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The Use of Nursing Diagnoses in Perioperative Documentation
METHODS. Nursing diagnoses were used in
documentation in four operating departments with 250
patients. In analysis, nonparametric tests were applied.
FINDINGS. 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.
IMPLICATIONS FOR NURSING PRACTICE. 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.
Search terms: Documentation, nursing diagnosis,
perioperative nursing, Perioperative Nursing Data Set

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Created 2010-07-24
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