PT - JOURNAL ARTICLE AU - Stephanie M C Ament AU - Marieke van den Beuken-Everdingen AU - José M C Maessen AU - Josiane Boyne AU - Jos M G A Schols AU - Henri E J H Stoffers AU - Louise Bellersen AU - Hans-Peter Brunner-La Rocca AU - Yvonne Engels AU - Daisy J A Janssen TI - Professionals guidance about palliative medicine in chronic heart failure: a mixed-method study AID - 10.1136/bmjspcare-2020-002580 DP - 2020 Nov 26 TA - BMJ Supportive & Palliative Care PG - bmjspcare-2020-002580 4099 - http://spcare.bmj.com/content/early/2020/11/25/bmjspcare-2020-002580.short 4100 - http://spcare.bmj.com/content/early/2020/11/25/bmjspcare-2020-002580.full AB - Introduction Healthcare professionals (HCPs) experience difficulties in timely recognising and directing palliative care (PC) needs of their patients with chronic heart failure (CHF). The aim of this study was to develop a comprehensive tool to enable HCPs in timely recognising and directing PC needs in CHF.Methods A four-stage mixed-method study was performed. Stage 1: identification of needs and questions of patients and families; stage 2: prioritisation and refinement of the needs and questions; stage 3a: testing and online feedback on V.1; stage 3b: selecting and refining care recommendations; stage 4: testing and review of V.2. Iterative reviews followed each step in the development process to ensure a wide range of stakeholder input. In total, 16 patients, 12 family members and 54 HCPs participated.Results A comprehensive set of 13 PC needs was identified, redefined and tested. The resulting tool, called Identification of patients with HeARt failure with PC needs (I-HARP), contains an introduction prompt with open questions to start the conversation, 13 closed screening questions with additional in-depth questions, and recommendations on actions for identified needs.Conclusion I-HARP contains an evidence-based set of questions and palliative CHF care suggestions for HCPs in the Netherlands. The resulting tool, approved by HCPs, patients and family members, is a promising guidance for HCP to timely recognise and direct PC needs in CHF.