ArticleBMC geriatrics2025
Knowledge, attitude, and practice of frailty management among clinical nurses: a cross-sectional study.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Knowledge, attitude, practice and training of inhalation therapy among respiratory nurses: a cross-sectional study on the current status and influencing factors.Scientific reports · 2026Article
- Doctors' and Pharmacists' knowledge, skills, and perception of mental frailty in older adults: a scoping review.BMC primary care · 2026Article
- Knowledge, attitudes, practices among intensive care nurses in perioperative sepsis management: a structural equation modeling analysis.BMC nursing · 2026Article
- Nurses' knowledge, attitudes, practices, and educational needs regarding frailty: a multicenter cross-sectional survey in southwestern China.Frontiers in public health · 2026Observational
- Knowledge-attitude-practice of pneumoconiosis prevention and control among Chinese university students: a cross-sectional study.Frontiers in public health · 2026Article
- Addressing Frailty in Cardiology: Identifying Barriers Faced by Cardiologists and Health Care Professionals in Asia.JACC. Asia · 2025Article
- Frailty and nursing care demand in hospitalized older adults: a cross-sectional study.Revista latino-americana de enfermagem · 2025Article
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Authors and funding
9 authors.
Funding
Abstract
backgroundFrailty is a leading risk factor of falls, incapacitation, functional decline, and even death in aging populations globally. Clinical nurses play pivotal roles in screening, prevention, and intervention to reverse or slow the progression of frailty. The present study aimed to (1) understand the extent and influencing factors of knowledge, attitudes, and practices of clinical nurses for managing frailty, (2) elucidate the relationships of the knowledge, attitudes, and practices of clinical nurses for frailty management.
methodsThis cross-sectional study was conducted from March to April 2024 on 524 clinical nurses in a tertiary hospital in Zhejiang Province, China. The survey instruments included a questionnaire inquiring about the knowledge, attitudes, and practices of nurses in terms of frailty management, a demographic data form, and a self-designed frailty educational information questionnaire. Data were analyzed by descriptive statistics, univariate analysis, multiple linear regression, and structural equation modeling.
resultsOf 524 nurses, Only 37.2% were rated as good in terms of knowledge, attitude, and practice of frailty management, while 55.7% were rated as moderate. Among them, the proportion of nurses with good knowledge (10.3%) and practical skills (13.4%) is much lower than their attitude (65.3%). Structural equation modeling found that knowledge and attitudes were related to frailty management practices, with significant associations between knowledge and practices(β = 0.499, p < 0.001). Of the total effect size of knowledge influencing practice (total effect = 0.624, 95% CI: 0.455,0.791), approximately 20.0% was mediated by attitudes (indirect effect = 0.125, 95% CI: 0.076,0.187). Multiple linear regression analysis showed that age, organizational support, familiarity with relevant guidelines, familiar with the term frailty, and department all had a significant effect on the total score(adjusted R
conclusionsDespite inadequate knowledge and limited experience in frailty management, clinical nurses' attitudes towards frailty management were positive, indicating potential for improvement. The model was useful to explain practices in frailty management, thereby providing a theoretical basis for development of targeted training programs. CLINICAL TRIAL NUMBER: Not applicable.
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