Patients' Care Needs: Documentation Analysis in General Hospitals

摘要: Purpose The purpose of the study is (a) to describe care needs derived from records patients in Dutch hospitals, and (b) evaluate whether nurses employed NANDA-I classification formulate patients' needs. Methods A stratified cross-sectional random-sampling nursing documentation audit was conducted employing D-Catch instrument 10 hospitals comprising 37 wards. Findings The most prevalent diagnoses were acute pain, nausea, fatigue, risk for impaired skin integrity. Conclusions Most determined physiological health patterns few psychosocial patterns. Implications Nursing Practice To perform effective interventions leading high-quality nursing-sensitive outcomes, should also diagnose management, value-belief, coping stress patterns.