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Introduction Asking patients ‘What matters to you?’ (WMTY) was first introduced in 2012 as an approach to person‐centred care and has since been integrated into healthcare frameworks internationally. However, it is unclear how extensively and successfully it has been used for patient care. This review aimed to identify and synthesise literature on the use of the WMTY initiative for patient care. Methods The scoping review was guided by the Joanna Briggs Institute scoping review methodology. A systematic search of five databases was undertaken using the term ‘What matters to you?’ and limited to articles published between 2012 and 2023 in English. Primary research studies that used WMTY for patient care were included. Article characteristics, as well as interventions and key findings relevant to WMTY, were extracted. Quantitative data were analysed for descriptive statistics (counts and percentages). Qualitative content analysis was used to identify themes relevant to the aim. Results Twenty articles were included in the review. WMTY was used for designing person‐centred services, planning individual patient care, and understanding patients and families. Five key themes were identified from findings reported in the articles: (1) What matters to patients?, (2) Benefits of using WMTY, (3) Shortfalls of using WMTY, (4) Facilitators for implementing WMTY and (5) Barriers to implementing WMTY. Conclusion WMTY is a simple and versatile tool for supporting person‐centred care, with perceived benefits for consumers, users and organisations. Implementation requires understanding of the phrase and consideration of contextual factors. Patient or Public Contribution Consumer representatives were involved in the review of findings, identification of key points for discussion and review of the manuscript.

Introduction Frailty‐focused care in hospitals is hindered by systemic barriers, ageism and stereotypes about older adults and frailty. There is a need for frailty education to increase healthcare professionals' and students' understanding of frailty. Objective As part of a larger study to co‐design a new digital frailty education course, ‘Focus on Frailty’, this study aimed to explore consumers' and caregivers' perspectives on (i) how frailty and older adults should be represented in frailty education and (ii) what healthcare professionals should be taught about caring for older adults and people who are frail in hospitals. Design This was a qualitative co‐design study. Setting and Participants Participants (n = 25) were older Australians, people living with frailty and family caregivers (collectively, ‘consumers’) who had interacted with the hospital system. This study was conducted in Australia via Zoom and telephone. Methods Participants engaged in focus groups or individual interviews and completed a demographic questionnaire and a Research Engagement Feedback Survey. Qualitative data were inductively analysed using template analysis (codebook thematic analysis). Quantitative demographic data were analysed using descriptive statistics. Results Seven themes were identified: (1) Consumers' understanding of frailty as loss, deterioration and vulnerability; (2) Utilise a holistic approach to frailty care; (3) Dispel stereotypes; (4) Value consumers' lived experience expertise; (5) Include diverse representation and educate for diversity; (6) Promote meaningful interactions; and (7) Practice care coordination. Discussion Participants acknowledged the multifaceted nature of frailty, advocating for holistic frailty education that considers physical, social, emotional, cognitive, financial and spiritual aspects. They described the importance of representing real‐world scenarios and stories, images and videos of real people that reflected the diversity of lived experience. Participants wanted ‘Focus on Frailty’ to include education on individualised care; looking beyond the acute situation; multidisciplinary care coordination that involved informal caregivers; overcoming stereotypes and ageism; and meaningfully interacting with older adults and people who are frail. Conclusions Consumers wanted to be represented in frailty education in a way that elevates lived experience and celebrates diversity. They expressed that healthcare professionals should be taught to avoid stereotypes, coordinate multidisciplinary care and engage in meaningful interactions with patients. Consumer‐focused recommendations for designing frailty education were generated. Patient or Public Contribution E.M., a consumer partner, contributed to the study design, focus group/interview guide, ethics application and participant information and consent forms. E.M. attended some of the focus groups and contributed to the interpretation of study findings. She also contributed to manuscript revisions. Twenty‐five consumers (family caregivers, older adults and people with lived experience of frailty) participated in focus groups and interviews. Participants shared their perspectives on frailty and contributed to the co‐design of a new digital frailty education course for healthcare professionals and students.

