University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Dalhousie University, Halifax, Nova Scotia, Canada.
Clin Nurs Res. 2022 Jan;31(1):5-19. doi: 10.1177/10547738211020373. Epub 2021 May 30.
The aim of this review was to chart and report on existing literature that discusses how the interRAI assessment tool drives care-planning processes for residents in long-term-care settings. This scoping review was informed by the Joanna Briggs Institute guidelines for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guideline. Relevant studies were obtained from databases search of CINAHL (EBSCO), MEDLINE (Ovid), PsycINFO (EBSCO), Academic Search Premier (EBSCO), Embase (Elsevier), ProQuest Nursing and Allied Health Database (ProQuest), Sociological Abstracts (ProQuest), and Social Services Abstracts (ProQuest). Of the 17 included studies, five (29.4%) addressed interRAI's minimum dataset component as a clinical data-collection tool; five (29.4%) addressed interRAI's assessment scales and its clinical-assessment protocols as viable health-assessment tools; four (23.5%) considered interRAI's assessment scales in terms of whether this tool is capable of predicting residents' health risks; one (5.9%) addressed the effects of interRAI's care plans on residents' health outcomes; and the remaining two studies (11.8%) used interRAI's quality-indicator function for both the performance of and improvements in the quality of care. The scoping review finds that there is no substantial evidence that supports the implementation of interRAI care plans for consistent health outcomes.
本综述旨在梳理和报告现有的文献,讨论 interRAI 评估工具如何驱动长期护理环境中居民的护理计划流程。本 scoping 综述遵循 Joanna Briggs 研究所 scoping 综述指南以及针对 scoping 综述的系统评价和荟萃分析扩展的首选报告项目的指导原则。从 CINAHL(EBSCO)、MEDLINE(Ovid)、PsycINFO(EBSCO)、Academic Search Premier(EBSCO)、Embase(Elsevier)、ProQuest 护理和联合健康数据库(ProQuest)、社会学摘要(ProQuest)和社会服务摘要(ProQuest)数据库的文献检索中获得了相关研究。在纳入的 17 项研究中,有 5 项(29.4%)探讨了 interRAI 的最小数据集组件作为临床数据收集工具;有 5 项(29.4%)探讨了 interRAI 的评估量表及其临床评估方案作为可行的健康评估工具;有 4 项(23.5%)考虑了 interRAI 的评估量表,以确定该工具是否能够预测居民的健康风险;有 1 项(5.9%)探讨了 interRAI 的护理计划对居民健康结果的影响;其余两项研究(11.8%)分别使用了 interRAI 的质量指标功能来评估和改进护理质量。这项 scoping 综述发现,没有充分的证据支持实施 interRAI 护理计划以获得一致的健康结果。