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

Abstract 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....

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Autores principales:	Ron M. J. Warnier, Erik van Rossum, Monique F. M. T. Du Moulin, Marjolein van Lottum, Jos M. G. A. Schols, Gertrudis I. J. M. Kempen
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Frailty screening Nurses opinions Hospitalized older patients Frailty Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/fc72ca009c1040ef97727a2a0e1d7e06
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spelling	oai:doaj.org-article:fc72ca009c1040ef97727a2a0e1d7e062021-11-07T12:16:50ZThe opinions and experiences of nurses on frailty screening among older hospitalized patients. An exploratory study10.1186/s12877-021-02586-z1471-2318https://doaj.org/article/fc72ca009c1040ef97727a2a0e1d7e062021-11-01T00:00:00Zhttps://doi.org/10.1186/s12877-021-02586-zhttps://doaj.org/toc/1471-2318Abstract 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.Ron M. J. WarnierErik van RossumMonique F. M. T. Du MoulinMarjolein van LottumJos M. G. A. ScholsGertrudis I. J. M. KempenBMCarticleFrailty screeningNurses opinionsHospitalized older patientsFrailtyGeriatricsRC952-954.6ENBMC Geriatrics, Vol 21, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Frailty screening Nurses opinions Hospitalized older patients Frailty Geriatrics RC952-954.6
spellingShingle	Frailty screening Nurses opinions Hospitalized older patients Frailty Geriatrics RC952-954.6 Ron M. J. Warnier Erik van Rossum Monique F. M. T. Du Moulin Marjolein van Lottum Jos M. G. A. Schols Gertrudis I. J. M. Kempen The opinions and experiences of nurses on frailty screening among older hospitalized patients. An exploratory study
description	Abstract 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.
format	article
author	Ron M. J. Warnier Erik van Rossum Monique F. M. T. Du Moulin Marjolein van Lottum Jos M. G. A. Schols Gertrudis I. J. M. Kempen
author_facet	Ron M. J. Warnier Erik van Rossum Monique F. M. T. Du Moulin Marjolein van Lottum Jos M. G. A. Schols Gertrudis I. J. M. Kempen
author_sort	Ron M. J. Warnier
title	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_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_sort	opinions and experiences of nurses on frailty screening among older hospitalized patients. an exploratory study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/fc72ca009c1040ef97727a2a0e1d7e06
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The opinions and experiences of nurses on frailty screening among older hospitalized patients. An exploratory study

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