Systematic review title: Perspectives of older adults, caregivers, healthcare providers on frailty screening in primary care: a systematic review and qualitative meta-synthesis Population: older adults, caregivers, and healthcare providers Phenomena of interest: the perception of frailty screening Context: in primary care | ||||
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Synthesized finding | Type of research | Dependability | Credibility | ConQual score |
Capacity of healthcare providers and older adults It is important to recognize that stakeholders’ capability exerts influence on the implementation of frailty screening. Need education, training, enablement to improve healthcare professionals’ knowledge and skills, and further the perception of frailty in the elderly | Qualitative | Downgrade 1 levela | remains unchanged | Moderate |
Opportunity in the implementation of frailty screening It must be noted that opportunity is an essential factor influencing the implementation of frailty screening. An awareness of the factors that reduce opportunities to implement frailty screening, including lack of a proper tool and lack of a clarity implementation pathway, is important. Moreover, a sensitive implementation approach and communication are conducive to creating a trusting relationship, and it can facilitate participation in frailty screening among older adults. Involving the multidisciplinary team can also promote the implementation of screening | Qualitative | Downgrade 1 levela | Downgrade 1 levelb | Low |
Motivation in the implementation of frailty screening Healthcare providers’ positive attitude and the belief in the benefits of screening facilitate the implementation. Factors that hinder the implementation include the lack of supportive evidence of screening effectiveness, older adults’ fear of frailty, and doubt about community insufficient resources | Qualitative | Downgrade 1 levela | remains unchanged | Moderate |