An Analysis of Nursing Diagnoses
for Patients Undergoing
Procedures in a Brazilian
Interventional Radiology Suite
LIZA DE SOUZA VIEGAS, RN, CNS; RUTH NATALIA TERESA TURRINI, RN, PhD;
JOSINETE APARECIDA DA SILVA BASTOS CERULLO, RN, PhD
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 Nurs-
ing Data Set diagnoses were found to be similar. AORN J 91 (May 2010) 544-557.
© AORN, Inc, 2010. doi: 10.1016/j.aorn.2009.09.032
Key words: North American Nursing Diagnosis Association, NANDA, Periopera-
tive Nursing Data Set, PNDS, nursing diagnoses, interventional radiology, mini-
mally invasive surgery, perioperative nursing care.
T
he care provided in radiology services is
diverse, in part because of innovations in
minimally invasive surgery. The use of
robotics and microengineered instruments has led
to more procedures being performed in the inter-
ventional radiology (IR) suite
1
; thus, nurses face
the challenges of applying the nursing process to
patient care in radiology. Nurses practicing in IR
must be competent to care for all types of pa-
tients, from those having elective procedures to
patients who are critically ill and require emer-
gent procedures. These nurses need critical think-
ing skills to prevent or identify and intervene in
problems that affect the safety of patients, and
they must be skilled in interpersonal communica-
tion and counseling.
2
It is essential to introduce
the nursing process to nurses in IR, particularly
nursing diagnoses, to better organize the nursing
doi: 10.1016/j.aorn.2009.09.032
544 AORN Journal ● May 2010 Vol 91 No 5 © AORN, Inc, 2010