Objective
To identify the frequency of nursing diagnosis in patients in surgical clinic.
Methods
A transverse, descriptive and exploratory study of quantitative approach, with data referring to 28 patients. The data collection instrument was developed by the researchers based on health functional patterns.
Results
In total, 301 nursing diagnosis were found, with an average of 12 per patient. Only four diagnoses showed frequency above 50 percent. The most frequent were ‘risk for infection’, ‘impaired skin/tissue integrity’, ‘readiness for enhanced spiritual well-being’, ‘sexual dysfunction’ and ‘disturbed sleep pattern’. The diagnoses that fit in domain 13 (Growth/Development) were not documented in this sample.
Conclusion
The findings demonstrated a wide variety of diagnoses in the study population, a reflex of the diversity of care provided. Identifying the care needs favors the implantation of specific interventions, contributing to the quality of nursing assistance.
Nursing diagnosis; Nursing assessment; Classification; Perioperative nurse; Nursing care