Evidence map›Paper›PMID 40211311›Full record

ArticleBMC nursing2025

What do we know about nursing practice in relation to functional ability limitations, frailty and models of care among older people in home- and facility-based care: a scoping review.

Ida Røed Flyum, Edith Roth Gjevjon, Anna Josse Eklund, Gunilla Borglin

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Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
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

4 authors.

Ida Røed FlyumDepartment of Bachelor Education in Nursing, Lovisenberg Diaconal University College, Lovisenberggata 15B, Oslo, NO-0456, Norway. Ida.r.flyum@ldh.no.ORCID http://orcid.org/0000-0002-6256-4245
Edith Roth GjevjonDepartment of Bachelor Education in Nursing, Lovisenberg Diaconal University College, Lovisenberggata 15B, Oslo, NO-0456, Norway.
Anna Josse EklundDepartment of Nursing, Faculty of Health, Nature and Technical Science, Institute of Health Sciences, Karlstad University, Universitetsgatan 2, Karlstad, 651 88, Sweden.ORCID http://orcid.org/0000-0002-1192-9697
Gunilla BorglinDepartment of Bachelor Education in Nursing, Lovisenberg Diaconal University College, Lovisenberggata 15B, Oslo, NO-0456, Norway.ORCID http://orcid.org/0000-0002-7934-6949

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNursing practice in long-term care, must support the delivery of safe and evidence-based care, especially for older people with functional ability limitations and frailty, with the competency, knowledge and structured working modes such practice requires. Understanding, detecting and preventing these conditions is important in a context where care is given to a significant number of older people with complex care needs. Our aim was to map published literature on how functional ability limitations and frailty among older people (65 and above) in home-and facility-based care (i.e. long-term care) were described by key stakeholders, and to identify models of care (MoCs) targeting these conditions.

methodsWe followed Arksey and O'Malley's methodological steps and the PRISMA-ScR reporting guidelines. The PubMed, CINAHL and PsycInfo databases were used to identify papers published between June 2002 and June 2022. The search was updated in May 2024. A descriptive analysis was conducted where the identified patterns were organised and categorised with the support of the Pattern, Advances, Gaps, Evidence for practice and research Recommendations framework (PAGER).

resultsA total of 18,875 unique records were identified. Of these, 26 papers were included. The findings implied a discrepancy between the older people's subjective- and the nurses' more objective, 'matter-of-fact' perspective. The older people described both conditions in terms of identity loss and an emotional struggle to remain independent. They also highlighted the importance of positive connotations in relation to their efforts to adapt and accommodate the situation to the conditions. Nursing practice targeting the conditions were predominantly described as being reactive, based on their experiences and guided by 'intuition'. The identified MoCs mainly targeted functional ability limitations while focusing on educating nurses.

conclusionA point of saturation seems to have been reached regarding research focusing on older people's descriptions of frailty in home-based care. The same cannot be said about older people's or nurses' descriptions concerning functional ability limitations or MoCs. Intervention studies focusing on nursing practice and the development of MoCs that target these conditions preferably in a home-based care context could substantially benefit the development of knowledge within nursing and nursing practice.

trial registrationOPEN SCIENCE FRAMEWORK: https://doi.org/10.17605/OSF.IO/FNHSA .

Indexed as

Descriptive analysisFrailtyFunctional ability limitationsFunctional declineLong-term careNurseNursing practiceOlder peopleRegistered nurseReview

Identifiers

PMID40211311
PMCPMC11987274

What OpenQuestion holds

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Registered trials

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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.