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

被引:0
作者
Chen, Fang [1 ]
Liu, Zhenzhen [1 ]
Zong, Ling [2 ]
Wang, Qian [1 ]
Zhang, Liwen [2 ]
机构
[1] Shandong Univ, Dept Cardiovasc Surg, Hosp 2, Cheeloo Coll Med, Jinan City, Shandong Provin, Peoples R China
[2] Jining Med Univ, Dept Intens Care Unit, Affiliated Hosp, Jining City, Shandong Provin, Peoples R China
来源
HEART & LUNG | 2024年 / 68卷
关键词
Frailty; Intensive care units; Nursing; Qualitative research;
D O I
10.1016/j.hrtlng.2024.09.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:367 / 372
页数:6
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