Pioneering Perspectives on the Age Friendly Health System (AFHS) 4Ms Framework: Multidisciplinary Insights from Three Early Adopter Sites in Ireland

Abstract Background The AFHS 4Msframework represents an innovative frontier in gerontological care, introducing a structured, person-centred approach for older adults. This study captures the multidisciplinary team perspectives and insights from three sites on the implementation process of the 4Msframework. Methods Ten one-to-one semi-structured interviews were conducted with healthcare staff from acute hospital and community settings between March and April 2025. Guided by the Normalisation Process Theory framework, the interviews focused on staff experiences and perceptions. Thematic content analysis with open coding was employed to identify key themes from audio-recorded, transcribed data. Results Staff described the 4Msframework as a novel and empowering structure that not only supports high-quality, patient-centred care but also fosters a new way of communication. The framework was seen as intuitive, practical, and inherently adaptable, seamlessly integrating into existing practices. Staff highlighted the framework’s role in creating a shared language and a more meaningful way to phrase assessment questions, thereby strengthening engagement with patients, and multidisciplinary staff collaboration. Key factors for success included leadership support, tailored education, and embedding the framework into routine practice. Despite challenges, such as contextual variations between settings and adapting U.S.-based resources, staff consistently reported that the framework felt both innovative and achievable, enhancing care without increasing workload. Conclusion As the first Irish evaluation of the 4Msframework, this study highlights the potential for pioneering change in gerontological care. The framework’s ability to package existing practices into a cohesive, user-friendly model represents significant innovation. By enabling a structured, common language that aligns with staff routines, the 4Msframework demonstrates scalability and sustainability, positioning it as a valuable tool for transforming age-friendly care in Ireland and beyond.