Frailty management in older patients: a best practice implementation project.
JBI Evid Implement
; 2024 Jul 02.
Article
en En
| MEDLINE
| ID: mdl-38946495
ABSTRACT
INTRODUCTION:
Frailty in older adults can lead to a gradual decline in organ function. Without timely diagnosis and intervention, this condition can progress rapidly, increasing the risk of disability and mortality.OBJECTIVES:
The aim of this project was to implement evidence-based practices for managing frailty in the medical ward to prevent disability in older patients.METHODS:
This project was conceptually informed by the JBI Evidence Implementation Framework. This framework uses an audit and feedback approach and a pre- and post-test design to measure baseline compliance, develop implementation strategies responsive to gaps in compliance, and conduct a final evaluation to measure changes in compliance. JBI PACES and JBI GRiP situational analysis software were used to support data collection and implementation planning. Ten audit criteria were used with a sample of 30 patients in a regional teaching hospital in southern Taiwan.RESULTS:
The baseline audit showed poor compliance, with rates below 30% for all ten audit criteria. Through strategies such as professional training and education, the implementation of evidence-based care guidelines, and interdisciplinary consensus-building, the follow-up audit revealed an increase in compliance to over 90% for each audit criterion.CONCLUSIONS:
Frailty management strategies based on evidence-based audit criteria were implemented and routinely measured. The most effective strategies for improving compliance included the development of a training course, a digitized assessment tool, team meetings, interdisciplinary collaboration, communication, and consensus-building. SPANISH ABSTRACT http//links.lww.com/IJEBH/A225.
Texto completo:
1
Base de datos:
MEDLINE
Idioma:
En
Revista:
JBI Evid Implement
Año:
2024
Tipo del documento:
Article
País de afiliación:
Taiwán