Skip to main content
Have a personal or library account? Click to login
Acute Practitioners’ Experiences of Implementing Frailty Same Day Emergency Care: A Researcher-in-Residence Study Cover

Acute Practitioners’ Experiences of Implementing Frailty Same Day Emergency Care: A Researcher-in-Residence Study

Open Access
|Jun 2026

References

  1. Han B, Li Q, Chen X. Effects of the frailty phenotype on post-operative complications in older surgical patients: a systematic review and meta-analysis. BMC geriatrics. 2019;19:19. DOI: 10.1186/s12877-019-1153-8
  2. Cesari M, Prince M, Thiyagarajan JA, De Carvalho IA, Bernabei R, Chan P, et al. Frailty: an emerging public health priority. Journal of the American Medical Directors Association. 2016;17(3):188192. DOI: 10.1016/j.jamda.2015.12.016
  3. Salvi F, Morichi V, Grilli A, Giorgi R, De Tommaso G, Dessi-Fulgheri P. The elderly in the emergency department: a critical review of problems and solutions. Internal and Emergency Medicine. 2007;2:292301. DOI: 10.1007/s11739-007-0081-3
  4. Dufour I, Chouinard MC, Dubuc N, Beaudin J, Lafontaine S, Hudon C. Factors associated with frequent use of emergency-department services in a geriatric population: a systematic review. BMC geriatrics. 2019;19:19. DOI: 10.1186/s12877-019-1197-9
  5. Ukkonen M, Jämsen E, Zeitlin R, Pauniaho SL. Emergency department visits in older patients: a population-based survey. BMC Emergency Medicine. 2019 Feb 27;19(1):20. DOI: 10.1186/s12873-019-0236-3
  6. Lemoyne SE, Herbots HH, De Blick D, Remmen R, Monsieurs KG, Van Bogaert P. Appropriateness of transferring nursing home residents to emergency departments: a systematic review. BMC Geriatrics. 2019 Jan 21;19(1):17. DOI: 10.1186/s12877-019-1028-z
  7. Furia G, Vinci A, Colamesta V, Papini P, Grossi A, Cammalleri V, et al. Appropriateness of frequent use of emergency departments: A retrospective analysis in Rome, Italy. Frontiers in Public Health. 2023;11:1150511. DOI: 10.3389/fpubh.2023.1150511
  8. Theou O, Squires E, Mallery K, Lee JS, Fay S, Goldstein J, et al. What do we know about frailty in the acute care setting? A scoping review. BMC geriatrics. 2018;18:120. DOI: 10.1186/s12877-018-0823-2
  9. McNamara R, van Oppen JD, Conroy SP. Frailty same day emergency care (SDEC): a novel service model or an unhelpful distraction? Age and Ageing. 2024 Apr 1;53(4):afae064. DOI: 10.1093/ageing/afae064
  10. Huang YL, McGonagle M, Shaw R, Eastham J, Alsaba N, Lin CC, et al. Models of care for frail older persons who present to the emergency department: a scoping review of the literature. International emergency nursing. 2023;66:101250. DOI: 10.1016/j.ienj.2022.101250
  11. Ng CJ, Chien LT, Huang CH, Chaou CH, Gao SY, Chiu SYH, et al. Integrating the clinical frailty scale with emergency department triage systems for elder patients: A prospective study. The American Journal of Emergency Medicine. 2023 Apr 1;66:1621. DOI: 10.1016/j.ajem.2023.01.002
  12. Lin CF, Lin PC, Hu SY, Tsan YT, Liao WK, Lin SY, et al. Comprehensive Geriatric Assessment and Clinical Outcomes in the older people at the emergency department. International Journal of Environmental Research and Public Health. 2021;18(11):6164. DOI: 10.3390/ijerph18116164
  13. Acute Frailty Network. A frailty service with the patient at its heart. London: NHS Elect.
  14. Cottrell E, Mallen CD, Lasserson DS. Ambulatory emergency care: how should acute generalists manage risk in undifferentiated illness? British Journal of General Practice. 2018;68(666):1213. DOI: 10.3399/bjgp17X694001
  15. Acute Frailty Network. Calderdale and Huddersfield NHS FT Taking acute frailty improvements out into the community. NHS Elect; 2021.
  16. Knight T, Kamwa V, Atkin C, Green C, Ragunathan J, Lasserson D, et al. Acute care models for older people living with frailty: a systematic review and taxonomy. BMC geriatrics. 2023;23(1):809. DOI: 10.1186/s12877-023-04373-4
