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Standardising assessment instruments and care planning in Ireland
Author(s)Eric Van Lente, Martin Power
Journal titleQuality in Ageing and Older Adults, vol 15 no 1, 2014
PublisherEmerald, 2014
Pagespp 46-60
Sourcewww.emeraldinsight.com/qaoa.htm
KeywordsCare homes ; Needs [elderly] ; Evaluation ; Standards of provision ; Ireland.
AnnotationThis paper concerns issues regarding scoping of instruments used for assessment of needs and the practices that surround care planning in residential care for older people in Ireland, in the wake of the introduction of national standards. An online or postal questionnaire survey of care providers, developed from the domains of need outlined in the standards was used. There is wide variation in the use of standardised instruments for assessment. Within some domains, standardised instruments enjoy near universal usage. However, within other domains, standardised instruments are often absent, external professional input and/or guidelines dominate, and/or instruments have been adapted in-house. Practices surrounding care planning are largely homogeneous and the preserve of medical professionals. This research was confined to the Republic of Ireland, and so limits its generalisability. The self-selecting nature of participants must also be considered. Further research could include examining how, over time, the standards are shaping care practice, particularly in relation to interdisciplinary working and person-centred care. The non-prescriptive nature of the standards presents a challenge to care providers in selecting appropriate standardised instruments for assessment. In addition, medical dominance of care planning limits the extent to which care plans can enhance the provision of interdisciplinary and person-centred care. This paper contributes to a growing literature on standardisation of assessment and care planning, provides a reference point for comparison with other nations and, in an Irish context, addresses an area that has received little attention to date. As such, it is of interest to practitioners, care providers and regulators. (RH).
Accession NumberCPA-170526228 A
ClassmarkKW: IK: 4C: 583: 763

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