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Journal of Korean Gerontological Nursing 2011;13(1):58-68.
노인요양시설에서 Resident Assessment Instrument-Facility (RAI-FC)에 의한 간호문제와 간호사의 판정 비교
김영애, 이지윤, 김홍수, 황정해
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.
Key words: 노인요양시설, 간호문제, 포괄적 평가
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