Identification of registered nursing care of residents in English nursing homes using the Minimum Data Set Resident Assessment Instrument (MDS/RAI) and Resource Utilisation Groups version III (RUG-III).

I Carpenter, M Perry, DJ Challis, Kevin Hope

Research output: Contribution to journalArticlepeer-review

Abstract

AIM: to determine if a combination of Minimum Data Set/Resident Assessment Instrument (MDS/RAI) assessment variables and the Resource Utilisation Groups version III (RUG-III) case-mix system could be used as a method of identifying and reimbursing registered nursing care needs in long-term care. METHOD:the sample included 193 nursing home residents from four nursing homes from three different locations and care providers in England. The study included assessments of residents' care needs using either the MDS/RAI assessments or RUG stand-alone questionnaires and a time study that recorded the amount of nursing time received by residents over a 24-h period. Validity of RUG-III for explaining the distribution of care time between residents in different RUG-III groups was tested. The difference in direct and indirect care provided by registered general nurses (RGN) and care assistants (CA) to residents in RUG-III clinical groups was compared. RESULTS:the RUG-III system explained 56% of the variance in care time (Eta2, P=0.0001). Residents in RUG-III groups associated with particular medical and nursing needs (enhanced RGN care) received more than twice as much indirect RGN care time (t-test, P
Original languageEnglish
Pages (from-to)686
JournalAge Ageing
Volume32
Issue number6
Publication statusPublished - Nov 2003

Keywords

  • Aged
  • England
  • statistics & numerical data: Geriatric Nursing
  • Health Resources
  • statistics & numerical data: Health Services Needs and Demand
  • Homes for the Aged
  • Humans
  • Long-Term Care
  • supply & distribution: Nurses
  • Nurses' Aides
  • statistics & numerical data: Nursing Homes
  • Personnel Staffing and Scheduling
  • Questionnaires

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