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Description: 1- RN, MSN, PhD Student. Federal University of Goias, Brazil. ORCID: 0000-0002-1355-5262. 2- RN, MSN, PhD, FNI. Federal University of Ceara, Brazil. ORCID: 0000-0002-8033-8831. 3- RN, MSN, PhD. Federal University of Goias, Brazil. ORCID: 0000-0003-3910-2162. Hypertension (HT) is the major evitable risk factor for cardiovascular diseases (Ibrahim, 2018), being one of the most challenging for public health, considering your prevalence and state of silence pandemic (WHO, 2013). The United Nations proposes as one goal of the agenda sustainable development to reduce by one third, even premature mortality from non-communicable diseases through prevention and treatment (United Nations, 2015). About 9% of deaths in low-income countries, 21% in middle-income countries, and 18% in high-income countries are because of HT (Zack et al., 2019). In addition, HT significantly increases the risks for adverse outcomes, such as acute myocardial infarction, stroke, renal failure, and vision loss (WHO, 2020). Therefore, for HT, one of the main effective pillars for reducing the progression of the disease, its sequelae, and the costs of health services is the control. However, in the global context, less than a fifth of the population with HT has satisfactory levels (WHO, 2020). One goal of government initiatives such as Healthy People 2030 is to increase the rate of blood pressure control among Americans to at least 60% (Healthy People, 2020). Controlling HT, as a chronic health condition, requires the person to perform self-management and health promotion habits and behaviors that go beyond maintaining blood pressure levels according to the therapeutic goal (Barroso et al., 2021; Unger et al., 2020). Lifestyle changes, incorporating the treatment regimen into daily life, and the adoption of HT maintenance and monitoring behaviors are closely related to complex biopsychosocial mechanisms, which are crucial for the conscious adoption of healthy behaviors (Gorbani et al., 2020; Goudarzi et al., 2020; Sharifirad et al., 2015). Thus, HT is a clinical condition that needs to be managed by comprehensive measures, especially due to the reduced presence of signs and symptoms in the early stages (Pierin et al., 2016; Sung et al., 2018), in which the different factors that interfere in the self-management process need comprehensive approaches for early and resolute elucidation (Qiu et al., 2020; Zhao et al., 2020). In this context, nurses performance in multidisciplinary collaboration is one of the main characteristics of the models of care for people with HT considered more effective (Himmelfarb et al., 2016), crucial for prevention, diagnosis, treatment, and control (Hannan et al., 2022). Nurses are primarily responsible for caring for people with HT, providing education related to the disease process, self-care, and identifying intervening factors in the self-management process (Barnason et al., 2017; Barroso et al., 2021; Riegel et al., 2020). There are competencies and skills inherent to the professional training process that highlight the care of people with chronic heart disease (Barros & Cavalcante, 2017; Cestari et al., 2016). However, despite the growth of evidence on the subject, there are still gaps related to the nurses' work method, especially in the identification of potential responses and assessment of the needs of the person with HT, which are key to the success in conducting nursing interventions (Coster et al., 2020). Therefore, the use of a systematic work method with specific tools can answer such questions. For its use in the incorporation work process, it is necessary for its use of well-developed concepts, the use of valid, coherent, and explained tools in the light of the Standardized Terminology of Nursing Language with scientific evidence; accurate nursing diagnoses (ND) and results, besides effective nursing interventions (Leoni‐Scheiber et al., 2019, 2020). In this context, NANDA International, Inc. (NANDA-I) is the only association that presents well-defined criteria for the levels of evidence related to diagnostic validity, that is, the ND. By definition, the validity of a diagnosis is the degree to which scientific evidence and theory support that a given diagnosis is the appropriate interpretation, for a given clinical use, given a given set of manifestations (understood as the defining characteristics of the diagnosis) (Herdman et al., 2021). In the 2021 – 2023 edition of NANDA-I, the levels of evidence for diagnoses have also been modified and will be incorporated into the classification in the next edition, referring to the degree to which the accumulated evidence and theory support the interpretation of the human response, represented by the diagnostic title, and the correct interpretation of the set of its attributes for established clinical purposes. Therefore, the process of generating evidence of validity for a given nursing diagnosis is understood as continuous, cumulative, and resulting from several interrelated steps (Herdman et al., 2021). In this context, the ND “Ineffective Health Self-Management” was included in the NANDA-I taxonomy in 2020, as a result of the revision of the ND “Ineffective Health Management”. This ND is part of the “Health Promotion” domain, “Health Control” class and has a definition: “unsatisfactory symptom control, treatment regimen, physical, psychosocial and spiritual consequences and lifestyle changes inherent to living with a chronic condition”. After review, the new diagnostic framework has ten defining characteristics, 30 related factors, seven populations at risk, and six associated conditions (Herdman et al., 2021). To support the construction of a Middle-Range Theory (MRT), for understanding the elements that structure this ND and their interrelationships, providing clinical subsidies that explain the establishment of this human response (Lopes & Silva, 2016), a scoping review will be used to map the evidence and clarify the concepts and limits of the phenomenon of “Ineffective Health Self-Management” in people with HT.