Literature DB >> 33570265

Tooling nurses to assess complexity in routine home care practice: Derivation of a complexity index from the interRAI-HC.

Catherine Busnel1, Fanny Vallet1, Catherine Ludwig2.   

Abstract

AIM: Home care nurses often use the Resident Assessment Instrument-Home Care (interRAI-HC) to assess health needs. However, this tool does not assess complexity. This study proposes to derive a complexity index (CI) from the interRAI-HC using the operational definition of the dedicated COMID checklist (COmplexité Multidimensionnelle des prises en soins Infirmières à Domicile).
DESIGN: Data were collected at the baseline assessment of the fraXity study (N = 231, aged ≥ 65), which relied on an observational longitudinal design.
METHODS: Measures were the interRAI-HC, from which the CI binary variables were computed and the COMID, used as a reference.
RESULTS: Twenty-six CI variables were computed from the interRAI-HC, and all but three correlations were significant. The correlation between the CI score and the COMID score was ρ = 0.730 (p < .001).
CONCLUSIONS: The study demonstrates that complexity can be assessed directly from the interRAI-HC by deriving a CI.
© 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd.

Entities:  

Keywords:  assessment; complexity; home care; interRAI-HC; nurses; nursing

Mesh:

Year:  2020        PMID: 33570265      PMCID: PMC7877136          DOI: 10.1002/nop2.686

Source DB:  PubMed          Journal:  Nurs Open        ISSN: 2054-1058


  25 in total

1.  Scaling ADLs within the MDS.

Authors:  J N Morris; B E Fries; S A Morris
Journal:  J Gerontol A Biol Sci Med Sci       Date:  1999-11       Impact factor: 6.053

2.  Operationalization of biopsychosocial case complexity in general health care: the INTERMED project.

Authors:  Peter de Jonge; Frits J Huyse; Joris P J Slaets; Wolfgang Söllner; Friedrich C Stiefel
Journal:  Aust N Z J Psychiatry       Date:  2005-09       Impact factor: 5.744

Review 3.  Case and care complexity in the medically ill.

Authors:  Peter de Jonge; Frits J Huyse; Friedrich C Stiefel
Journal:  Med Clin North Am       Date:  2006-07       Impact factor: 5.456

4.  Improving primary care for patients with chronic illness: the chronic care model, Part 2.

Authors:  Thomas Bodenheimer; Edward H Wagner; Kevin Grumbach
Journal:  JAMA       Date:  2002-10-16       Impact factor: 56.272

5.  "INTERMED": a method to assess health service needs. I. Development and reliability.

Authors:  F J Huyse; J S Lyons; F C Stiefel; J P Slaets; P de Jonge; P Fink; R O Gans; P Guex; T Herzog; A Lobo; G C Smith; R S van Schijndel
Journal:  Gen Hosp Psychiatry       Date:  1999 Jan-Feb       Impact factor: 3.238

6.  Primary care for patient complexity, not only disease.

Authors:  C J Peek; Macaran A Baird; Eli Coleman
Journal:  Fam Syst Health       Date:  2009-12       Impact factor: 1.950

7.  The increasing burden and complexity of multimorbidity.

Authors:  Anna J Koné Pefoyo; Susan E Bronskill; Andrea Gruneir; Andrew Calzavara; Kednapa Thavorn; Yelena Petrosyan; Colleen J Maxwell; YuQing Bai; Walter P Wodchis
Journal:  BMC Public Health       Date:  2015-04-23       Impact factor: 3.295

8.  Derivation of a frailty index from the resident assessment instrument - home care adapted for Switzerland: a study based on retrospective data analysis.

Authors:  Catherine Ludwig; Catherine Busnel
Journal:  BMC Geriatr       Date:  2017-09-07       Impact factor: 3.921

9.  Patient complexity: more than comorbidity. the vector model of complexity.

Authors:  Monika M Safford; Jeroan J Allison; Catarina I Kiefe
Journal:  J Gen Intern Med       Date:  2007-12       Impact factor: 5.128

10.  Protocol of a case-control longitudinal study (fraXity) assessing frailty and complexity among Swiss home service recipients using interRAI-HC assessments.

Authors:  Catherine Ludwig; Catherine Busnel
Journal:  BMC Geriatr       Date:  2019-08-05       Impact factor: 3.921

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