Perianesthesia Nurses' Perspectives Managing Frailty: A Qualitative Study.

IF 1.6 4区 医学 Q2 NURSING
Ilana I Logvinov, Donna Felber Neff, Mona Shattell
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引用次数: 0

Abstract

Purpose: The intent of this study was to describe the perceptions, experiences, and barriers to the use of frailty screening for surgical patients.

Design: A qualitative descriptive design using semistructured interviews.

Methods: This qualitative study was based on interviews with 26 perianesthesia nurses from 17 states, all who were members of the American Society of PeriAnesthesia Nurses, working full- or part-time in the specialty and experienced with older adults.

Findings: Three key themes regarding frailty assessment and management were identified: (1) challenges in frailty identification; (2) frailty and its ripple effects; and (3) optimizing frailty assessment and management.

Conclusions: Nurses reported lack of education related to frailty assessment and an inability to adequately and objectively communicate their patients' needs to other providers. There is a need for education to train nurses to use frailty assessments. Integrating frailty assessment into preoperative nursing documentation can facilitate care planning and improved patient outcomes.

围麻醉期护士管理虚弱的观点:一项质性研究。
目的:本研究的目的是描述对外科患者使用虚弱筛查的认知、经验和障碍。设计:采用半结构化访谈的定性描述设计。方法:本定性研究基于对来自17个州的26名围麻醉期护士的访谈,这些护士都是美国围麻醉期护士协会的成员,在该专业从事全职或兼职工作,并有护理老年人的经验。研究结果:确定了有关脆弱性评估和管理的三个关键主题:(1)脆弱性识别面临的挑战;(2)脆弱性及其连锁反应;(3)优化脆弱性评估与管理。结论:护士报告缺乏与虚弱评估相关的教育,无法充分客观地与其他提供者沟通患者的需求。有必要进行教育,培训护士使用虚弱评估。将衰弱评估纳入术前护理文件可以促进护理计划和改善患者预后。
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来源期刊
CiteScore
2.20
自引率
17.60%
发文量
279
审稿时长
90 days
期刊介绍: The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.
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