Britton Hannah
District Nurse Team Leader, Bristol Community Health.
Br J Community Nurs. 2017 Sep 2;22(9):440-445. doi: 10.12968/bjcn.2017.22.9.440.
With an ageing population and increasing focus on community care, this study aimed to explore the experiences of community nurses in assessing frailty and planning interventions around frailty. Six community nurses were recruited for face-to-face semi-structured interviews as part of this qualitative study which was underpinned by a competence framework ( Royal College of Nursing, 2009 ). Thematic analysis was used and frailty was identified as an emerging topic within practice. Participants discussed several aspects associated with frailty; however, some uncertainty around the concept of frailty and its definition was noted, particularly for staff who had received limited frailty training. Participants had a growing awareness of frailty in practice, but challenges-including time constraints and staffing within some roles, a perception of limited services to support older people, and for some a lack of confidence and training-presented barriers to frailty assessment. The Rockwood frailty scale was used by participants within practice, but evidence suggested it was felt to lack validity within the community setting.
随着人口老龄化以及对社区护理的日益关注，本研究旨在探讨社区护士在评估衰弱以及围绕衰弱制定干预措施方面的经验。作为这项定性研究的一部分，招募了六名社区护士进行面对面的半结构化访谈，该研究以一个能力框架（皇家护理学院，2009年）为基础。采用了主题分析法，衰弱被确定为实践中一个新出现的主题。参与者讨论了与衰弱相关的几个方面；然而，注意到在衰弱概念及其定义方面存在一些不确定性，特别是对于接受过有限衰弱培训的工作人员。参与者在实践中对衰弱的认识不断提高，但包括时间限制和某些岗位的人员配备、对支持老年人服务有限的看法，以及对一些人来说缺乏信心和培训等挑战，成为了衰弱评估的障碍。参与者在实践中使用了Rockwood衰弱量表，但有证据表明，在社区环境中，人们认为该量表缺乏有效性。
