Tools for guiding interventions to address patient-perceived multidimensional unmet healthcare needs in palliative care: systematic literature review
| Autor: | Florian Strasser, David Blum, Ellie B Schmidt, Mathias Schlögl, Franzisca Domeisen Benedetti |
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| Přispěvatelé: | University of Zurich, Schmidt, Ellie B |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Palliative care
11221 Clinic for Geriatric Medicine Psychological intervention Medicine (miscellaneous) Context (language use) 610 Medicine & health 616: Innere Medizin und Krankheiten Unmet needs 03 medical and health sciences 0302 clinical medicine Nursing Intervention (counseling) Health care Medicine 030212 general & internal medicine Oncology (nursing) business.industry 2701 Medicine (miscellaneous) General Medicine 10044 Clinic for Radiation Oncology 610.73: Pflege Medical–Surgical Nursing Systematic review 030220 oncology & carcinogenesis business 2917 Oncology (nursing) Inclusion (education) 2914 Medical and Surgical Nursing |
| Popis: | ContextThe unmet needs of patients with advanced disease are indicative of the patient centredness of healthcare. By tracking unmet needs in clinical practice, palliative interventions are aligned with patient priorities, and clinicians receive support in intervention delivery decisions for patients with overlapping, complex needs.ObjectiveIdentify tools used in everyday clinical practice for the purpose of identifying and addressing unmet healthcare needs for patients with advanced disease.MethodsWe conducted PubMed and Cumulative Index of Nursing and Allied Health Literature searches to include studies published between 1 January 2008 and 21 April 2020. Three concepts were used in constructing a search statement: (1) patient need, (2) validated instrument and (3) clinical practice. 2313 citations were reviewed according to predefined eligibility, exclusion and inclusion criteria. Data were collected from 17 tools in order to understand how instruments assess unmet need, who is involved in tool completion, the psychometric validation conducted, the tool’s relationship to delivering defined palliative interventions, and the number of palliative care domains covered.ResultsThe majority of the 17 tools assessed unmet healthcare needs and had been validated. However, most did not link directly to clinical intervention, nor did they facilitate interaction between clinicians and patients to ensure a patient-reported view of unmet needs. Half of the tools reviewed covered ≤3 dimensions of palliative care. Of the 17 tools evaluated, 4 were compared in depth, but all were determined to be insufficient for the specific clinical applications sought in this research.ConclusionA new, validated tool is needed to track unmet healthcare needs and guide interventions for patients with advanced disease. |
| Databáze: | OpenAIRE |
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