Evidence map›Paper›PMID 40536354›Full record

SynthesisInternational nursing review2025

Exploring Nursing Interventions for Frail Individuals in Primary Care: A Systematic Review.

Marta Del Moral-Pairada, Cristina Laserna Jiménez, Núria Fabrellas, Mireia Lopez-Poyato

Abstract readSystematic Review
In one paragraph

Synthesis in International nursing review, 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. Review
  3. 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.

Marta Del Moral-PairadaEscola de Doctorat, Doctorat 'Infermeria i Salut', University of Barcelona, Faculty of Nursing, Barcelona, Spain.
Cristina Laserna JiménezDepartment of Public Health, Faculty of Nursing, Mental Health and Mother-Infant Nursing, Barcelona, Spain.ORCID https://orcid.org/0000-0002-7973-9240
Núria FabrellasDepartment of Public Health, Faculty of Nursing, Mental Health and Mother-Infant Nursing, Barcelona, Spain.
Mireia Lopez-PoyatoDepartment of Public Health, Faculty of Nursing, Mental Health and Mother-Infant Nursing, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo report nursing interventions addressing frailty in older adults within primary care settings.

backgroundThere is a very limited literature corpus on nursing interventions in primary care directed to elderly and frail individuals.

introductionPrimary care nurses play a key role in providing better care to frail older adults.

methodsA systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, studying the PubMed, Cochrane, Scopus, and JBI databases from September 2013 to August 2023. Two reviewers screened the studies, and three reviewers independently assessed the risk of bias.

resultsFourteen studies made the final cut. Three categories of interventions were identified: (i) assessments derived from Comprehensive Geriatric Assessments (CGA), such as fall prevention programmes, pain diagnostic evaluations, and assessments of social problems and sociodemographic characteristics, like gender and age; (ii) frailty diagnoses using NANDA terminology; and (iii) nursing care interventions at home and the relationship of trust. DISCUSSION: Despite the fact that primary care is mainly reactive to the needs of frail elderly individuals, it is also important to be willing to collaborate with them on implementing preventive plans. In the same spirit, establishing a relationship of trust between the health professional and the older adults is a key factor when nursing interventions are carried out in the home of a frail individual. Frailty is a multidimensional concept that is not necessarily linked to age, as studies address frailty starting from the age of 60 and continuing up to 80. But, although frailty is not determined by age, it may be influenced by it. CONCLUSION AND IMPLICATIONS FOR NURSING AND HEALTH POLICIES: There is no consensus on the starting age for frailty screening or on a single diagnostic tool to identify frailty. Nurses use standardised nursing language related to frailty, both to diagnose it and to implement person-centred care intervention plans. Healthcare policymakers, health organisations, and primary care nurses should consider the findings of this research to evaluate the inclusion of standardised tools to assess comprehensive frailty in older adults. In addition, it is also crucial to prioritise a relationship of trust between individuals and nurses to ensure adherence to nursing care plans.

Indexed as

Frail ElderlyFrailtyPrimary Care NursingPrimary Health CareAgedAged, 80 and overFemaleGeriatric AssessmentHumansMaleMiddle AgedNurse's Rolefrail elderlynursing careprimary caresystematic review

Identifiers

PMID40536354
PMCPMC12178152

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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.