title: Consensual validation of the nursing diagnoses fear and anxiety identified at the immediate preoperative period in patients undergoing elective surgery.
abstract: OBJECTIVE
  To identify the most frequent defining characteristics (DCs) for the diagnoses fear and anxiety in Brazilian patients in the immediate preoperative period following elective cardiac surgery; to develop conceptual and operational definitions for the DCs; to develop consensual validation.
  
  
  METHODS
  Clinical and observational, descriptive study developed in two phases.
  
  
  RESULTS
  Forty DCs were identified for fear and 19 for anxiety. One expert judged it necessary to include "altered bowel motility" as a DC for fear. There was 100% agreement among the five experts in relation to the DCs.
  
  
  CONCLUSIONS
  To add "altered bowel motility" to the DCs for the nursing diagnosis fear.
  
  
  CONCLUSIONS
  To enable nurses to more accurately assess patients for these diagnoses.
authors.affiliation: Nursing Department, Federal University of Sao Paulo, Sao Paulo City, Brazil.
authors.forename: Maria Lucia Fernandez
authors.initials: ML
authors.lastname: Suriano
authors.forename: Jeanne Marlene
authors.initials: JM
authors.lastname: Michel
authors.forename: Sandra Salloum
authors.initials: SS
authors.lastname: Zeitoun
authors.forename: T Heather
authors.initials: TH
authors.lastname: Herdman
authors.forename: Alba Lucia Botura Leite
authors.initials: AL
authors.lastname: de Barros
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000175:diagnosis*; D017558:Elective Surgical Procedures / Q000523:psychology*; D005239:Fear; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009733:Nursing Diagnosis; D057234:Preoperative Period; D055815:Young Adult