Abstract:
BACKGROUND:The delivery of palliative care interventions is not widely integrated in chronic heart failure care as the recognition of palliative care needs is perceived as difficult. Tools may facilitate healthcare professionals to identify patients with palliative care needs in advanced chronic heart failure. AIM:To identify tools to help healthcare professionals recognize palliative care needs in patients with advanced chronic heart failure. DESIGN:This systematic review was registered in the PROSPERO database (CRD42019131896). Evidence of tools' development, evaluation, feasibility, and implementation was sought and described. DATA SOURCES:Electronic searches to identify references of tools published until June 2019 were conducted in MEDLINE, CINAHL, and EMBASE. Hand-searching of references and citations was undertaken. Based on the identified tools, a second electronic search until September 2019 was performed to check whether all evidence about these tools in the context of chronic heart failure was included. RESULTS:Nineteen studies described a total of seven tools. The tools varied in purpose, intended user and properties. The tools have been validated to a limited extent in the context of chronic heart failure and palliative care. Different health care professionals applied the tools in various settings at different moments of the care process. Guidance and instruction about how to apply the tool revealed to be relevant but may be not enough for uptake. Spiritual care needs were perceived as difficult to assess. CONCLUSION:Seven tools were identified which showed different and limited levels of validity in the context of palliative care and chronic heart failure.
journal_name
Palliat Medjournal_title
Palliative medicineauthors
Ament SM,Couwenberg IM,Boyne JJ,Kleijnen J,Stoffers HE,van den Beuken MH,Engels Y,Bellersen L,Janssen DJdoi
10.1177/0269216320963941subject
Has Abstractpub_date
2021-01-01 00:00:00pages
45-58issue
1eissn
0269-2163issn
1477-030Xjournal_volume
35pub_type
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