title: Concept analysis and validation of the nursing diagnosis, delayed surgical recovery.
abstract: OBJECTIVE
  To analyze the human response of delayed surgical recovery, approved by NANDA-I, and to validate its defining characteristics (DCs) and related factors (RFs).
  
  
  METHODS
  This was a two-part study using a concept analysis based on the method of Walker and Avant, and diagnostic content validation based on Fehring's model.
  
  
  RESULTS
  Three of the original DCs, and three proposed DCs identified from the concept analysis, were validated in this study; five of the original RFs and four proposed RFs were validated.
  
  
  CONCLUSIONS
  A revision of the concept studied is suggested, incorporating the validation of some of the DCs and RFs presented by NANDA-I, and the insertion of new, validated DCs and RFs.
  
  
  CONCLUSIONS
  This study may enable the extension of the use of this diagnosis and contribute to quality surgical care of clients.
authors.affiliation: Graduate Program in Fundamental Nursing, Universidade do São Paulo-Ribeirão Preto, College of Nursing, Ribeirão Preto, São Paulo, Brazil.
authors.forename: Aline Helena
authors.initials: AH
authors.lastname: Appoloni
authors.forename: T Heather
authors.initials: TH
authors.lastname: Herdman
authors.forename: Anamaria Alves
authors.initials: AA
authors.lastname: Napoleão
authors.forename: Emilia
authors.initials: E
authors.lastname: Campos de Carvalho
authors.forename: Priscilla
authors.initials: P
authors.lastname: Hortense
mesh_terms: D003210:Concept Formation; D006801:Humans; D009733:Nursing Diagnosis; D013514:Surgical Procedures, Operative / Q000534:rehabilitation*
keywords: Concept analysis; delayed surgical recovery; nursing diagnosis; postoperative period; validation study