Characteristics for a tool for timely identification of palliative needs in heart failure
| Autor: | José M.C. Maessen, Jos M. G. A. Schols, Josiane Boyne, Hans-Peter Brunner-La Rocca, Marieke H. J. van den Beuken-van Everdingen, Stephanie M C Ament, Daisy J.A. Janssen |
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| Přispěvatelé: | Health Services Research, RS: CAPHRI - R1 - Ageing and Long-Term Care, MUMC+: KIO Kemta (9), RS: CAPHRI - R2 - Creating Value-Based Health Care, Cardiologie, MUMC+: MA Med Staf Spec Cardiologie (9), RS: Carim - H02 Cardiomyopathy, Anesthesiologie, MUMC+: TPZ Palliatieve Zorg (9), MUMC+: MA Anesthesiologie (9), RS: MHeNs - R3 - Neuroscience |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Palliative care Health Personnel assessment end-of-life 030204 cardiovascular system & hematology ILLNESS palliative medicine 03 medical and health sciences 0302 clinical medicine PEOPLE medicine Humans Family 030212 general & internal medicine implementation Qualitative Research Aged Netherlands Aged 80 and over Heart Failure Advanced and Specialized Nursing Health professionals business.industry Palliative Care Patient Preference Original Articles Instrument Focus Groups Middle Aged medicine.disease Medical–Surgical Nursing Identification (information) congestive heart failure Heart failure Chronic Disease Hospice and Palliative Care Nursing Practice Guidelines as Topic Female Medical emergency Cardiology and Cardiovascular Medicine business Needs Assessment |
| Zdroj: | European Journal of Cardiovascular Nursing, 19(8):1474515120918962, 711-720. SAGE Publications Ltd European Journal of Cardiovascular Nursing |
| ISSN: | 1873-1953 1474-5151 |
| Popis: | Background Palliative care can improve outcomes for patients with advanced chronic heart failure and their families, but timely recognition of palliative care needs remains challenging. Aim The aim of this study was to identify characteristics of a tool to assess palliative care needs in chronic heart failure that are needed for successful implementation, according to patients, their family and healthcare professionals in The Netherlands. Methods Explorative qualitative study, part of the project ‘Identification of patients with HeARt failure with PC needs’ (I-HARP), focus groups and individual interviews were held with healthcare professionals, patients with chronic heart failure, and family members. Data were analysed using the Consolidated Framework for Implementation Research. Results A total of 13 patients, 10 family members and 26 healthcare professionals participated. Direct-content analysis revealed desired tool characteristics for successful implementation in four constructs: relative advantage, adaptability, complexity, and design quality and packaging. Healthcare professionals indicated that a tool should increase awareness, understanding and knowledge concerning palliative care needs. A tool needs to: be adaptable to different disease stages, facilitate early identification of palliative care needs and ease open conversations about palliative care. The complexity of chronic heart failure should be considered in a personalized approach. Conclusions The current study revealed the characteristics of a tool for timely identification of palliative care needs in chronic heart failure needed for successful implementation. The next steps will be to define the content of the tool, followed by development of a preliminary version and iterative testing of this version by the different stakeholders. |
| Databáze: | OpenAIRE |
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