The meaning of confidence for older people living with frailty: a qualitative systematic review

Abstract

Assertions that an understanding of the concept confidence has been reached cannot be made. The review data offer limited insight into the concept of confidence being described by the cohort of older people living with frailty.

The meaning of confidence from the perspective of older people living with frailty: a conceptual void within intermediate care services

“…The sample was ethnically homogeneous and participant voices came from just one region of the UK, thereby potentially limiting transferability. Finally and in line with previous confidence concept development publications [ 6 , 7 ], this study maintained the separation from Banura’s social construct of self-efficacy [ 28 ] on the grounds that Bandura viewed confidence as a ‘colloquial term’ [ 29 : 382], one not linked to self-efficacy in any way.…”

“…For an older person living with frailty, confidence sits on a continuum between vulnerability (a fragile state of well-being [ 6 ]) at one end and resilience (the ability to adapt to adversity [ 4 ]) at the other. Confidence is a dynamic and interdependent concept, directly influenced by the individuals’ perceptions and lived experiences of social connections, fear and independence.…”

“…Recently, asset models that focus on physical health and mental well-being have been promoted as recognising characteristics of successful ageing that connect resilience to confidence [ 4 ], as opposed to the more negative focus on frailty and vulnerability that are predominantly cited in connection to the cumulative deficit models in the literature [ 5 ]. A reported meta-synthesis of very few published accounts of older people speaking of their confidence in the qualitative literature tentatively concluded that confidence was reflected as a sense of vulnerability [ 6 : 1,326]. The authors called for better clarity to inform practice through more research.…”

The South West Clinical School model: an initiative to transform clinical academic career pathways

“…Implementation science bridged the research practice gap. Adoption of the Knowledge to Action Framework (Graham et al, 2006) influenced knowledge generation and implementation actions, best seen in a Clinical School supported PhD thesis of Underwood (2020). In the last 2 years, a move to adopt the JBI evidence-based healthcare model (Jordan et al, 2019) and its evidence implementation framework (Porritt et al, 2020) has served to connect strongly to the University’s international JBI collaborating centre and provides a clear evidence-informed model to support Clinical School process activities.…”