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Improving health status and reduction of institutionalization in long-term care-Effects of the Resident Assessment Instrument- Home Care by degree of implementation.
- Source :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.); Oct2015, Vol. 21 Issue 5, p612-621, 10p, 1 Diagram, 3 Charts
- Publication Year :
- 2015
-
Abstract
- A cluster randomized controlled trial showed that the Resident Assessment Instrument ( RAI) could not improve or stabilize the health status of people in need of long-term care or reduce the rate of institutionalization in Germany among clients of home care agencies. The aim of this article is to investigate whether the effect of RAI depends on the degree of implementation. A factor analysis was used to distinguish between those agencies that implemented RAI intensively and those that did not. The clients of home care agencies working intensively with RAI were significantly less hospitalized ( P = 0.0284) and fared slightly better according to activities of daily living ( ADL, instrumental ADL ( IADL)), cognitive skills (Mini-Mental Status Test ( MMST)) and quality of life (EuroQol ( EQ-5 D)) compared with the control group. In contrast, those not working intensively with RAI had worse outcomes ( IADL, MMST, EQ-5 D) than the control group (not significant). It is important to guarantee a successful implementation of RAI. [ABSTRACT FROM AUTHOR]
- Subjects :
- EVALUATION of medical care
NURSING audit
QUALITY of life
ACTIVITIES of daily living
AGE distribution
CHI-squared test
COGNITIVE testing
CONFIDENCE intervals
FACTOR analysis
HEALTH status indicators
HOME care services
HOSPITAL care
INSTITUTIONAL care
INTERVIEWING
LONG-term health care
NURSES' attitudes
RESEARCH funding
SCALE analysis (Psychology)
SEX distribution
STATISTICS
STATISTICAL power analysis
DATA analysis
MULTIPLE regression analysis
EDUCATIONAL attainment
RANDOMIZED controlled trials
HUMAN services programs
HUMAN research subjects
PATIENT selection
KRUSKAL-Wallis Test
Subjects
Details
- Language :
- English
- ISSN :
- 13227114
- Volume :
- 21
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 110545934
- Full Text :
- https://doi.org/10.1111/ijn.12332