  17. Heeren P, Devriendt E, Fieuws S, Wellens NI, Deschodt M, Flamaing J, et al. Unplanned readmission prevention by a geriatric emergency network for transitional care (URGENT): a prospective before-after study. BMC geriatrics. 2019;19:110. DOI: 10.1186/s12877-019-1233-9
  18. Shrapnel S, Dent E, Nicholson C. A nurse-led model of care within an emergency department reduces representation rates for frail aged care residents. Aging clinical and experimental research. 2019;31:16951698. DOI: 10.1007/s40520-018-1101-z
  19. Carroll C, Kundakci B, Muhinyi A, Bastounis A, Jones K, Sutton A, et al. Scoping review of the effectiveness of 10 high-impact initiatives (HIIs) for recovering urgent and emergency care services. BMJ Open Quality. 2024;13(3):e002906. DOI: 10.1136/bmjoq-2024-002906
  20. Iacobucci G. Plans for same day emergency care are being “grossly derailed” by winter pressures. BMJ. 2020 Jan 8;368:m55. DOI: 10.1136/bmj.m55
  21. Improvement N. Same-day acute frailty services. NHS Improvement, NHS England, The Ambulatory Emergency Care Network and the Acute Frailty Network: London, UK; 2019.
  22. Eklund K, Wilhelmson K, Gustafsson H, Landahl S, Dahlin-Ivanoff S. One-year outcome of frailty indicators and activities of daily living following the randomised controlled trial; “Continuum of care for frail older people.” BMC geriatrics. 2013;13:110. DOI: 10.1186/1471-2318-13-76
  23. O’Shaughnessy Í, Romero-Ortuno R, Edge L, Dillon A, Flynn S, Briggs R, et al. Home FIRsT: interdisciplinary geriatric assessment and disposition outcomes in the emergency department. European journal of internal medicine. 2021;85:5055. DOI: 10.1016/j.ejim.2020.11.015
  24. Sanon M, Hwang U, Abraham G, Goldhirsch S, Richardson LD, GEDI WISE Investigators. ACE model for older adults in ED. Geriatrics. 2019;4(1):24. DOI: 10.3390/geriatrics4010024
  25. Conroy SP, Turpin S. New horizons: urgent care for older people with frailty. Age and ageing. 2016;45(5):577584. DOI: 10.1093/ageing/afw135
  26. Ellis G, Gardner M, Tsiachristas A, Langhorne P, Burke O, Harwood R. Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database System Rev. 2017; 9: Cd006211. DOI: 10.1002/14651858.CD006211.pub3
  27. Goodwin N, Stein V, Amelung V. What is integrated care? Handbook integrated care. 2021;325. DOI: 10.1007/978-3-030-69262-9_1
  28. Dunn P, Fraser C, Williamson S, Alderwick H. Integrated care systems: what do they look like. Health Foundation. 2022.
  29. Brownson RC, Shelton RC, Geng EH, Glasgow RE. Revisiting concepts of evidence in implementation science. Implementation Science. 2022;17(1):26. DOI: 10.1186/s13012-022-01201-y
  30. Raine R, Fitzpatrick R, Barratt H, Bevan G, Black N, Boaden R, et al. Challenges, solutions and future directions in the evaluation of service innovations in health care and public health. Health Services and Delivery Research. 2016;4(16). DOI: 10.3310/hsdr04160
  31. Mettert K, Lewis C, Dorsey C, Halko H, Weiner B. Measuring implementation outcomes: An updated systematic review of measures’ psychometric properties. Implementation Research and Practice. 2020;1:2633489520936644. DOI: 10.1177/2633489520936644
  32. Vindrola-Padros C, Pape T, Utley M, Fulop NJ. The role of embedded research in quality improvement: a narrative review. BMJ Quality & Safety. 2017;26(1):7080. DOI: 10.1136/bmjqs-2015-004877
  33. Elston J, Gradinger F, Asthana S, Fox M, Dawson L, Butler D, et al. Impact of ‘enhanced’ intermediate care integrating acute, primary and community care and the voluntary sector in Torbay and South Devon, UK. International journal of integrated care. 2022;22(1):14. DOI: 10.5334/ijic.5665
  34. Whitty C. Chief medical officer’s annual report 2021: health in coastal communities. Department for Health and Social Care; 2021.
  35. Marshall M, Pagel C, French C, Utley M, Allwood D, Fulop N, et al. Moving improvement research closer to practice: the Researcher-in-Residence model. BMJ quality & safety. 2014;23(10):801805. DOI: 10.1136/bmjqs-2013-002779
