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© 1997 Oxford University Press

Articles

Variation in Training Programmes for Resident Assessment Instrument Implementation

Roberto Bernabei, Katherine Murphy1, Dinnus Frijters2, Jean-Noël Dupaquier3 and Henriette Gardent4

Università Cattolica del Sacra Cuore Roma, Italy
1 Hebrew Rehabilitation Center for Aged (HRCA), Research and Training Institute Boston, MA, USA
2 Department of General Practice, Nursing Home Medicine and Social Medicine, Free University Amsterdam, The Netherlands
3 Me-Ti SA Carouge, Switzerland
4 Fondation Nationale de Gerontologie Paris, France

Address correspondence to R. Bernabei. Fax: (+39) 6 305 191 I. E-mail: md05l6{at}mclink.it

Background: This paper provides an overview of the Minimum Data Set/Resident Assessment Instrument (MDS/RAI) training programmes in eight countries where the system has been introduced into nursing homes. Formal education and training in the skills of assessment and care planning of nursing home personnel is reputed to be poor. In response to this problem several researchers and clinicians view MDS/RAI implementation as an opportunity to upgrade staff knowledge in care of elderly people.

Results: The courses in the eight countries varied in content and length according to the different goals each interRAI researcher planned when the MDS/RAI was implemented. As expected the greatest differences in training approach were between the USA and other countries. In the USA, where the MDS/RAI was mandated for use in all nursing homes, tens of thousands of professionals had to be oriented to use the system in a relatively short period of time in order to comply with the law. The training programmes therefore tended to be very short compared with those that emerged in countries where the MDS/RAI was freely chosen and implemented.

Keywords: assessment, nursing homes, nurse training


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