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The opinions and experiences of nurses on frailty screening among older hospitalized patients. An exploratory study

BACKGROUND: Routine screening for frailty at admission by nurses may be useful to detect geriatric risks and problems at an early stage. However, the added value of this screening is not clear yet. Information about the opinions and attitudes of nurses towards this screening is also lacking. As they...

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Autores principales: Warnier, Ron M. J., van Rossum, Erik, Du Moulin, Monique F. M. T., van Lottum, Marjolein, Schols, Jos M. G. A., Kempen, Gertrudis I. J. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565044/
https://www.ncbi.nlm.nih.gov/pubmed/34732153
http://dx.doi.org/10.1186/s12877-021-02586-z
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author Warnier, Ron M. J.
van Rossum, Erik
Du Moulin, Monique F. M. T.
van Lottum, Marjolein
Schols, Jos M. G. A.
Kempen, Gertrudis I. J. M.
author_facet Warnier, Ron M. J.
van Rossum, Erik
Du Moulin, Monique F. M. T.
van Lottum, Marjolein
Schols, Jos M. G. A.
Kempen, Gertrudis I. J. M.
author_sort Warnier, Ron M. J.
collection PubMed
description BACKGROUND: Routine screening for frailty at admission by nurses may be useful to detect geriatric risks and problems at an early stage. However, the added value of this screening is not clear yet. Information about the opinions and attitudes of nurses towards this screening is also lacking. As they have a crucial role in conducting this screening, an exploratory study was performed to examine hospital nurses’ opinions and perspectives about this screening and how it influences their daily work. METHODS: A qualitative, exploratory approach was employed, using semi-structured interviews with 13 nurses working on different general medical wards (surgical and internal medicine) in three Dutch hospitals. Frailty screening had been implemented for several years in these hospitals. RESULTS: The participating nurses reported that frailty screening can be useful to structure their work, create more awareness of frail older patients and as starting point for pro-active nursing care. At the same time, they assess their clinical view as more important than the results of a standard screening tool. The nurses hardly used the overall screening scores, but were particularly interested in information regarding specific items, such as delirium or fall risk. Screening results are partly embedded systematically and in daily nursing care, e.g., in team briefings or during transfer of patients to other wards. The majority of the nurses had received little training about the background of frailty screening and the use of screening tools. CONCLUSIONS: Most nurses stated that frailty screening tools are helpful in daily practice. However, nurses did not use the frailty screening tools in the referred way; tools were particularly used to evaluate patients on separate items of the tool instead of the summative score of the tool. When frailty screening tools are implemented in daily practice, training needs to be focused on. Additional research in this field is necessary to gain more insight into nurses’ opinions on frailty screening. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-021-02586-z.
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spelling pubmed-85650442021-11-04 The opinions and experiences of nurses on frailty screening among older hospitalized patients. An exploratory study Warnier, Ron M. J. van Rossum, Erik Du Moulin, Monique F. M. T. van Lottum, Marjolein Schols, Jos M. G. A. Kempen, Gertrudis I. J. M. BMC Geriatr Research BACKGROUND: Routine screening for frailty at admission by nurses may be useful to detect geriatric risks and problems at an early stage. However, the added value of this screening is not clear yet. Information about the opinions and attitudes of nurses towards this screening is also lacking. As they have a crucial role in conducting this screening, an exploratory study was performed to examine hospital nurses’ opinions and perspectives about this screening and how it influences their daily work. METHODS: A qualitative, exploratory approach was employed, using semi-structured interviews with 13 nurses working on different general medical wards (surgical and internal medicine) in three Dutch hospitals. Frailty screening had been implemented for several years in these hospitals. RESULTS: The participating nurses reported that frailty screening can be useful to structure their work, create more awareness of frail older patients and as starting point for pro-active nursing care. At the same time, they assess their clinical view as more important than the results of a standard screening tool. The nurses hardly used the overall screening scores, but were particularly interested in information regarding specific items, such as delirium or fall risk. Screening results are partly embedded systematically and in daily nursing care, e.g., in team briefings or during transfer of patients to other wards. The majority of the nurses had received little training about the background of frailty screening and the use of screening tools. CONCLUSIONS: Most nurses stated that frailty screening tools are helpful in daily practice. However, nurses did not use the frailty screening tools in the referred way; tools were particularly used to evaluate patients on separate items of the tool instead of the summative score of the tool. When frailty screening tools are implemented in daily practice, training needs to be focused on. Additional research in this field is necessary to gain more insight into nurses’ opinions on frailty screening. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-021-02586-z. BioMed Central 2021-11-03 /pmc/articles/PMC8565044/ /pubmed/34732153 http://dx.doi.org/10.1186/s12877-021-02586-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Warnier, Ron M. J.
van Rossum, Erik
Du Moulin, Monique F. M. T.
van Lottum, Marjolein
Schols, Jos M. G. A.
Kempen, Gertrudis I. J. M.
The opinions and experiences of nurses on frailty screening among older hospitalized patients. An exploratory study
title The opinions and experiences of nurses on frailty screening among older hospitalized patients. An exploratory study
title_full The opinions and experiences of nurses on frailty screening among older hospitalized patients. An exploratory study
title_fullStr The opinions and experiences of nurses on frailty screening among older hospitalized patients. An exploratory study
title_full_unstemmed The opinions and experiences of nurses on frailty screening among older hospitalized patients. An exploratory study
title_short The opinions and experiences of nurses on frailty screening among older hospitalized patients. An exploratory study
title_sort opinions and experiences of nurses on frailty screening among older hospitalized patients. an exploratory study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565044/
https://www.ncbi.nlm.nih.gov/pubmed/34732153
http://dx.doi.org/10.1186/s12877-021-02586-z
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