Frailty and pain in hospitalised patients are associated with adverse clinical outcomes. However, there is limited data on the associations between frailty and pain in this group of patients. Understanding the prevalence, distribution and interaction of frailty and pain in hospitals will help to determine the magnitude of this association and assist health care professionals to target interventions and develop resources to improve patient outcomes. This study reports the point prevalence concurrence of frailty and pain in adult patients in an acute hospital. A point prevalence, observational study of frailty and pain was conducted. All adult inpatients (excluding high dependency units) at an acute, private, 860-bed metropolitan hospital were eligible to participate. Frailty was assessed using the self-report modified Reported Edmonton Frail Scale. Current pain and worst pain in the last 24 h were self-reported using the standard 0–10 numeric rating scale. Pain scores were categorised by severity (none, mild, moderate, severe). Demographic and clinical information including admitting services (medical, mental health, rehabilitation, surgical) were collected. The STROBE checklist was followed. Data were collected from 251 participants (54.9% of eligible). The prevalence of frailty was 26.7%, prevalence of current pain was 68.1% and prevalence of pain in the last 24 h was 81.3%. After adjusting for age, sex, admitting service and pain severity, admitting services medical (AOR: 13.5 95% CI 5.7–32.8), mental health (AOR: 6.3, 95% CI 1. 9–20.9) and rehabilitation (AOR: 8.1, 95% CI 2.4–37.1) and moderate pain (AOR: 3.9, 95% CI 1. 6–9.8) were associated with increased frailty. The number of older patients identified in this study who were frail has implications for managing this group in a hospital setting. This indicates a need to focus on developing strategies including frailty assessment on admission, and the development of interventions to meet the care needs of these patients. The findings also highlight the need for increased pain assessment, particularly in those who are frail, for more effective pain management. Trial registration: The study was prospectively registered (ACTRN12620000904976; 14th September 2020).

Background/Objectives: Patient and family involvement in bedside handover is a requirement of the national standards on patient safety and quality in Australia. To ensure patient-and-family-centred care, it is essential to understand how patients and families perceive their involvement in nursing bedside handover and what difficulties they face when participating. This study aimed to explore patient and family perceptions of their involvement in nursing bedside handover. Methods: We employed a qualitative descriptive study design with in-depth and semi-structured interviews. Using purposive and convenience sampling, 24 patients and family members were recruited from two adult hospitals in Western Australia between November 2021 and February 2022. The data were thematically analysed. Results: Participants had mixed experiences that overlapped with their individual perceptions, needs, and experiences. Their responses were grouped into three major themes with sub-themes: (1) discovering new nursing care approaches; (2) seeing the value of involvement in bedside handover; and (3) barriers hindering patient and family involvement in bedside handover. The findings revealed that patients and families valued their involvement in nursing bedside handover. However, several factors challenged their participation, including a lack of awareness about their right to participate, the timing of handovers, the nurse’s approach, and fear of asking questions. Conclusions: The findings serve as a guide for evidence-based practice and may significantly influence policy and practice in nursing bedside handover, potentially enhancing patient-and-family-centred care. While considered best practice, the consistent involvement of patients and their families in nursing bedside handover is not routinely achieved and is implemented to varying extents.

Frailty is prevalent in hospitals and is associated with adverse events and poor health outcomes. In Australia, there is a need for co-designed, multidisciplinary, and contextually relevant frailty education to improve healthcare students' understanding and knowledge of frailty within the hospital setting. This study aimed to i) explore healthcare students' understanding of frailty and their experiences with patients who are frail, and ii) seek healthcare students' design ideas for the content of a new digital frailty education course. Participants were university students enrolled in a health-related degree. Online focus groups and interviews were conducted between August and September 2023. Participants were asked about their experiences with frailty education, older adults and people living with frailty; course content; education module topics; and the course name. Participants also completed a demographic questionnaire and a Research Engagement Feedback Survey. Descriptive statistics were used to analyze quantitative data. Qualitative data were analyzed using inductive template analysis, a type of codebook thematic analysis. Four themes were identified: 1) Perception of frailty as loss and decline; 2) Limited education on frailty; 3) Frailty education connected to the reality of practice; and 4) Learning and practicing person-centered care. Module topics prioritized by students were 'identifying and assessing frailty' and 'understanding ageing, frailty, and geriatric conditions'. Participants advocated for a course name that was catchy and succinct, informing the course name: . Healthcare students expressed a desire to learn more about frailty and advocated for education that is skills-based, encourages practical application of knowledge, features storytelling and lived experiences, takes a holistic approach to frailty, and teaches person-centered care. Study findings will directly influence the design of education module topics and course content, and enhance Focus on Frailty's relevance to the Australian healthcare context across medicine, nursing and allied health practice.

