NANDA-I diagnoses in perioperative care: an integrative review

Christian Ramacciani Isemann; Elisa Rinaldini; Gemma Rossi; Lorenzo Righi

doi:10.54103/dn/28201

Authors

Christian Ramacciani Isemann Dipartimento delle professioni infermieristiche e ostetriche, Azienda USL Toscana sud est https://orcid.org/0000-0001-8253-1056
Elisa Rinaldini https://orcid.org/0009-0002-4149-5241
Gemma Rossi
Lorenzo Righi https://orcid.org/0000-0003-4638-118X

DOI:

https://doi.org/10.54103/dn/28201

Keywords:

Nursing Diagnoses, Nursing process, Perioperative care

Abstract

This integrative review aimed to identify the most frequently used NANDA-I nursing diagnoses in perioperative care to support their inclusion in structured perioperative care pathways. A systematic search of MEDLINE and CINAHL databases was conducted, and eight studies meeting the inclusion criteria were analyzed. Diagnoses were extracted and categorized according to perioperative phases (preoperative, intraoperative, and postoperative) and NANDA-I domains and classes. The intraoperative phase showed the highest concentration of nursing diagnoses, reflecting the critical role of nurses in patient safety and monitoring during surgery. The most recurrent diagnoses belonged to the Safety and Protection domain, including Risk for infection, Risk for aspiration, Impaired tissue integrity, and Risk for perioperative positioning injury. Other relevant diagnoses involved respiratory function, pain management, hypothermia, anxiety, and deficient knowledge. The findings highlight the central role of NANDA-I diagnoses in guiding clinical reasoning and intervention planning in perioperative nursing. Integrating standardized nursing diagnoses into perioperative care pathways may enhance patient safety, interdisciplinary communication, and the quality of nursing documentation, while strengthening the application of the nursing process in clinical practice.

Downloads

Download data is not yet available.

References

[1] Frauman AC, Skelly AH. Evolution of the nursing process. Clin Excell Nurse Pract. 1999;3(4):238-244.

[2] Alfaro-LeFevre R. Applying Nursing Process: A Tool For Critical Thinking [Internet]. 2005 [cited 2024 Nov]. Available from: http://ci.nii.ac.jp/ncid/BA72857502

[3] Shewangizaw Z. Determinants towards Implementation of Nursing Process. Sci Publ Group. 2015 Jan 1. doi:10.11648/j.ajns.20150403.11

[4] Rutherford M. Standardized Nursing Language: What Does It Mean for Nursing Practice? 2008 Jan 31. doi:10.3912/ojin.vol13no01ppt05

[5] Taştan S, Linch GC, Keenan GM, Stifter J, Yap TL, McKinney D, et al. Evidence for the existing American Nurses Association-recognized standardized nursing terminologies: A systematic review. 2013 Dec 18. doi:10.1016/j.ijnurstu.2013.12.004

[6] Null S, Richter‐Abt D, Kovac J. Development of a Perioperative Nursing Diagnoses Flow Sheet. 1995 Mar 1. doi:10.1016/s0001-2092(06)63744-7

[7] Allen JR. Why nursing diagnoses are important in perioperative nursing. 1984 Aug 1. doi:10.1016/s0001-2092(07)64085-x

[8] Malen AL. Perioperative Nursing Diagnoses: What, Why, AND How. 1986 Nov 1. doi:10.1016/s0001-2092(07)65449-0

[9] AORN Position Statement on perioperative safe staffing and on-call practices [Internet]. 2014 Jan [cited 2024 Nov 23]. Available from: https://aornjournal.onlinelibrary.wiley.com/doi/10.1016/j.aorn.2013.12.006

[10] Singh BC, Arulappan J. Operating Room Nurses’ Understanding of Their Roles and Responsibilities for Patient Care and Safety Measures in Intraoperative Practice. SAGE Publ. 2023 Jan 1. doi:10.1177/23779608231186247

[11] Killen AR, Kleinbeck SVM, Gollar K, Schuchardt JT, Uebele JA, Golar K. The Prevalence of Perioperative Nurse Clinical Judgments. 1997 Jan 1. doi:10.1016/s0001-2092(06)63026-3

[12] Cronin MA, George E. The Why and How of the Integrative Review. SAGE Publ. 2020 Jul 6. doi:10.1177/1094428120935507

[13] Hopia H, Latvala E, Liimatainen L. Reviewing the methodology of an integrative review. 2016 Apr 14. doi:10.1111/scs.12327

[14] de Souza MT, da Silva MD, de Carvalho R. Integrative review: what is it? How to do it? Inst Israelita Ensino e Pesquisa Albert Einstein. 2010 Mar 1. doi:10.1590/s1679-45082010rw1134

[15] Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-553. doi:10.1111/j.1365-2648.2005.03621.x

[16] Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. 2021 Mar 29. doi:10.1136/bmj.n71

[17] Critical Appraisal Tools & Resources [Internet]. 2024 Jan [cited 2024 Nov 23]. Available from: https://casp-uk.net/critical-appraisal-tools-and-resources/

[18] Melo UG, Santana RF, Carmo TG, Lopes MV. Nursing Diagnoses in the Perioperative Period: Cross Mapping. 2019 Oct.

[19] Silva HVC, de Souza VP, Silva PCV. Systematization of perioperative nursing care in a postanesthetic recovery unit. Federal University of Pernambuco. 2016 Jan 9. doi:10.5205/9460

[20] de Santos LN, Aquino RG, de Souza PA, da Silva NCM, Luna AA. Nursing Diagnostics in Neurosurgery Post-Operative. 2019.

[21] Nakasato GR, Lopes CT, de L Lopes J, de Barros ALBL. Nursing diagnoses in the perioperative period of cardiac surgery. Federal University of Minas Gerais. 2015 Jan 1. doi:10.5935/1415-2762.20150062

[22] Melo FV, Costa MF, dos S Sandes SM. Diagnósticos de enfermagem no período pós-operatório de cirurgia cardíaca. 2018 Aug 4. doi:10.5205/1981-8963-v12i8a231671p2188-2193-2018

[23] Bjorklund‐Lima L, Müller‐Staub M, Cardozo MC, Bernardes DS, Rabelo ER. Clinical indicators of nursing outcomes classification for patient with risk for perioperative positioning injury: A cohort study. 2019 Aug 14. doi:10.1111/jocn.15019

[24] Mendes MA, Barros NKR, Carmo TG. Risk of perioperative hypothermia: an integrative review. 2021 Jan.

[25] Ribeiro ER, Ferreira RC, Montanari FL, Botelho MT de SL, Correia MDL, Duran ÉCM. Conceptual and operational definition of the components of the nursing diagnosis hypothermia (00006) in the perioperative period. Associação Brasileira de Enfermagem. 2021 Jan 1. doi:10.1590/0034-7167-2019-0684

[26] Fennelly O, Grogan L, Reed A, Hardiker NR. Use of standardized terminologies in clinical practice: A scoping review. Int J Med Inform. 2021 Feb 25;149:104431. doi:10.1016/j.ijmedinf.2021.104431