Development of the Perioperative Nursing Data Set

Abstract

Nursing practice is a major component of health care. Yet, it remains undervalued and essentially invisible because little data exist to substantiate the influence of nurses on patient outcomes. The research-based Perioperative Nursing Data Set (PNDS), with an easily automated nomenclature capable of describing the specialty practice of perioperative nursing, was designed to fill this gap. Four domains (i.e., safety, physiologic response to surgery, patient and family behavioral response to surgery, health system) form the foundation of the PNDS. Each domain, with accompanying desired outcomes, nursing interventions, and nursing diagnoses, has reliability, content validity, and evidence of construct validity. The purpose of this article is to introduce the conceptual framework, taxonomy, and potential clinical applications of the PNDS.

Preliminary Evidence for the Usefulness of Standardized Nursing Terminologies in Different Fields of Application: A Literature Review

“…NOC also includes a 5-point target rating scale, which provides the opportunity to measure the quality and achievement of the outcome. PNDS is a research-based standardized terminology that comprises nursing diagnoses, interventions, and outcomes essential to perioperative nursing practice (Kleinbeck, 1999). The Omaha System and the CCC are principally used for coding nurses' activities but could, according to the descriptions, be used to code other clinical professional activities in all kinds of health settings (Clinical Care Classification System, 2013-2014Omaha System, 2013).…”

Is the ATIC terminology oriented to nursing phenomena?

“…Searching in Pubmed for "Nursing Diagnosis" and "Content validity", from 2012 back to 1991 and language limited to English, Portuguese, Catalan, Spanish, French and Italian, retrieved 40 results. Only three of these research papers were related to whole controlled-vocabulary content validity, but two of them did not present any method nor result on that, just a consideration of its importance for building such terminological systems [11,12]. The other study, considered cultural adaptation of the OMAHA system and measured content validity using the inter-rater reliability with a panel of six nursing students [24].…”

“…Institutions and researchers from different countries have joined this professional mandate designing, implementing and evaluating controlled vocabularies for nursing practice [4,[8][9][10][11][12].…”

Dimensions of perioperative nursing for a national specialty nomenclature

“…Perioperative clinical research frequently is compelled to borrow theories or frameworks that do not systematically address all the phenomena unique to the perioperative patient’s experience. The dimensions of perioperative practice now serve as the domains for the new Perioperative Patient Focused Conceptual Model ( Kleinbeck 1999). Perioperative nurse researchers can use the model as well as the diagnoses within the domains to describe variables, develop hypotheses, guide data interpretation, and generalize results.…”

“…The purpose of this report is to describe the dimensions of perioperative nursing extracted from that data. Results of this exploratory factor analysis served as the conceptual foundation of a newly developed specialty nomenclature ( Kleinbeck 1999). Research applying the nomenclature to an automated electronic standardized record is ongoing.…”