An Analysis of Nursing Diagnoses for Patients Undergoing Procedures in a Brazilian Interventional Radiology Suite

Abstract

Innovations in minimally invasive surgery have led to more procedures being performed in the interventional radiology suite. It, therefore, is essential that nurses in radiology departments be competent to care for all types of patients. Use of nursing classification systems can improve care by providing standardized language for documentation. We conducted a project that involved 25 patients undergoing interventional radiology procedures between August and October 2006 in São Paulo, Brazil, to identify the most frequent North American Nursing Diagnosis Association (NANDA) nursing diagnoses used and then compared the NANDA diagnoses to Perioperative Nursing Data Set diagnoses. The most frequent nursing diagnoses in the participants were anxiety, chronic pain, inefficient tissue perfusion-peripheral, deficient knowledge, and risk for falls. These results are similar to diagnoses that have been reported in outpatient centers. The NANDA and Perioperative Nursing Data Set diagnoses were found to be similar.

Ill Health, Death and Loneliness: Mankind’s Companions

“…It stands to reason that they will thus arouse less anxiety and alienation. But patients awaiting these procedures report anxiety, fears of the unknown, possibility of further interventions, destruction of body image, disruption of life plans, loss of control and disability, as these medical professionals harbour uncertainty and stress [23,24]. Flory and Lang [25] conducted a study comparing the distress levels in women awaiting large core breast biopsy for diagnosis of suspicious lesions with distress levels of women undergoing invasive, potentially risky treatment of diagnosed malignancies of the liver and those undergoing invasive, potentially risky treatment of diagnosed benign uterine tumors.…”

Definition and validation of the nursing diagnosis label “wish to die”: A research protocol.

“…The use of standardised nursing language and terminology provides a reference framework for describing and de ning the phenomena and situations that nurses encounter in their autonomous clinical practice [8]. Among the bene ts of having a standardised nursing language are: a) better care [9], b) increased visibility for nursing practice [10], c) facilitating the incorporation of information into electronic health records [11], d) promoting critical thinking, e) improved intra-and interprofessional communication, f) helping to ensure individualised care, g) the possibility of comparison, thus enabling the effectiveness of nursing care to be evaluated, and h) providing a stronger foundation for the nursing profession. In sum, a standardised nursing language offers a universal and solid conceptual basis for describing the host of phenomena and situations that nurses may encounter when caring for patients [12].…”

“Other Invasive Procedures” Open New Doors

“…In this issue of the AORN Journal , Viegas et al 4 illustrate the use of nursing diagnoses in patients undergoing interventional radiology procedures. Perioperative nurses can apply a number of these diagnoses (eg, risk for falls, impaired tissue integrity) to their patients undergoing operative or other invasive procedures.…”

“…Perioperative nurses can apply a number of these diagnoses (eg, risk for falls, impaired tissue integrity) to their patients undergoing operative or other invasive procedures. Many of the diagnoses listed by Viegas et al, 4 are also included within AORN's Perioperative Nursing Data Set , 5 thereby creating an effective segue into standardizing, documenting, and measuring perioperative nursing interventions and patient outcomes.…”