title: Patients' Care Needs: Documentation Analysis in General Hospitals.
abstract: OBJECTIVE
  The purpose of the study is (a) to describe care needs derived from records of patients in Dutch hospitals, and (b) to evaluate whether nurses employed the NANDA-I classification to formulate patients' care needs.
  
  
  METHODS
  A stratified cross-sectional random-sampling nursing documentation audit was conducted employing the D-Catch instrument in 10 hospitals comprising 37 wards.
  
  
  RESULTS
  The most prevalent nursing diagnoses were acute pain, nausea, fatigue, and risk for impaired skin integrity.
  
  
  CONCLUSIONS
  Most care needs were determined in physiological health patterns and few in psychosocial patterns.
  
  
  CONCLUSIONS
  To perform effective interventions leading to high-quality nursing-sensitive outcomes, nurses should also diagnose patients' care needs in the health management, value-belief, and coping stress patterns.
authors.affiliation: Research and Innovation Group in Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, the Netherlands.
authors.forename: Wolter
authors.initials: W
authors.lastname: Paans
authors.affiliation: Pflege PBS, Bronschhofen, Switzerland.
authors.forename: Maria
authors.identifier: http://orcid.org/0000-0001-5194-6160
authors.initials: M
authors.lastname: Müller-Staub
mesh_terms: D004282:Documentation; D006301:Health Services Needs and Demand; D006769:Hospitals, General / Q000458:organization & administration*; D009426:Netherlands
keywords: NANDA-I classification; nursing diagnosis; nursing documentation; record review