Integrating frailty management into cardiac intensive care unit nursing practice: A qualitative study

IF 2.4 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart & Lung Pub Date : 2024-09-10 DOI:10.1016/j.hrtlng.2024.09.006

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引用次数: 0

Abstract

Background

Frailty is prevalent among older patients in intensive care units (ICUs) and poses significant challenges to recovery. Despite its importance, there is limited research on effective nurse-led frailty management strategies in this context.

Objective

The purpose of this qualitative study was to explore nurses' perceptions of frailty management in cardiac ICUs through the lens of the Wuli-Shili-Renli (WSR) system approach.

Methods

Sixteen nurses from two tertiary hospitals in Shandong province, China, participated in semi-structured interviews. Participants were selected based on their involvement in frailty training, educational background, and cardiac ICU work experience. Thematic analysis was conducted to identify key themes and sub-themes.

Results

Analysis in three categories revealed the need for foundational support, including the need for appropriate screening tools, updated evidence-based practices, and institutional support. Closed-loop management involved frailty screening, personalized program implementation, information management, and follow-up assessment. Personnel training and coordination emphasized enhancing nurses' professionalism, multidisciplinary teamwork, and cooperation from patients and their caregivers.

Conclusion

The insights gained can inform evidence-based practices and improve the quality of care provided to frail patients in cardiac ICUs. There is a need for future research to empirically investigate these strategies.

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将虚弱管理纳入心脏重症监护室护理实践：定性研究

背景虚弱在重症监护病房（ICU）的老年患者中十分普遍，对患者的康复构成了巨大挑战。本定性研究旨在从五里-十里-仁里（WSR）系统方法的角度探讨护士对心脏重症监护病房虚弱管理的看法。根据他们参与虚弱培训的情况、教育背景和心脏重症监护室的工作经验选择参与者。结果分析表明，患者需要基础支持，包括需要适当的筛查工具、最新的循证实践和机构支持。闭环管理涉及虚弱筛查、个性化项目实施、信息管理和后续评估。人员培训和协调强调提高护士的专业水平、多学科团队合作以及患者及其护理人员的配合。今后需要对这些策略进行实证研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Heart & Lung 医学-呼吸系统

CiteScore

4.60

自引率

3.60%

发文量

184

审稿时长

35 days

期刊介绍： Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.