Registered Nurses’ experiences with, and feelings and attitudes towards, the International Resident Assessment Instrument for Long-Term Care Facilities in New Zealand in 2017

Abstract

Background: The International Resident Assessment Instrument for Long-Term Care Facilities (interRAI-LTCF) is a Web-based assessment tool designed to comprehensively assess older adults (≥65 years) living in aged residential care. In 2015 New Zealand was the first country where it was made mandatory nationwide. Aims: The purpose of this study was to explore Registered Nurses’ (RNs’) experiences, feelings and attitudes towards interRAI-LTCF. Methods: Twelve interviews were conducted 18 months after interRAI-LTCF became mandatory. The interview questions were based on a United Theory of Acceptance and Use of Technology model. Findings were analysed thematically. Results: The findings reveal that RNs of all ages embrace technology, and have mostly positive attitudes towards interRAI-LTCF. Limited value, however, is seen in dementia and end-of-life care. RNs reported good experiences with trainers and venues, but inconsistency between training courses. Negative feelings towards interRAI-LTCF were caused by insufficient time to complete assessments. RNs also feel apprehensive about the Assessment & Intelligence Systems, Inc. competency tests. Conclusions: Overall RNs supported the use of interRAI-LTCF as a comprehensive assessment tool. Duplication in data entry, insufficient training, and the annual tests caused most stress and negative feelings. Recommendations were made to rectify issues.