Evolution and Revision of the Perioperative Nursing Data Set

Abstract

The Perioperative Nursing Data Set (PNDS) is a nursing language that provides standardized terminology to support perioperative nursing practice. The PNDS represents perioperative nursing knowledge and comprises data elements and definitions that demonstrate the nurse's influence on patient outcomes. Emerging issues and changes in practice associated with the PNDS standardized terminology require ongoing maintenance and periodic in-depth review of its content. Like each new edition of the Perioperative Nursing Data Set, the third edition, published in 2010, underwent content validation by numerous experts in clinical practice, vocabulary development, and informatics. The goal of this most recent edition is to enable the perioperative nurse to use the PNDS in a meaningful manner, as well as to promote standardization of PNDS implementation in practice, both in written documentation and the electronic health record.

Danish Perioperative Nurses’ Documentation: A Complex, Multifaceted Practice Connected With Unit Culture and Nursing Leadership

“…The specialized care practice in the OR places special demands on the EHR for physical accessibility and content 2,8,10 . The collective literature suggests that a standardized vocabulary supports uniform documentation and can increase patient safety 2,20,24,25 . AORN developed the Perioperative Nursing Data Set (PNDS), a standardized nursing language that supports perioperative nurses’ evidence‐based practice 14 .…”

“…2,8,10 The collective literature suggests that a standardized vocabulary supports uniform documentation and can increase patient safety. 2,20,24,25 AORN developed the Perioperative Nursing Data Set (PNDS), a standardized nursing language that supports perioperative nurses' evidence-based practice. 14 The PNDS has been implemented and tested in countries outside the United States, including Finland, Brazil, and Korea; however, to the best of our knowledge, it has never been used in Denmark.…”

Maximizing Efficiency and Reducing Robotic Surgery Costs Using the NASA Task Load Index

“…With the exception of AORN's position statements, there has been little published recently regarding OR staffing and acuity. Because perioperative patient care needs require a highly specialized set of knowledge, skills, and training, PCSs developed for other nursing practice specialties are not adequate for the perioperative setting 22 . In 1995, Edel 23 classified patient care into groups based on elements such as equipment and instrumentation complexity, the number of preparation sites or limbs, types of positioning and specialty supplies, and the number of incision sites.…”

“…In 2013, Rauta et al 24 validated the core elements of intraoperative nursing practice (ie, patient and family behavioral responses, safety, physiologic responses to surgery, responses to the health system) and linked them to the core domains of perioperative care identified by Petersen and Kleiner 22 . In 2015, Rauta et al 19 went further and tested an acuity system specific to the OR using the previously identified core elements of intraoperative nursing practice.…”

The Development of a Pressure Ulcer Risk‐Assessment Scale for Perioperative Patients

“…4,5 Proactive prevention of pressure ulcers is the best strategy and starts with risk assessment and early detection of problems. 4,5 Proactive prevention of pressure ulcers is the best strategy and starts with risk assessment and early detection of problems.…”