title: Dimensions of perioperative nursing for a national specialty nomenclature.
abstract: Dimensions of perioperative nursing for a national specialty nomenclature Before nurses can develop a clinical database capable of evaluating quality of care or validating their impact on health or illness, they must describe the basic dimensions of their specialty. The purpose of this study was to define the dimensions of clinical perioperative nursing practice. Experienced perioperative nurses (n=239) were mailed a survey and asked to rank the frequency with which specific patient diagnoses occurred in their daily practice (1=never occurs; 5=occurs almost all the time) and the priority of treatment each diagnosis required (1=never requires attention of the nurse; 5=demands immediate attention of the nurse). Completion of the form indicated consent to participate in the study. Following a principal component analysis and theoretical discussion by perioperative experts, four dimensions of perioperative practice were delineated: (a) patient and family behavioural responses to surgery (26.7% of variance, alpha=0.92); (b) perioperative patient safety (10.1% of variance, alpha=0.89); (c) perioperative physiological response to surgery (5.7% of variance, alpha=0.87); and (d) the health systems required to deliver perioperative care. Dimensions extracted in this analysis served as the domains for the new perioperative nursing nomenclature.
authors.affiliation: Research Assistant Professor, University of Kansas School of Nursing, Kansas City, KS 66160-7503, USA. skleinbe@kumc.edu
authors.forename: S V
authors.initials: SV
authors.lastname: Kleinbeck
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D007587:Job Description; D008297:Male; D008875:Middle Aged; D009733:Nursing Diagnosis / Q000592:standards / Q000706:statistics & numerical data*; D015403:Nursing Evaluation Research; D009742:Nursing Theory; D009871:Operating Room Nursing / Q000379:methods*; D019990:Perioperative Care / Q000379:methods / Q000451:nursing / Q000523:psychology; D015203:Reproducibility of Results; D013038:Specialization; D011795:Surveys and Questionnaires; D009626:Terminology as Topic