Tooling nurses to assess complexity in routine home care practice : derivation of a complexity index from the interRAI‐HC

Busnel, Catherine (Research and Development Unit, Geneva Institution for Homecare and Assistance (imad), Carouge, Switzerland) ; Vallet, Fanny (Research and Development Unit, Geneva Institution for Homecare and Assistance (imad), Carouge, Switzerland) ; Ludwig, Catherine (Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland)

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.


Keywords:
Article Type:
scientifique
Faculty:
Santé
School:
HEdS - Genève
Institute:
Aucun institut
Date:
2021-03
Pagination:
9 p.
Published in:
Nursing Open
Numeration (vol. no.):
2021, vol. 8, no. 2, pp. 815-823
DOI:
ISSN:
2054-1058
Appears in Collection:



 Record created 2020-11-30, last modified 2021-02-22

Fulltext:
Download fulltext
PDF

Rate this document:

Rate this document:
1
2
3
 
(Not yet reviewed)