Observational studyFrontiers in public health2026
Nurses' knowledge, attitudes, practices, and educational needs regarding frailty: a multicenter cross-sectional survey in southwestern China.
Observational study in Frontiers in public health, 2026. 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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6 authors.
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Abstract
Background: Population aging has made frailty a major public health concern. Frailty is potentially reversible when identified and managed early, and nurses are well positioned to deliver such care; however, nurses' frailty-related competencies vary considerably, and evidence remains scarce in southwestern China, where the aging burden is disproportionately high. We therefore conducted a multicenter study to assess nurses' knowledge, attitudes, and practices (KAP) regarding frailty, explore their associated factors, and clarify their educational needs. Methods: An anonymous online survey was administered to a convenience sample of nurses at 41 tertiary general hospitals in Chongqing Municipality and Sichuan Province, China, between January and March 2025. Frailty-management competency was measured with a validated 31-item KAP questionnaire (total score 31-127; higher indicates better competency), and educational needs with an 11-item questionnaire. Associations were assessed using linear mixed-effects models with a random intercept for hospital; multivariable models entered 11 prespecified covariates, and reporting followed STROBE. Results: Of 637 nurses recruited, 610 (95.76%) provided valid questionnaires. The mean total KAP score was 103.07 ± 12.65 (81.16% of maximum). Attitude scored highest (88.53%), followed by knowledge (81.38%) and practice (74.40%), with practice corresponding to the lowest percentage of its maximum. In fully adjusted mixed-effects models, more recent frailty education was independently associated with the total KAP score (overall Conclusion: Nurses held positive attitudes, whereas self-reported practice corresponded to the lowest percentage of its maximum. Recency of frailty education was the factor most consistently associated with KAP and represents a potentially modifiable correlate. Given the cross-sectional design, these associations are consistent with a potential role for regularly refreshed, blended, and practice-oriented training. Longitudinal and interventional studies are needed to confirm clinical benefit.
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