Integrating frailty management into cardiac intensive care unit nursing practice: A qualitative study. Chen F, et al, Heart Lung 2024.
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Résumé et points clés
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.
Références de l'article
- Integrating frailty management into cardiac intensive care unit nursing practice: A qualitative study.
- Integrating frailty management into cardiac intensive care unit nursing practice: A qualitative study.
- Chen F, Liu Z, Zong L, Wang Q, Zhang L
- Heart & lung : the journal of critical care
- 2024
- Heart Lung. 2024 Nov-Dec;68:367-372. doi: 10.1016/j.hrtlng.2024.09.006. Epub 2024 Sep 10.
- Humans, *Qualitative Research, Female, *Frailty/nursing, Male, *Critical Care Nursing/methods, China/epidemiology, Aged, Intensive Care Units/organization & administration, Adult, Middle Aged, Coronary Care Units/organization & administration, Frail Elderly
- Fragilité, Soins, IDE
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- Traduction automatique en Français sur Google Translate
- DOI: 10.1016/j.hrtlng.2024.09.006
- PMID: 39260268
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