RT Journal Article
SR Electronic
T1 Professionals guidance about palliative medicine in chronic heart failure: a mixed-method study
JF BMJ Supportive & Palliative Care
JO BMJ Support Palliat Care
FD British Medical Journal Publishing Group
SP bmjspcare-2020-002580
DO 10.1136/bmjspcare-2020-002580
A1 Stephanie M C Ament
A1 Marieke van den Beuken-Everdingen
A1 José M C Maessen
A1 Josiane Boyne
A1 Jos M G A Schols
A1 Henri E J H Stoffers
A1 Louise Bellersen
A1 Hans-Peter Brunner-La Rocca
A1 Yvonne Engels
A1 Daisy J A Janssen
YR 2020
UL http://spcare.bmj.com/content/early/2020/11/25/bmjspcare-2020-002580.abstract
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.