  36. Gradinger F, Elston J, Asthana S, Martin S, Byng R. Reflections on the researcher-in-residence model co-producing knowledge for action in an integrated care organisation: a mixed methods case study using an impact survey and field notes. Evidence & Policy. 2019;15(2):197215. DOI: 10.1332/174426419X15538508969850
  37. Tekin AK, Kotaman H. The epistemological perspectives on action research. Journal of Educational and Social Research. 2013;3(1):8191.
  38. Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC medical research methodology. 2013;13:18. DOI: 10.1186/1471-2288-13-117
  39. Breton M, Wankah P, Guillette M, Couturier Y, Belzile L, Gagnon D, et al. Multiple perspectives analysis of the implementation of an integrated care model for older adults in Quebec. International journal of integrated care. 2019;19(4):6. DOI: 10.5334/ijic.4634
  40. Averlant L, Calafiore M, Puisieux F, Ramez C, Sarrazin F, Lotin M, et al. Barriers and facilitators in the uptake of integrated care pathways for older patients by healthcare professionals: a qualitative analysis of the French National “Health Pathway of Seniors for Preserved Autonomy” pilot program: barriers and facilitators for adhesion of healthcare professionals in integrated care for older patients: a qualitative assessment based on the french national experiment: ‘Health Pathway of Seniors for Preserved Autonomy’ (PAERPA). International journal of integrated care. 2021;21(2):7. DOI: 10.5334/ijic.5483
  41. Douglas N, Mays N, Al-Haboubi M, Manacorda T, Thana L, Wistow G, et al. Observations of community-based multidisciplinary team meetings in health and social care for older people with long term conditions in England. BMC Health Services Research. 2022 Jun 8;22(1):758. DOI: 10.1186/s12913-022-07971-x
  42. Elias TC, Bowen J, Hassanzadeh R, Lasserson DS, Pendlebury ST. Factors associated with admission to bed-based care: observational prospective cohort study in a multidisciplinary same day emergency care unit (SDEC). BMC geriatrics. 2021;21:113. DOI: 10.1186/s12877-020-01942-9
  43. Sadler E, Potterton V, Anderson R, Khadjesari Z, Sheehan K, Butt F, et al. Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation: A systematic review and narrative synthesis. PloS one. 2019;14(5):e0216488. DOI: 10.1371/journal.pone.0216488
  44. NHS. The NHS Long Term Plan [Internet]. 2019 [cited 2025 Feb 5]. Available from: https://webarchive.nationalarchives.gov.uk/ukgwa/20230418155402/https:/www.longtermplan.nhs.uk/publication/nhs-long-term-plan/
  45. Corbaz-Kurth S, Weissbrodt R, Juvet TM, Hannart S, Krsmanovic B, Salamin Plaschy I, et al. How does trust emerge in interprofessional collaboration? A qualitative study of the significance, importance, and dynamics of trust in healthcare teams and networks. Journal of Interprofessional Care. 2025;110. DOI: 10.1080/13561820.2025.2495013
  46. Beaulieu L, Seneviratne C, Nowell L. Change fatigue in nursing: An integrative review. Journal of Advanced Nursing. 2023;79(2):454470. DOI: 10.1111/jan.15546
  47. Vaughan L, Edwards N, Imison C, Collins B. Rethinking acute medical care in smaller hospitals. London: Nuffield Trust; 2018.
  48. Chui A, Sedig K, Dainty KN. Provider, Caregiver, and Patient Experiences of an Integrated Care Program for Older Adults Designated as Alternate Level of Care: A Qualitative Case Study. International Journal of Integrated Care. 2025;25(1):12. DOI: 10.5334/ijic.7629
DOI: https://doi.org/10.5334/ijic.9854 | Journal eISSN: 1568-4156
Language: English
Page range: 18 - 18
Submitted on: Jun 10, 2025
Accepted on: Jun 2, 2026
Published on: Jun 18, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services

© 2026 Kieran Green, Sheena Asthana, John Downey, Joanne Watson, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.