Tiusanen Teija Susanna, Junttila Kristiina, Leinonen Tuija, Salanterä Sanna
Hospital District of Southwest Finland, Paimio.
AORN J. 2010 Feb;91(2):236-47. doi: 10.1016/j.aorn.2009.06.027.
In Finland, there are no common guidelines or recommended practices for perioperative documentation. Thus, perioperative nursing documentation varies from one operating department to another. To create minimum criteria for nursing documentation in Finland, we conducted an investigation in a university hospital district in 2006. Purposive sampling was used to invite experts in perioperative nursing documentation (N = 42) to serve as a Delphi panel. The final criteria are 120 items, 71% of which are based on the AORN standards and recommended practices. These criteria may be used to educate students and new perioperative personnel and to enhance the quality of nursing practice. To ensure relevance and usability, the criteria should be tested in various perioperative settings with a variety of surgical patients.
在芬兰，围手术期文件记录没有通用指南或推荐做法。因此，围手术期护理文件记录在不同的手术科室之间存在差异。为了制定芬兰护理文件记录的最低标准，我们于2006年在一个大学医院区进行了一项调查。采用目的抽样法邀请围手术期护理文件记录方面的专家（N = 42）组成德尔菲小组。最终标准有120项，其中71%基于美国手术室注册护士协会（AORN）的标准和推荐做法。这些标准可用于教育学生和新的围手术期工作人员，并提高护理实践质量。为确保相关性和实用性，应在各种围手术期环境中对不同手术患者进行标准测试。
