全球智库信息集成服务系统

Patient/Resident Factors

• When patients/residents were cognitively impaired or fatigued, it was noticeably more difficult to complete the assessment.

Staff Experience with the Assessment

• Many research nurses stated that facility staff members became more fluid with the assessment as they gained practice.
• Conversely, when facility staff members had not done an assessment recently, they found it more difficult.
• Debriefing after interviews to discuss challenges and questions had been helpful in improving skills.

Technical Glitches

• The research nurses commented that sometimes questions would be skipped accidentally because pages would stick together or facility staff would skip the "testing only" items.
• One pair of assessors mitigated these errors by asking each other at the end of a section if there was anything else they needed to cover.

Skill with Electronic Health Record (EHR) Use

• Research nurses highlighted the importance of easy access to the EHR. Those who needed assistance said it created extra hassle and scheduling, and often felt rushed while searching it because someone else was involved in the process.

Challenge of Timing Each Section Separately

• Research nurses shared that it was difficult to time each section separately. After a section had been completed, additional information frequently arose. However, this is unique to the testing phase and will not be a problem when these items are actually in use.

Difficulty Finding Family Members

• Several research nurses noted that it was often difficult to find family members if they were not in the room, which made answering caregiver response items difficult.