Optimizing the InterRAI Assessment Tool in Care Planning Processes for Long-Term Residents: A Scoping Review.
Steve Iduye, Tracie Risling, Shelley McKibbon and 1 others
PMID 34056955WHAT IT FOUND
InterRAI helps long-term care teams collect resident data, assess pain, falls, pressure ulcers, and compare care quality.
But only one included study tested its care plans, and it did not show improved resident health outcomes.
Key findings
01The review included 17 studies and grouped them into five interRAI care processes: clinical data collection, health assessment, health-risk prediction, care plans and interventions, and care performance and quality improvement.
02Of the final 17 studies included, five addressed interRAI's minimum dataset component as a clinical data-collection tool, five addressed interRAI's scales and clinical-assessment protocols as health-assessment tools, four considered whether the scales could predict residents' health risks, one investigated the effects of interRAI-driven care plans on residents' health outcomes, and two used interRAI's quality-indicator function.
03The one study that examined interRAI-driven care-plan effects found no significant effects on residents' health outcomes.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a scoping review, not a trial or meta-analysis, so it maps what has been studied rather than proving that interRAI care plans improve outcomes. Only one included study examined care-plan effects, so the evidence about resident health outcomes is very thin. Many included studies are observational or secondary data analyses, so they describe associations or tool performance rather than the effect of interRAI-driven care planning. The search was limited to English-language studies, which may omit relevant non-English long-term care work. The included studies varied widely in country, design, and interRAI use, so their findings cannot be combined into a single effect estimate.
The easy way to misread this
Do not conclude that interRAI care plans improve long-term care residents' health outcomes. The review found inadequate evidence for that, and the only included study testing care-plan effects found no significant effects on residents' health outcomes.