Registered Nurses’ experiences with, and feelings and attitudes towards, the International Resident Assessment Instrument for Long-Term Care Facilities in New Zealand in 2017

摘要

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. In 2015 New Zealand was the first country where it was made mandatory nationwide. Aims The purpose of this study was to explore Registered Nurses’ (RNs’) experiences, feelings and attitudes towards interRAI-LTCF. Methods Twelve interviews were conducted 18 months after interRAI-LTCF became mandatory. The interview questions were based on a United Theory of Acceptance and Use of Technology model. Findings were analysed thematically. Results The findings reveal that RNs of all ages embrace technology, and have mostly positive attitudes towards interRAI-LTCF. Limited value, however, is seen in dementia and end-of-life care. RNs reported good experiences with trainers and venues, but inconsistency between training courses. Negative feelings towards interRAI-LTCF were caused by insufficient time to complete assessments. RNs also feel apprehensive about the Assessment & Intelligence Systems, Inc. competency tests. Conclusions Overall RNs supported the use of interRAI-LTCF as a comprehensive assessment tool. Duplication in data entry, insufficient training, and the annual tests caused most stress and negative feelings. Recommendations were made to rectify issues.