IntroductionHospitalised older adults are prone to functional deterioration, which is more evident in frail older patients and can be further exacerbated by pain. Two interventions that have the potential to prevent progression of frailty and improve patient outcomes in hospitalised older adults but have yet to be subject to clinical trials are nurse-led volunteer support and technology-driven assessment of pain.Methods and analysisThis single-centre, prospective, non-blinded, cluster randomised controlled trial will compare the efficacy of nurse-led volunteer support, technology-driven pain assessment and the combination of the two interventions to usual care for hospitalised older adults. Prior to commencing recruitment, the intervention and control conditions will be randomised across four wards. Recruitment will continue for 12 months. Data will be collected on admission, at discharge and at 30 days post discharge, with additional data collected during hospitalisation comprising records of pain assessment and volunteer support activity. The primary outcome of this study will be the change in frailty between both admission and discharge, and admission and 30 days, and secondary outcomes include length of stay, adverse events, discharge destination, quality of life, depression, cognitive function, functional independence, pain scores, pain management intervention (type and frequency) and unplanned 30-day readmissions. Stakeholder evaluation and an economic analysis of the interventions will also be conducted.Ethics and disseminationEthical approval has been granted by Human Research Ethics Committees at Ramsay Health Care WA|SA (number: 2057) and Edith Cowan University (number: 2021-02210-SAUNDERS). The findings will be disseminated through conference presentations, peer-reviewed publications and social media.Trial registration numberACTRN12620001173987.

Background/Objectives: Pain is a common symptom for hospitalised older adults. Pain is not always adequately assessed, which can lead to inadequate pain management and adverse patient outcomes. Thus, new technology-driven pain assessment tools have been developed; however, little is known about patients’ and families’ experiences of nurses using them in acute care. This study aimed to explore the perspectives of older adult inpatients and their families’ regarding nurses’ use of the digital technology-driven pain assessment application PainChek® Universal. Methods: A survey was undertaken as part of a stakeholder evaluation of a randomised control trial exploring the effectiveness of nurse-led volunteer support and technology-driven pain assessment in improving the outcomes of hospitalised older adults. The PainChek® Universal application was implemented on two medical wards of an acute private hospital in Western Australia as part of a larger single-centre, prospective, non-blinded, cluster-randomised control trial. This stakeholder evaluation invited older adult inpatients and their family members to participate in a survey about nurses’ use of the PainChek® Universal application for pain assessment. Results: A total of 96 inpatients and 27 family members completed the survey. Thirteen patients and nine family members provided additional feedback. Over 90% of patients and family members agreed that the use of the PainChek® Universal application was a positive addition to pain assessments, rendered no concerns, and helped nurses complete pain assessments. A total of 84% of patients and 87% of family members felt PainChek® Universal provided a more accurate pain assessment. Survey feedback related to PainChek® Universal application use, integration of technology, and need for further education. Conclusions: The findings suggest that older adults and their families recognised the benefits of nurses using a digital application for pain assessments. Technology integration in healthcare must be accompanied by patient and family education.

IntroductionFrailty and pain are associated with adverse patient clinical outcomes and healthcare system costs. Frailty and pain can interact, such that symptoms of frailty can make pain assessment difficult and pain can exacerbate the progression of frailty. The prevalence of frailty and pain and their concurrence in hospital settings are not well understood, and patients with cognitive impairment are often excluded from pain prevalence studies due to difficulties assessing their pain. The aim of this study is to determine the prevalence of frailty and pain in adult inpatients, including those with cognitive impairment, in an acute care private metropolitan hospital in Western Australia.Methods and analysisA prospective, observational, single-day point prevalence, cross-sectional study of frailty and pain intensity of all inpatients (excluding day surgery and critical care units) will be undertaken. Frailty will be assessed using the modified Reported Edmonton Frail Scale. Current pain intensity will be assessed using the PainChek smart-device application enabling pain assessment in people unable to report pain due to cognitive impairment. Participants will also provide a numerical rating of the intensity of current pain and the worst pain experienced in the previous 24 hours. Demographic and clinical information will be collected from patient files. The overall response rate of the survey will be reported, as well as the percentage prevalence of frailty and of pain in the sample (separately for PainChek scores and numerical ratings). Additional statistical modelling will be conducted comparing frailty scores with pain scores, adjusting for covariates including age, gender, ward type and reason for admission.Ethics and disseminationEthical approval has been granted by Ramsay Health Care Human Research Ethics Committee WA/SA (reference: 2038) and Edith Cowan University Human Research Ethics Committee (reference: 2020–02008-SAUNDERS). Findings will be widely disseminated through conference presentations, peer-reviewed publications and social media.Trial registration numberACTRN12620000904976.

•Management of Aggression Training provides the knowledge and skills for student nurses to manage aggressive incidents.•Management of Aggression Training helped nursing students develop confidence in managing aggressive incidents.•Management of Aggression Training provided verbal de-escalation techniques which may have prevented physical aggression.