The use of nursing diagnoses in perioperative documentation.
OBJECTIVE
To clinically validate the nursing diagnoses of the first Finnish version of Perioperative Nursing Data Set (PNDS) by using them in perioperative documentation.


METHODS
Nursing diagnoses were used in documentation in four operating departments with 250 patients. In analysis, nonparametric tests were applied.


RESULTS
While intraoperatively nursing diagnoses focused on physiological concerns, postoperatively the focus shifted to that of recovery.


CONCLUSIONS
The findings revealed the importance of safety-related routines in perioperative care. Nursing diagnoses in the Finnish version of PNDS are sensitive in describing the rationales for perioperative care.


CONCLUSIONS
Nursing classifications illustrate the nursing process in a structured form. Nursing diagnosis is an early step in the decision-making process that aims to achieve expected outcomes in nursing care.
Junttila
Kristiina
K
Hospital District of Helsinki and Uusimaa, Finland. kristiina.junttila@hus.fi
Hupli
Maija
M
Salanterä
Sanna
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D005387:Finland; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009733:Nursing Diagnosis; D009737:Nursing Records; D055815:Young Adult