Abstract：
AIM:The aim of this article is to discuss the concept of frailty and its adequacy in identifying and describing older adults as frail. BACKGROUND:Despite the dramatic increase in use of the term 'frailty' over the past two decades, there is a lack of consensus in the literature about its meaning and use, and no clear conceptual guidelines for identifying and describing older adults as frail. Differences in theoretical perspectives will influence policy decisions regarding eligibility for, and allocation of, scarce health care resources among older adults. METHOD:The article presents a literature review and synthesis of definitions and conceptual models of frailty in relation to older adults. The first part of the paper is a summary of the synonyms, antonyms and definitions of the term frailty. The second part is a critical evaluation of conceptual models of frailty. Six conceptual models are analysed on the basis of four main categories of assumptions about: (1) the nature of scientific knowledge; (2) the level of analysis; (3) the ageing process; (4) the stability of frailty. The implications of these are discussed in relation to clinical practice, policy and research. CONCLUSION:The review gives guidelines for a new theoretical approach to the concept of frailty in older adults: (1) it must be a multidimensional concept that considers the complex interplay of physical, psychological, social and environmental factors; (2) the concept must not be age-related, suggesting a negative and stereotypical view of ageing; (3) the concept must take into account an individual's context and incorporate subjective perceptions; (4) the concept must take into account the contribution of both individual and environmental factors.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Markle-Reid M,Browne Gdoi
10.1046/j.1365-2648.2003.02767.xkeywords:
subject
Has Abstractpub_date
2003-10-01 00:00:00pages
58-68issue
1eissn
0309-2402issn
1365-2648pii
2767journal_volume
44pub_type
杂志文章,meta分析,评审abstract：AIMS:To integrate existing theoretical perspectives on change management, subjective fit and occupational stress to better understand the effects of change on employee adjustment. BACKGROUND:Although subjective fit with organizational goals and objectives has been shown to have positive effects on employee adjustment,...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12198
更新日期：2013-12-01 00:00:00
abstract：AIMS: To compare physical activity levels, body mass index, habitual diet, tobacco use and prevalence of non-communicable disease between the two ethnic groups and to identify predictors for differences between groups. BACKGROUND: Tobacco use, poor diet and physical inactivity are major lifestyle risk factors for ch...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2012.05948.x
更新日期：2012-11-01 00:00:00
abstract：:This study examines the effects of distress on the capacity of informal caregivers of stroke patients to absorb information about stroke and caregiving. Thirty-seven caregivers took part in a stroke seminar. Minor psychiatric symptoms were related to caregivers' knowledge prior to the seminar, with the more emotionall...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1993.18020195.x
更新日期：1993-02-01 00:00:00
abstract：:Liver transplantation is now the treatment of choice for patients with end-stage chronic liver disease. However, few studies have examined the recovery of liver transplant patients and no qualitative research studies have examined the experiences of these patients. Therefore the purpose of this study was to explore an...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1995.tb03107.x
更新日期：1995-12-01 00:00:00
abstract：AIMS:To evaluate the effectiveness of an Avatar application for educating people with acute coronary syndrome (heart attack). BACKGROUND:A lack of understanding of Acute Coronary Syndrome symptoms and appropriate responses often contribute to delay in seeking medical treatment. DESIGN:A single-centre, non-blinded, pr...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,随机对照试验
doi：10.1111/jan.14210
更新日期：2020-01-01 00:00:00
abstract：:The growing prevalence of chronic illness is due, in large part, to the control and/or eradication of infectious diseases as well as, in North America, the increasingly aged population and overall lengthening life span. Although the trajectory of chronic illness is in a generally downward direction, the rate of progre...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1983.tb00463.x
更新日期：1983-09-01 00:00:00
abstract：:To be or to parent a chronically-ill child is a difficult experience. Parents can initiate 'normalizing' tactics that alleviate the child's feeling of being different and enable a sense of control with the possibility to influence the quality of life of the child and the family. Following up among 20 parents of chroni...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1980.tb03188.x
更新日期：1980-11-01 00:00:00
abstract：AIM:The overall aim of the study is to develop a module for the structure, staffing, job responsibilities, training and workflow for the hospital Infection Control Department. DESIGN:An exploratory research design in two phases. Phase 1: Hospital based exploratory survey design. Phase 2: Delphi technique with Focus Gr...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14658
更新日期：2020-11-22 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/jan.13558
更新日期：2018-07-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14732
更新日期：2021-01-20 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00688.x
更新日期：1998-08-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13948
更新日期：2019-04-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14201
更新日期：2019-12-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13356
更新日期：2017-12-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13832
更新日期：2019-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1990.tb01913.x
更新日期：1990-07-01 00:00:00
abstract：:Problematic situations comprise a significant proportion of nurse administrators' practice. Reflective inquiry is recommended as a method for identifying the problem and its solution. This approach is consistent with pragmatic philosophy which recognizes the fallacy of basing one's action on an a priori conclusion. De...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.01134.x
更新日期：1999-09-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2005.03574.x
更新日期：2005-10-01 00:00:00
abstract：:In clinical settings, nurses have observed a conflict within women who are expected to focus on caring for themselves, while their value lies in attending to the needs of others at the sacrifice of self. In this concept analysis of altruism, the term is defined and the critical attributes are identified. Model, border...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.1995.22040785.x
更新日期：1995-10-01 00:00:00
abstract：AIMS:To identify significant patient and system access barriers and facilitators to dermatology care in one rural health system with limited dermatology appointment availability. DESIGN:Mixed methods study using data from electronic medical records, patient surveys, stakeholder semi-structured interviews, and service ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14604
更新日期：2020-10-24 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1994.20020391.x
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pub_type： 杂志文章
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更新日期：2017-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00586.x
更新日期：1998-05-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2018-05-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2008-07-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2020-07-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：1983-03-01 00:00:00
abstract：AIM:The purpose of this article is to present the research protocol of a systematic review about fall risk assessment tools in acute hospitalized patients. BACKGROUND:Various risk assessment tools for falls have been developed, but with uncertainties derived from validation in heterogeneous environments and variations...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2013-01-01 00:00:00
abstract：AIM:This paper is a report of a study conducted to elucidate experiences and perceptions of self-management of diabetes as narrated by older people diagnosed with insulin-dependent diabetes living in a rural area. BACKGROUND:Older people worldwide are disproportionately affected by diabetes and are more likely to have...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2010-05-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.01388.x
更新日期：2000-05-01 00:00:00
