagnóstico de enfermagemTeoria de enfermagemPessoal de saúdedoctoralThesisCNPQ::CIENCIAS DA SAUDE::ENFERMAGEM