Assessing the Registered Nursing Care Contribution for older people in care homes : issues of reliability and validity

Reed, Jan, Watson, Bill and Cook, Margaret (2006) Assessing the Registered Nursing Care Contribution for older people in care homes : issues of reliability and validity. Health & Social Care in the Community, 15 (2). pp. 136-145. ISSN 0966-0410

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Abstract

The 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 nurses consultant). The Minimum Data Set (MDS) rating was used as a validated comparison. The findings from the study indicated 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 suggests that assessment of nursing need may need to be re-examined to ensure validity.

Item Type:	Article
Uncontrolled Keywords:	Old age homes, Nursing Care
Subjects:	B700 Nursing
Department:	Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User:	EPrint Services
Date Deposited:	20 May 2008 14:40
Last Modified:	12 Oct 2019 15:26
URI:	http://nrl.northumbria.ac.uk/id/eprint/1868

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