ReviewInternational journal of environmental research and public health2018
Undertaking a Collaborative Rapid Realist Review to Investigate What Works in the Successful Implementation of a Frail Older Person's Pathway.
Review in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Successfully implementing a national electronic health record: a rapid umbrella review.International journal of medical informatics · 2020Pooled it
- Primary care interventions to address physical frailty among community-dwelling adults aged 60 years or older: A meta-analysis.PloS one · 2020Pooled it
- A realist review of the contribution of person-centred cultures to the management of depression among older persons in nursing homes.International journal of nursing studies advances · 2026Review
- Article
- How a geriatrician-led emergency department model works in practice: a realist evaluation.Age and ageing · 2026Article
- Experiences of a Novel Integrated Service for Older Adults at Risk of Frailty: A Qualitative Study.Journal of patient experience · 2023Article
- Developing New Methods for Person-Centred Approaches to Adjudicate Context-Mechanism-Outcome Configurations in Realist Evaluation.International journal of environmental research and public health · 2022Article
- A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice.International journal of environmental research and public health · 2021Article
- New Ways of Working? A Rapid Exploration of Emerging Evidence Regarding the Care of Older People during COVID19.International journal of environmental research and public health · 2020Article
- "International journal of environmental research and public health · 2020Article
- Embedding collective leadership to foster collaborative inter-professional working in the care of older people (ECLECTIC): Study protocol.HRB open research · 2020Article
- What are the mechanisms that support healthcare professionals to adopt assisted decision-making practice? A rapid realist review.BMC health services research · 2019Review
- Enabling public, patient and practitioner involvement in co-designing frailty pathways in the acute care setting.BMC health services research · 2019Article
- Clarifying the mechanisms and resources that enable the reciprocal involvement of seldom heard groups in health and social care research: A collaborative rapid realist review process.Health expectations : an international journal of public participation in health care and health policy · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We addressed the research question "what factors enable the successful development and implementation of a frail older person's pathway within the acute setting". A rapid realist review (RRR) was conducted by adopting the RAMESES standards. We began with a sample of 232 articles via database searches supplemented with 94 additional records including inputs from a twitter chat and a hospital site visit. Our final sample consisted of 18 documents. Following review and consensus by an expert panel we identified a conceptual model of context-mechanism-(resources)-outcomes. There was overall agreement frailty should be identified at the front door of the acute hospital. Significant challenges identified related to organisational boundaries both within the acute setting and externally, the need to shift outcomes to patient orientated ones, to support staff to sustain the pathway by providing ongoing education and by providing role clarity. RRRs can support research such as the systematic approach to improving care for frail older adults (SAFE) study by producing accounts of what works based on a wide range of sources and innovative engagement with stakeholders. It is evident from our provisional model that numerous factors need to combine and interact to enable and sustain a successful frail older person's pathway.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.