Frailty management in older patients: a best practice implementation project.
Introduction: Frailty in older adults can lead to a gradual decline in organ function. Without timely diagnosis and intervention, this condition can progress rapidly, increasing the risk of disability and mortality. Objectives: The aim of this project was to implement evidence-based practices for ma...
| Publicado en: | JBI Evidence Implementation Vol. 23; no. 4; pp. 394 - 403 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Oct2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188718118&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188718118 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26913321 MO0F jtl: JBI Evidence Implementation issn: 26913321 maglogo: N pubinfo: dt: Oct2025 vid: 23 iid: 4 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 188718118 188718118 188718118 10.1097/XEB.0000000000000442 188718118 ppf: 394 ppct: 9 formats: tig: atl: Frailty management in older patients: a best practice implementation project. aug: au: Chen, Chih Wen Lee, Mei-Chen Liu, Kuei Fen Lin, Li-Ju Wu, Shu-Fang Vivienne affil: Antai Medical Care Corporation, Antai Tian-Sheng Memorial Hospital, Department of Nursing, Taiwan sug: subj: Frailty Syndrome Diagnosis Frailty Syndrome Therapy Medical Practice, Evidence-Based Implementation Science Hospital Units Functional Status Gerontologic Care Health Screening Frailty Syndrome Prevention and Control Guideline Adherence Evaluation Program Implementation Psychosocial Factors Multidisciplinary Care Team Professional Knowledge Human Aged Aged, 80 and Over Audit Feedback Pretest-Posttest Design Nursing Staff, Hospital Data Analysis Software Academic Medical Centers Taiwan Practice Guidelines Head Nurses Consensus Personnel, Health Facility Education Nurse Practitioners Nursing Leaders Registered Nurses Prospective Studies Male Female Scales Geriatric Assessment Descriptive Statistics Aged: 65+ years Aged, 80 & over Male Female ab: Introduction: Frailty in older adults can lead to a gradual decline in organ function. Without timely diagnosis and intervention, this condition can progress rapidly, increasing the risk of disability and mortality. Objectives: The aim of this project was to implement evidence-based practices for managing frailty in the medical ward to prevent disability in older patients. Methods: This project was conceptually informed by the JBI Evidence Implementation Framework. This framework uses an audit and feedback approach and a pre- and post-test design to measure baseline compliance, develop implementation strategies responsive to gaps in compliance, and conduct a final evaluation to measure changes in compliance. JBI PACES and JBI GRiP situational analysis software were used to support data collection and implementation planning. Ten audit criteria were used with a sample of 30 patients in a regional teaching hospital in southern Taiwan. Results: The baseline audit showed poor compliance, with rates below 30% for all ten audit criteria. Through strategies such as professional training and education, the implementation of evidence-based care guidelines, and interdisciplinary consensus-building, the follow-up audit revealed an increase in compliance to over 90% for each audit criterion. Conclusions: Frailty management strategies based on evidence-based audit criteria were implemented and routinely measured. The most effective strategies for improving compliance included the development of a training course, a digitized assessment tool, team meetings, interdisciplinary collaboration, communication, and consensus-building. http://links.lww.com/IJEBH/A225 pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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