Ilana I Logvinov, Donna Felber Neff, Mona Shattell
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Perianesthesia Nurses' Perspectives Managing Frailty: A Qualitative Study.
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.
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.