Betts Maria, Harkin Deirdre
Institute of Nursing and Health Research, Ulster University, Belfast, Northern Ireland, UK.
School of Nursing and Paramedic Sciences, Ulster University, Belfast, Northern Ireland, UK.
J Eval Clin Pract. 2025 Apr;31(3):e70075. doi: 10.1111/jep.70075.
Frailty is a multidimensional condition with symptoms relating to falls, immobility, incontinence, impaired memory and medication side-effects. With increasing numbers of frailty, particularly in rural areas, healthcare systems are being challenged globally. Moreover, frailty may be more common in rural communities as a consequence of transportation issues, limited access to healthcare services and health promotion activities. Advanced Nurse Practitioners are ideally placed to undertake comprehensive geriatric assessments and identify frailly syndromes.
Explore the function of the Advanced Nurse Practitioner in managing people living with frailty in rural areas, drawing on a review of current guidelines, literature, and practice, considering public health agendas and evidence-based practice.
Discussion paper.
Frailty is linked to poorer health outcomes, an excessive use of health resources and decreased quality of life. Incorporating Advanced Nurse Practitioners into integrated models of care and health improvement strategies, can improve patient outcomes.
Using advanced clinical and decision-making skills, Advanced Nurse practitioners deliver evidence-based care to improve patient safety and health outcomes. Creating partnerships to enhance the provision of healthcare, they are focused on frailty prevention, detection and providing support to develop co-produced management plans to address individual needs. The Advanced Nurse Practitioner has the ability to practice autonomously within an expanded scope of clinical practice, making them the ideal professional to support people living with frailty in rural areas.
When thinking about future strategies for advanced practice, it is important to acknowledge the lack of regulation, roles in nursing, inadequate title protection, role variability, and different educational requirements. Organisations need to consider the enablers and barriers of Advanced Nurse Practitioners fulfilling their duties. Advanced Nurse practitioners are guided by public health agendas to improve the population health of those in rural areas.
This is a discussion paper.
衰弱是一种多维度状况，其症状与跌倒、行动不便、失禁、记忆力受损及药物副作用有关。随着衰弱人数的增加，尤其是在农村地区，全球医疗保健系统正面临挑战。此外，由于交通问题、获得医疗服务和健康促进活动的机会有限，衰弱在农村社区可能更为常见。高级护理从业者非常适合进行全面的老年评估并识别衰弱综合征。
借鉴对当前指南、文献和实践的回顾，考虑公共卫生议程和循证实践，探讨高级护理从业者在管理农村衰弱患者方面的作用。
讨论文件。
衰弱与较差的健康结果、医疗资源的过度使用及生活质量下降有关。将高级护理从业者纳入综合护理模式和健康改善策略中，可以改善患者结局。
高级护理从业者运用先进的临床和决策技能，提供循证护理以改善患者安全和健康结果。他们通过建立伙伴关系来加强医疗保健服务，专注于衰弱的预防、检测，并提供支持以制定共同制定的管理计划来满足个体需求。高级护理从业者有能力在扩大的临床实践范围内自主执业，使其成为支持农村衰弱患者的理想专业人员。
在思考未来高级实践策略时，必须认识到监管缺失、护理角色、头衔保护不足、角色多变以及教育要求不同等问题。各组织需要考虑高级护理从业者履行职责的促进因素和障碍。高级护理从业者以公共卫生议程为指导，以改善农村地区人群的健康状况。
这是一篇讨论文件。
