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Updated: Sep 16, 2025

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Perianesthesia Nurses' Perspectives Managing Frailty: A Qualitative Study
Ilana I Logvinov1, Donna Felber Neff2, Mona Shattell2
1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, FL.
Purpose:
The intent of this study was to describe the perceptions, experiences, and barriers to the use of frailty screening for surgical patients.
Design:
A qualitative descriptive design using semistructured interviews.
Methods:
This qualitative study was based on interviews with 26 perianesthesia nurses from 17 states, all who were members of the American Society of PeriAnesthesia Nurses, working full- or part-time in the specialty and experienced with older adults.
Findings:
Three key themes regarding frailty assessment and management were identified: (1) challenges in frailty identification; (2) frailty and its ripple effects; and (3) optimizing frailty assessment and management.
Conclusions:
Nurses reported lack of education related to frailty assessment and an inability to adequately and objectively communicate their patients' needs to other providers. There is a need for education to train nurses to use frailty assessments. Integrating frailty assessment into preoperative nursing documentation can facilitate care planning and improved patient outcomes.
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