What do orthopaedic nurses think about frailty? A qualitative analysis

Seyman, Çiğdem Canbolat; Sara, Yasemin

doi:10.1016/j.colegn.2022.08.004

Cited by 2 publications

(3 citation statements)

References 42 publications

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“…However, in a study with Australian orthopedic surgeons, frailty screening was considered positive in principle but unlikely to be helpful or feasible in their everyday practice ( Archibald et al, 2020 ). HCPs from both acute and community settings have suggested that frailty screening is less valuable as they informally assess this anyway without needing a formal tool ( Archibald et al, 2020 ; Canbolat Seyman & Sara, 2023 ; Mulla et al, 2021 ; Papadopoulou et al, 2021 ; Seeley et al, 2023 ). Previous qualitative work with GPs, psychiatrists, orthopedic nurses, dietitians, and primary and community care staff also suggests frailty is not always well defined or consistently understood by HCPs, particularly across different professions ( Anantapong & Tinker, 2019 ; Canbolat Seyman & Sara, 2023 ; Coker et al, 2019 ; Mulla et al, 2021 ; Roberts et al, 2023 ; Seeley et al, 2023 ), with variations in preference of screening tool by discipline ( Liu et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

“…HCPs from both acute and community settings have suggested that frailty screening is less valuable as they informally assess this anyway without needing a formal tool ( Archibald et al, 2020 ; Canbolat Seyman & Sara, 2023 ; Mulla et al, 2021 ; Papadopoulou et al, 2021 ; Seeley et al, 2023 ). Previous qualitative work with GPs, psychiatrists, orthopedic nurses, dietitians, and primary and community care staff also suggests frailty is not always well defined or consistently understood by HCPs, particularly across different professions ( Anantapong & Tinker, 2019 ; Canbolat Seyman & Sara, 2023 ; Coker et al, 2019 ; Mulla et al, 2021 ; Roberts et al, 2023 ; Seeley et al, 2023 ), with variations in preference of screening tool by discipline ( Liu et al, 2022 ). Lack of support and resources has also been cited as a barrier in both acute and primary care settings ( Liu et al, 2022 ; Mulla et al, 2021 ; Papadopoulou et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

“…One survey of hospitals found that only 62% (80/139) hospitals had a policy of frailty identification ( Knight et al, 2022 ), whilst an Australian survey of dietitians found that only 15% had a policy for screening for malnutrition and frailty, although 63% reported a malnutrition screening policy ( Roberts et al, 2023 ). In addition to screening guidance, a lack of guidance on what to do after frailty identification has been cited as a key barrier to identifying it in practice ( Canbolat Seyman & Sara, 2023 ; Liu et al, 2022 ), with suggestions from dietitians that pathways and guidance on frailty are less common in the community ( Roberts et al, 2023 ).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Identifying and Managing Frailty: A Survey of UK Healthcare Professionals

Frost,

Robinson,

Gordon

et al. 2023

J Appl Gerontol

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Frailty is a common condition that leads to multiple adverse outcomes. Frailty should be identified and managed in a holistic, evidence-based and patient-centered way. We aimed to understand how UK healthcare professionals (HCPs) identify and manage frailty in comparison with UK Fit for Frailty guidelines, their frailty training, their confidence in providing support and organizational pathways for this. An online mixed-methods survey was distributed to UK HCPs supporting older people through professional bodies, special interest groups, key contacts, and social media. From 137 responses, HCPs valued frailty assessment but used a mixture of tools that varied by profession. HCPs felt confident managing frailty and referred older people to a wide range of supportive services, but acknowledged a lack of formalized training opportunities, systems, and pathways for frailty management. Clearer pathways, more training, and stronger interprofessional communication, appropriate to each setting, may further support HCPs in frailty management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Identifying and Managing Frailty: A Survey of UK Healthcare Professionals

Frost,

Robinson,

Gordon

et al. 2023

J Appl Gerontol

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Exploring frailty perspectives of older people and professionals: a systematic integrative review

Golbach,

Bunt,

Jager-Wittenaar

et al. 2024

Ageing and Society

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Frailty is a common but complex phenomenon that is approached from theoretical and professional perspectives but rarely from the perspectives of older people and their essential stakeholders. Different or opposing perspectives on frailty at personal, organisational, and community levels can negatively affect care for frail older people. This systematic integrative review synthesises the perspectives on frailty of older people, health/social care professionals, informal caregivers, managers and policymakers, using thematic analysis. We use the Joanna Briggs Institute–Critical Appraisal Checklist to appraise the quality of 52 qualitative and mixed-method studies drawn from the PubMed/MEDLINE, CINAHL, PsycINFO, Embase, and Web of Science databases (inception–December 2023). Of these, 33 include the perspectives of older people, 27 of health/social care professionals, four of managers, and six of informal caregivers. Structuring the perspectives along six themes – ‘the multi-dimensional nature of frailty’, ‘the dynamics of frailty’, ‘the complexity of frailty’, ‘frailty in relation to age’, ‘frailty in relation to health’ and ‘frailty in relation to dependence’ – revealed substantive similarities in the conceptualisation of frailty between older people and professionals, e.g. regarding frailty’s dynamic and multi-dimensional nature. However, older people and professionals differ in their interpretations of frailty: older people take a personal view, while professionals take a more practical view. The identified discrepancies in perspectives may affect care relationships and care for frail older people. Therefore, we advocate a systems approach that incorporates multiple perspectives to form a comprehensive view of frailty and allows for a situation-specific shared understanding of frailty in older people.

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What do orthopaedic nurses think about frailty? A qualitative analysis

Cited by 2 publications

References 42 publications

Identifying and Managing Frailty: A Survey of UK Healthcare Professionals

Identifying and Managing Frailty: A Survey of UK Healthcare Professionals

Exploring frailty perspectives of older people and professionals: a systematic integrative review

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