노인요양시설에서 Resident Assessment Instrument-Facility[RAI-FC]에 의한 간호문제와 간호사의 판정 비교
A Comparison of Nursing Problems Identified through RAI-FC and by Nurses Caring for Nursing Home Residents
0
조회
0
다운로드
13
인용
0
참고문헌
키워드
초록
Purpose: Effective individual care plans need to include identification of nursing problems. This study was conducted to identify nursing problems and to compare nursing problems identified by nurses with those identified through the Resident Assessment Protocols (RAPs) from the Resident Assessment Instrument (RAI). Methods:Data were collected from 307 residents in 4 nursing homes. The results of the comprehensive assessment using the Resident Assessment Instrument Minimum Data Set 2.0 version (MDS 2.0) were compared with data from questionnaires on nursing problems which were completed by nurses working in the 4 nursing homes. Resident Assessment Protocols (RAPs) were analyzed using the RAI manual algorithms. Results: The average number of problems identified by RAI-FC was 8.0±2.83 compared to 4.5±2.37 identified by the nurses. The problems most frequently not detected by the nurses were dehydration/fluid maintenance (92.9%), followed by urinary incontinence and indwelling catheter (91.9%), pressure ulcer (83.8%), visual function (83.3%), and delirium (76.2%). Conclusion: The results indicate a need for a comprehensive need assessment instrument for individual care plans, development of a manual for nursing residents in nursing homes, and further education of nurses about the unique nursing problems in this population.
Abstract
Purpose: Effective individual care plans need to include identification of nursing problems. This study was conducted to identify nursing problems and to compare nursing problems identified by nurses with those identified through the Resident Assessment Protocols (RAPs) from the Resident Assessment Instrument (RAI). Methods:Data were collected from 307 residents in 4 nursing homes. The results of the comprehensive assessment using the Resident Assessment Instrument Minimum Data Set 2.0 version (MDS 2.0) were compared with data from questionnaires on nursing problems which were completed by nurses working in the 4 nursing homes. Resident Assessment Protocols (RAPs) were analyzed using the RAI manual algorithms. Results: The average number of problems identified by RAI-FC was 8.0±2.83 compared to 4.5±2.37 identified by the nurses. The problems most frequently not detected by the nurses were dehydration/fluid maintenance (92.9%), followed by urinary incontinence and indwelling catheter (91.9%), pressure ulcer (83.8%), visual function (83.3%), and delirium (76.2%). Conclusion: The results indicate a need for a comprehensive need assessment instrument for individual care plans, development of a manual for nursing residents in nursing homes, and further education of nurses about the unique nursing problems in this population.
참고문헌 (25)
- Achterberg, W. P., "Effects of the resident assessment instrument on the care process and health outcomes in nursing homes. A review of the literature", Scandinavian Journal of Rehabilitation Medicine, 31, pp.131~137 (1999)
- Achterberg, W. P., "Improvement in the quality of co-ordination of nursing care following implementation of the resident assessment instrument in dutch nursing homes", Journal of Advanced Nursing, 35(2), pp.268~275 (2001)
- 조귀영, "노인요양시설 요실금 여성노인의 요실금 정도, 관련문제 및 관리실태", 노인간호학회지, 11(2), pp.162~172 (2009), 노인간호학회
- Hansebo, G., "Review of nursing documentation in nursing home wards - changes after intervention for individualized care", Journal of Advanced Nursing, 26(6), pp.1462~1473 (1999)
- 전경자, "재가노인 기능상태 평가도구를 이용한 재가노인 사례관리 프로그램의 효과 평가", Journal of Korean Academy of Nursing, 39(3), pp.366~375 (2009), 한국간호과학회
- Kang, I. O., "The establishment and management of care plan for long term care elderly" (2008), National Health Insurance Corporation
- 김은경, "재가노인의 포괄적 건강문제 평가와 관리방안", 간호행정학회지, 12(3), pp.464~472 (2006), 간호행정학회
- 김경희, "RAI-MDS-HC 2.0으로 평가한 방문보건 대상자의 건강요구", 한국생활환경학회지, 15(1), pp.102~111 (2008), 한국생활환경학회
- Kim, H. G., "Development of case management model for then bedridden elderly at home and its evaluation: Focusing on RAI MDS-HC 2.0 Application", 박사, pp.2001
- Kim, H. J., "The validation of RAI-MDS 2.0", 석사, pp.2000
- Kim, S. M., "Validity of resident assessment instrument- minimum data set home care version in Korea", Journal of Gereatric Society, 4(1), pp.68~75 (2000)
- Kim, W. J., "The 2 years experience and vision of long term care system: Seeking direction for performance oriented development of long term care insurance", The material for simposium of second anniversary of long term care insurance (2010), Ministry of Health and Welfare.
- Kwon, Y. J., "The current state and challenge of long term care insurance. Korean Development Institute Conference Material" (2010), Korea Development Institute
- Lee, J. S., "The correlation of standard care plan of long term care and the cost of long term care insurance" (2008), National Health Insurance Corporation
- 윤주영, "요양병원의 서비스 질 평가를 위한 요실금 결과 지표 개발", Journal of Korean Academy of Nursing, 40(1), pp.110~118 (2010), 한국간호과학회
- 임세현, "노인요양 시설에서 거주노인의 이상징후 확인과 관리에 대한 간호사의 인식", 노인간호학회지, 12(1), pp.81~94 (2010), 노인간호학회
- Morris, J., "Designing the national resident assessment system for nursing homes", Gerontologist, 30, pp.293~307 (1990)
- Morris, J. N., "RAI-FC assessment manual version 2.0" (2004), Center for medicare & Medicaid Services
- Ouslander, J. G., "Incontinence in the nursing home", Annals of Internal Medicine, 122(6), pp.438~449 (1995)
- Pack S. L., "A study on the evaluation of the health and the functional state using MDS-HC 2.0: On the central of traveling nurse service of primary health care post", 석사, pp.2000
- Park, H. W., "Nurses' Knowledge and attitude toward the elderly in medical welfare facilities for old people", 석사, pp.2007
- 박선영, "노인병원 간호사의 노인에 대한 지식과 태도 및 노인간호 교육 필요도", 한국간호교육학회지, 13(1), pp.59~65 (2007), 한국간호교육학회
- Schnelle, J. F., "Managing urinary incontinence in the elderly" (1991), Springer Publishing Company
- Sgadari, A., "Effort to establish the reliability of the resident assessment instrument", Age Ageing, 26, pp.27~30 (1997)
- 유인영, "재가노인의 건강문제와 보건.복지 서비스 지원 실태에 관한 연구", Journal of Korean Academy of Nursing, 34(1), pp.111~122 (2004), 한국간호과학회
