ArticleJournal of evaluation in clinical practice2025
Frailty Focus: Empowering Rural Health With Advanced Nurse Practitioners: A Discussion Paper.
Article in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundFrailty 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.
aimsExplore 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.
designDiscussion paper. KEY LEARNINGS: 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.
conclusionUsing 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. IMPACT FOR NURSING: 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. NO PATIENT OR PUBLIC CONTRIBUTION: This is a discussion paper.
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