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Biomedical subjects

S C Beyea

Publications and source records attributed to S C Beyea.

At least 19 recordsLinked to original sources

The ideal state for perioperative nursing.

For a typical surgical procedure, a minimum of three individuals document the care provided during the intraoperative phase. This makes it difficult to develop perioperative records with pertinent data elements without creating redundancy, errors, and inconsistencies. This article discusses strategies to develop surgical records that share information effectively through the use of structured vocabulary and a thoughtful approach to professional nursing practice. It begins to explore developing standards for paper or electronic documentation through collaboration with other stakeholders, including anesthesia care providers, surgeons, clinical directors, and informaticians.

Data Collection↗

Collecting, analyzing, and interpreting focus group data.

Conducting a focus group is only one approach to gathering information. The worthiness of the information derived from a focus group depends on many factors. The main advantage of a focus group is that it is a convenient, cost-effective, relatively fast method to collect information from a number of individuals. Useful information only can be obtained with special attention to research methods and assessment of the reliability and validity of collected data. Using a focus group should be considered when the method is appropriate to answer the research question. Remember, adequate resources and skill are required to conduct a focus group in a manner that ensures the quality of the results.

Data Collection↗

Structural data elements--standardized terms and definitions.

Perioperative nurses must have an organized approach to collect, organize, classify, and capture clinical nursing data to communicate nursing practice. Standardized nursing language provides a systematic method of collecting basic elements of perioperative nursing care. This article examines how structural elements were developed and validated for this standardized language.

Databases as Topic↗

Perioperative data elements: interventions and outcomes.

In 1999, the American Nurses Association's committee on nursing practice recognized AORN's Perioperative Nursing Data Set (PNDS) as a data set useful in the practice of nursing. The PNDS is a standardized nursing language specific to perioperative settings that is both clinically relevant and empirically validated. This data set is the culmination of six years of effort by AORN and AORN staff members to develop a standardized language that is clearly defined, common to all cases, and consistent across time.

Data Collection↗

Clinical expertise and research findings--understanding the fit.

Clinical expertise is as valuable as the information that supports decisions. The worth of that information must be evaluated carefully and constantly questioned. Clinicians must work together to carefully and systematically analyze what they bring to the decision-making process. Rules that serve as the foundation of one's decision need to be evaluated continuously. As well, every clinician must be aware of inherent and subtle biases that influence decisions. Relying on clinical expertise can be a helpful strategy, but clinicians must proceed with caution. As with research, nothing is correct 100% of the time--even experts make mistakes. Use your expertise to determine what strategy is correct when facing a clinical problem. If your clinical expertise will serve the patient best, do not be afraid to use this hard-earned knowledge for the optimum patient outcome.

Clinical Competence↗

Clinical practice guidelines--an organizational effort.

In response to the national trend toward developing clinical practice guidelines, AORN set out to create practice guidelines specific to perioperative nursing. In this effort, a designated group of individuals began defining and reviewing guidelines from other organizations and determining parameters for developing AORN's own patient-focused, comprehensive, research-based guidelines. Clinical practice guidelines now have been published in AORN's Standards, Recommended Practices, and Guidelines, and a template has been established to help other AORN members create and implement guidelines for clinical conditions, common procedures, or patient populations specific to perioperative nursing practice.

Evidence-Based Medicine↗

Standardized language--making nursing practice count.

Language in nursing has never communicated the same clinical problems in a clear, precise, or consistent manner. Clinical information systems require standardized terms and definitions to help clinicians with electronic documentation. The future of nursing depends on systematic efforts to label and define nursing contributions to health care. Standardized nursing languages provide a structure to manage nursing data in a computerized patient record. Learning about and working with standardized nursing languages will ensure that nursing contributions are an integral component of any medical record. This article defines standardized language, explores standardized languages in nursing, and outlines the various nursing languages for clinical practice that have been recognized by the American Nurses Association.

Databases as Topic↗