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Assessing the Registered Nursing Care Contribution for older people in care homes
 — issues of reliability and validity
Author(s)Jan Reed, Bill Watson, Margaret Cook
Journal titleHealth and Social Care in the Community, vol 15, no 2, March 2007
Pagespp 136-145
Sourcehttp://www.blackwellpublishing.com/hsc
KeywordsCare homes ; Nursing homes ; Management [care] ; Care homes ; Nurses ; Evaluation ; Reliability.
AnnotationThe present paper reports on a study designed to investigate the validity and reliability of the Registered Nursing Care Contribution (RNCC) tool for assessing the level of nursing care required by care home residents. Care plan data from 186 residents in participating care homes were assessed by multiple assessors using the RNCC tool (i.e. care home registered nurses, a nurse researcher, an external care home expert and a nurse consultant). The Minimum Data Set (MDS) rating was used as a validated comparison. The findings from the study indicate that there were disparities between the RNCC and MDS bandings, and between different raters, with the external care home expert achieving the closest agreement with the MDS. This suggests that the use of the RNCC tool varies considerably according to the assessor, which also suggests that training of users is needed to ensure consistency and reliability. However, the difference between the outcomes of using the RNCC tool and the MDS suggest that assessment of nursing need may need to be re-examined to ensure validity. (RH).
Accession NumberCPA-070413238 A
ClassmarkKW: LHB: QA: KW: QTE: 4C: 5HC

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