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An integrative review on screening for frailty in acute care: Accuracy, barriers to implementation and adoption strategies.

Publication ,  Journal Article
Lim, SH; Ang, SY; Abu Bakar Aloweni, FB; Østbye, T
Published in: Geriatr Nurs
2019

Frailty is a multifactorial clinical syndrome associated with increased vulnerability to negative health-related outcomes including disease and disability. Many frailty screening tools are established for use in community settings with few for acute care. An integrative review methodology by Whittemore and Knafl, was adopted to summarise the reliability and validity of different frailty screening tools, barriers to implementation and adoption strategies in acute care settings. Thirteen relevant papers met the inclusion criteria. Validity and reliability of 14 screening tools were reported in 10 studies, whereas barriers identified in implementing frailty screening and potential adoption strategies were reported in 5 studies. Accuracy of screening tools require further improvement before use in hospitalized elderly. Strategies including the improvement of hospital guidelines and practices, promoting early involvement of stakeholders, and choosing a reliable and quick to administer screening tool can be implemented to help improve and facilitate early frailty screening in acute care.

Duke Scholars

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Published In

Geriatr Nurs

DOI

EISSN

1528-3984

Publication Date

2019

Volume

40

Issue

6

Start / End Page

603 / 613

Location

United States

Related Subject Headings

  • Reproducibility of Results
  • Nursing
  • Mass Screening
  • Humans
  • Hospitalization
  • Guidelines as Topic
  • Geriatric Assessment
  • Frailty
  • Aged
  • 4205 Nursing
 

Citation

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Lim, S. H., Ang, S. Y., Abu Bakar Aloweni, F. B., & Østbye, T. (2019). An integrative review on screening for frailty in acute care: Accuracy, barriers to implementation and adoption strategies. Geriatr Nurs, 40(6), 603–613. https://doi.org/10.1016/j.gerinurse.2019.06.005
Lim, Siew Hoon, Shin Yuh Ang, Fazila Binte Abu Bakar Aloweni, and Truls Østbye. “An integrative review on screening for frailty in acute care: Accuracy, barriers to implementation and adoption strategies.Geriatr Nurs 40, no. 6 (2019): 603–13. https://doi.org/10.1016/j.gerinurse.2019.06.005.
Lim SH, Ang SY, Abu Bakar Aloweni FB, Østbye T. An integrative review on screening for frailty in acute care: Accuracy, barriers to implementation and adoption strategies. Geriatr Nurs. 2019;40(6):603–13.
Lim, Siew Hoon, et al. “An integrative review on screening for frailty in acute care: Accuracy, barriers to implementation and adoption strategies.Geriatr Nurs, vol. 40, no. 6, 2019, pp. 603–13. Pubmed, doi:10.1016/j.gerinurse.2019.06.005.
Lim SH, Ang SY, Abu Bakar Aloweni FB, Østbye T. An integrative review on screening for frailty in acute care: Accuracy, barriers to implementation and adoption strategies. Geriatr Nurs. 2019;40(6):603–613.
Journal cover image

Published In

Geriatr Nurs

DOI

EISSN

1528-3984

Publication Date

2019

Volume

40

Issue

6

Start / End Page

603 / 613

Location

United States

Related Subject Headings

  • Reproducibility of Results
  • Nursing
  • Mass Screening
  • Humans
  • Hospitalization
  • Guidelines as Topic
  • Geriatric Assessment
  • Frailty
  • Aged
  • 4205 Nursing