Registered nurses' experiences with, and feelings and attitudes towards, interRAI-LTCF in New Zealand in 2017 : a thesis presented in partial fulfillment of the requirements for the degree of Master of Philosophy in Health at Massey University, Albany, New Zealand
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Date
2017
DOI
Open Access Location
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Massey University
Rights
The Author
Abstract
Background
The
International
Resident
Assessment
Instrument
for
Long
Term
Care
Facilities
(interRAI-‐LTCF)
is
a
web-‐based
assessment
tool
designed
to
comprehensively
assess
older
adults
(>65
years)
living
in
aged
residential
care.
InterRAI-‐LTCF
is
used
in
over
thirty
countries,
but
in
2015
New
Zealand
(NZ)
was
the
first
country
where
it
was
made
mandatory
in
all
facilities.
No
previous
research
about
Registered
Nurses’
(RN)
views
on
interRAI-‐LTCF
in
NZ
has
been
conducted.
The
purpose
of
this
study
was
to
explore
RNs’
experiences,
feelings
and
attitudes
towards
interRAI-‐LTCF,
and
what
they
believed
would
improve
their
experiences.
Methods
The
study
was
qualitative,
using
an
exploratory
and
descriptive
approach.
Twelve
interviews
were
conducted
18
months
after
interRAI-‐LTCF
became
mandatory
in
NZ.
The
interview
questions
were
based
on
a
United
Theory
of
Acceptance
and
Use
of
Technology
(UTAUT)
model
with
some
modifications.
Findings
were
analysed
thematically.
Results
The
findings
reveal
that
RNs
of
all
ages
embrace
technology,
and
have
mostly
positive
attitudes
towards
interRAI-‐LTCF
as
a
standardised
and
comprehensive
assessment
tool.
Limited
value
however
is
seen
in
dementia
and
end
of
life
care.
RNs
report
good
experiences
with
trainers
and
venues,
but
inconsistency
between
training
courses.
Negative
feelings
towards
interRAI-‐LTCF
were
caused
by
insufficient
time
to
complete
assessments,
often
due
to
duplication
of
data
entry
and
insufficient
RNs
trained.
RNs
also
feel
apprehensive
about
the
annual
Assessment
&
Intelligence
Systems,
Inc.
(AIS)
competency
tests.
RNs
believe
the
development
of
automated
care
plans
and
an
automated
password
retrieval
system
would
improve
their
experience.
They
also
suggested
that
specific
cultural
considerations
for
Māori
residents
should
be
reviewed.
Conclusion
Overall
RNs
supported
the
use
of
interRAI-‐LTCF
as
a
comprehensive
assessment
tool.
Duplication
in
data
entry,
insufficient
training,
and
the
annual
AIS
tests
caused
most
stress
and
negative
feelings.
Recommendations
were
made
to
rectify
this.
Key
Words
Older
adults,
interRAI-‐LTCF,
Registered
Nurses,
aged
residential
care,
UTAUT
Description
Keywords
Nursing assessment, Geriatric nursing, Long-term care facilities, New Zealand, Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Older people and ageing