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With increasing numbers of frailty, particularly in rural areas, healthcare systems are being challenged globally. Moreover, frailty may be more common in rural communities as a consequence of transportation issues, limited access to healthcare services and health promotion activities. Advanced Nurse Practitioners are ideally placed to undertake comprehensive geriatric assessments and identify frailly syndromes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>Explore the function of the Advanced Nurse Practitioner in managing people living with frailty in rural areas, drawing on a review of current guidelines, literature, and practice, considering public health agendas and evidence\u2010based practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Discussion paper.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Learnings<\/jats:title><jats:p>Frailty is linked to poorer health outcomes, an excessive use of health resources and decreased quality of life. Incorporating Advanced Nurse Practitioners into integrated models of care and health improvement strategies, can improve patient outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Using advanced clinical and decision\u2010making skills, Advanced Nurse practitioners deliver evidence\u2010based care to improve patient safety and health outcomes. Creating partnerships to enhance the provision of healthcare, they are focused on frailty prevention, detection and providing support to develop co\u2010produced management plans to address individual needs. The Advanced Nurse Practitioner has the ability to practice autonomously within an expanded scope of clinical practice, making them the ideal professional to support people living with frailty in rural areas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Impact for Nursing<\/jats:title><jats:p>When thinking about future strategies for advanced practice, it is important to acknowledge the lack of regulation, roles in nursing, inadequate title protection, role variability, and different educational requirements. Organisations need to consider the enablers and barriers of Advanced Nurse Practitioners fulfilling their duties. Advanced Nurse practitioners are guided by public health agendas to improve the population health of those in rural areas.<\/jats:p><\/jats:sec><jats:sec><jats:title>No Patient or Public Contribution<\/jats:title><jats:p>This is a discussion paper.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.70075","type":"journal-article","created":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T04:04:49Z","timestamp":1743566689000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Frailty Focus: Empowering Rural Health With Advanced Nurse Practitioners: A Discussion Paper"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9780-9257","authenticated-orcid":false,"given":"Maria","family":"Betts","sequence":"first","affiliation":[{"name":"Institute of Nursing and Health Research Ulster University Belfast Northern Ireland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4627-3189","authenticated-orcid":false,"given":"Deirdre","family":"Harkin","sequence":"additional","affiliation":[{"name":"School of Nursing and Paramedic Sciences Ulster University Belfast Northern Ireland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Chief Medical Officer's Annual Report 2023: Health in an Ageing Society","author":"Whitty C.","year":"2023"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-018195"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/0361073X.2017.1298957"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-021-02370-z"},{"issue":"5","key":"e_1_2_10_6_1","first-page":"18","article-title":"Frailty 1: Recognising the Syndrome and Delivering Person\u2010Centred Care","volume":"119","author":"Webster J.","year":"2023","journal-title":"Nursing Times"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-023-02444-9"},{"key":"e_1_2_10_8_1","volume-title":"Understanding Frailty","author":"Age UK","year":"2020"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-017-0579-0"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afad058"},{"key":"e_1_2_10_11_1","volume-title":"Health Service Northern Ireland: First Results 2021\/2022","author":"Department of Health","year":"2022"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2019.103986"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.13158"},{"key":"e_1_2_10_14_1","volume-title":"Frailty\u2014It's Everyone's Business","author":"British Geriatric Society","year":"2022"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2010.08.006"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20010290"},{"key":"e_1_2_10_17_1","volume-title":"The Evolving Role of the Advanced Nurse Practitioner within UK General Practice: A Qualitative Study on the Views of Employers, Commissioners, GPS, Nursing and NHs Leaders, and Advanced Nurses","author":"Hough L.","year":"2020"},{"key":"e_1_2_10_18_1","article-title":"Patients' Perceptions Toward the Role and Acceptance of Advance Practice Nurses in Integrated Care Models: A Qualitative Study","volume":"20","author":"Woo B. 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