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Perspectives on frailty screening, management and its implementation among acute care providers in Singapore: a qualitative study

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journal contribution
posted on 23.03.2022, 03:32 by Shiou Liang WeeShiou Liang Wee, Xiao Liu, Mai Khanh Le, Amber Yew Chen Lim, Emily Jiali Koh, Tu Ngoc Nguyen, Naveed Anjum Malik, Christopher Tsung Chien Lien, Jer En Lee, Lydia Shu Yi Au, James Alvin Yiew Hock Low

COVID-19 pandemic has reminded how older adults with frailty are particularly exposed to adverse outcomes. In the acute care setting, consideration of evidence-based practice related to frailty screening and management is needed to improve the care provided to aging populations. It is important to assess for frailty in acute care so as to establish treatment priorities and goals for the individual. Our study explored understanding on frailty and practice of frailty screening among different acute care professionals in Singapore, and identify barriers and facilitators concerning frailty screening and its implementation.

Methods

A qualitative study using focus group discussion among nurses and individual interviews among physicians from four departments (Accident & Emergency, Anesthesia, General Surgery, Orthopedics) in three acute hospitals from the three public health clusters in Singapore. Participants were recruited through purposive sampling of specific clinicians seeing a high proportion of older patients at the hospitals. Thematic analysis of the data was performed using NVIVO 12.0.

Results

Frailty was mainly but inadequately understood as a physical and age-related concept. Screening for frailty in acute care was considered important to identify high risk patients, to implement targeted treatment and care, and to support decision making and prognosis estimation. Specific issues related to screening, management and implementation were identified: cooperation from patient/caregivers, acceptance from healthcare workers/hospital managers, need for dedicated resources, guidelines for follow-up management and consensus on the scope of measurement for different specialties.

Conclusion

Our findings indicated the need for 1) frailty-related education program for patients/care givers and stakeholders 2) inter-professional collaboration to develop integrated approach for screening and management of hospital patients with frailty and 3) hospital-wide consensus to adopt a common frailty screening tool.

History

Journal/Conference/Book title

BMC Geriatrics

Publication date

2022-01-17

Version

Published

Corresponding author

ShiouLiang.Wee@SingaporeTech.edu.sg