Evidence map›Paper›PMID 39352100›Full record

ReviewJournal of advanced nursing2025

A Hybrid Concept Analysis of Frailty Among Older Adults Living in the Community.

Xing Fan, Yuelin Li, Lijuan Xu, Caifu Li, Rhayun Song

Abstract readReview
In one paragraph

Review in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Xing FanSchool of Medicine and Health, Lishui University, Lishui, China.ORCID https://orcid.org/0000-0003-4988-046X
Yuelin LiCollege of Nursing, Chungnam National University, Daejeon, Republic of Korea.ORCID https://orcid.org/0000-0003-2649-2800
Lijuan XuSchool of Medicine and Health, Lishui University, Lishui, China.ORCID https://orcid.org/0000-0003-2825-5657
Caifu LiSchool of Medicine and Health, Lishui University, Lishui, China.ORCID https://orcid.org/0000-0002-6904-5683
Rhayun SongCollege of Nursing, Chungnam National University, Daejeon, Republic of Korea.ORCID https://orcid.org/0000-0001-9461-4246

Funding

National Natural Science Foundation of China 71904073National Research Foundation of Korea NRF-2022R1A2C2011502
6 · The paper itself

Abstract

aimTo analyse the concept of frailty through a literature review and in-depth interviews.

designA hybrid model of concept analysis.

methodsThe theoretical phase identified 43 articles for reviewing the definition and measurement of frailty. Seven frail older adults were invited in the fieldwork phase for in-depth interviews. In the final analysis phase, results from the fieldwork and theoretical phases were integrated to obtain a final definition of frailty.

resultsAttributes of frailty were heterogeneous, involving dynamic/bidirectional, multidimensional and multiple systems. The antecedents of the concept were exposure to various stimuli and challenges in responding to these stimuli. Consequences included losing autonomy and adverse health outcomes. Four themes of frailty were identified based on the fieldwork data: 'accumulation of functional decline', 'powerlessness of coping with', 'vicissitudes of lived experience' and 'loss of autonomy and positivity'.

conclusionsThe final definition of frailty was 'a dynamic and fluctuating process of powerlessness to manage biopsychosocial and environmental stimuli, involving functional decline and vicissitudes of life, which results in losing autonomy and positivity or adverse health outcomes'. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Characterising the definition of frailty is essential for nurses to address the lived experiences of older adults when providing person-centred care and for developing interventions that meet the needs of frail older adults. IMPACT: Since some discrepancies existed in the definition of frailty from individual perception of older adults, combined in-depth interviews with a theoretical literature review were used to provide comprehensive insight. This concept analysis provides guidelines of training for nurses and opportunities to improving quality of life for community dwelling older adults. REPORTING

methodN/A. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.

Indexed as

Frail ElderlyFrailtyIndependent LivingAgedAged, 80 and overFemaleGeriatric AssessmentHumansMaleconcept analysisfrailtyhybrid modelnursingolder adults

Identifiers

PMID39352100
PMCPMC11967327

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.