What to consider when implementing a tool for timely recognition of palliative care needs in heart failure: a context-based qualitative study
Abstract Background Needs assessment tools can facilitate healthcare professionals in timely recognition of palliative care needs. Despite the increased attention for implementation of such tools, most studies provide little or no attention to the context of implementation. The aim of this study was...
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | BMC Palliative Care |
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| Online Access: | https://doi.org/10.1186/s12904-021-00896-y |
| _version_ | 1818941722015563776 |
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| author | Stephanie M. C. Ament Lisette M. van den Broek Marieke H. J. van den Beuken-van Everdingen Josiane J. J. Boyne José M. C. Maessen Sebastiaan C. A. M. Bekkers Louise Bellersen Hans-Peter Brunner-La Rocca Yvonne Engels Daisy J. A. Janssen |
| author_facet | Stephanie M. C. Ament Lisette M. van den Broek Marieke H. J. van den Beuken-van Everdingen Josiane J. J. Boyne José M. C. Maessen Sebastiaan C. A. M. Bekkers Louise Bellersen Hans-Peter Brunner-La Rocca Yvonne Engels Daisy J. A. Janssen |
| author_sort | Stephanie M. C. Ament |
| collection | DOAJ |
| description | Abstract Background Needs assessment tools can facilitate healthcare professionals in timely recognition of palliative care needs. Despite the increased attention for implementation of such tools, most studies provide little or no attention to the context of implementation. The aim of this study was to explore factors that contribute positively and negatively to timely screening of palliative care needs in advanced chronic heart failure. Methods Qualitative study using individual interviews and focus groups with healthcare professionals. The data were analysed using a deductive approach. The Consolidated Framework for Implementation Research was used to conceptualise the contextual factors. Results Twenty nine healthcare professionals with different backgrounds and working in heart failure care in the Southern and Eastern parts of the Netherlands participated. Several factors were perceived to play a role, such as perception and knowledge about palliative care, awareness of palliative care needs in advanced chronic heart failure, perceived difficulty when and how to start palliative care, limited acceptance to treatment boundaries in cardiology, limited communication and collaboration between healthcare professionals, and need for education and increased attention for palliative care in advanced chronic heart failure guidelines. Conclusions This study clarified critical factors targeting patients, healthcare professionals, organisations to implement a needs assessment tool for timely recognition of palliative care needs in the context of advanced chronic heart failure. A multifaceted implementation strategy is needed which has attention for education, patient empowerment, interdisciplinary collaboration, identification of local champions, chronic heart failure specific guidelines and culture. |
| first_indexed | 2024-12-20T07:00:03Z |
| format | Article |
| id | doaj.art-0d22ec808b72497c930f98f6a6199fbf |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-12-20T07:00:03Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-0d22ec808b72497c930f98f6a6199fbf2022-12-21T19:49:13ZengBMCBMC Palliative Care1472-684X2022-01-012111910.1186/s12904-021-00896-yWhat to consider when implementing a tool for timely recognition of palliative care needs in heart failure: a context-based qualitative studyStephanie M. C. Ament0Lisette M. van den Broek1Marieke H. J. van den Beuken-van Everdingen2Josiane J. J. Boyne3José M. C. Maessen4Sebastiaan C. A. M. Bekkers5Louise Bellersen6Hans-Peter Brunner-La Rocca7Yvonne Engels8Daisy J. A. Janssen9Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht UniversityDepartment of Cardiology, Bernhoven HospitalCentre of Expertise for Palliative Care, Maastricht University Medical Centre (MUMC+)Department of Patient and Care, Maastricht University Medical Centre (MUMC+)Department of Patient and Care, Maastricht University Medical Centre (MUMC+)Department of Cardiology, Maastricht University Medical Centre (MUMC+)Department of Cardiology, Radboud University Medical CentreDepartment of Cardiology, Maastricht University Medical Centre (MUMC+)Department of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical CentreDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht UniversityAbstract Background Needs assessment tools can facilitate healthcare professionals in timely recognition of palliative care needs. Despite the increased attention for implementation of such tools, most studies provide little or no attention to the context of implementation. The aim of this study was to explore factors that contribute positively and negatively to timely screening of palliative care needs in advanced chronic heart failure. Methods Qualitative study using individual interviews and focus groups with healthcare professionals. The data were analysed using a deductive approach. The Consolidated Framework for Implementation Research was used to conceptualise the contextual factors. Results Twenty nine healthcare professionals with different backgrounds and working in heart failure care in the Southern and Eastern parts of the Netherlands participated. Several factors were perceived to play a role, such as perception and knowledge about palliative care, awareness of palliative care needs in advanced chronic heart failure, perceived difficulty when and how to start palliative care, limited acceptance to treatment boundaries in cardiology, limited communication and collaboration between healthcare professionals, and need for education and increased attention for palliative care in advanced chronic heart failure guidelines. Conclusions This study clarified critical factors targeting patients, healthcare professionals, organisations to implement a needs assessment tool for timely recognition of palliative care needs in the context of advanced chronic heart failure. A multifaceted implementation strategy is needed which has attention for education, patient empowerment, interdisciplinary collaboration, identification of local champions, chronic heart failure specific guidelines and culture.https://doi.org/10.1186/s12904-021-00896-yEnd-of-lifePalliative medicineCongestive heart failureImplementation |
| spellingShingle | Stephanie M. C. Ament Lisette M. van den Broek Marieke H. J. van den Beuken-van Everdingen Josiane J. J. Boyne José M. C. Maessen Sebastiaan C. A. M. Bekkers Louise Bellersen Hans-Peter Brunner-La Rocca Yvonne Engels Daisy J. A. Janssen What to consider when implementing a tool for timely recognition of palliative care needs in heart failure: a context-based qualitative study BMC Palliative Care End-of-life Palliative medicine Congestive heart failure Implementation |
| title | What to consider when implementing a tool for timely recognition of palliative care needs in heart failure: a context-based qualitative study |
| title_full | What to consider when implementing a tool for timely recognition of palliative care needs in heart failure: a context-based qualitative study |
| title_fullStr | What to consider when implementing a tool for timely recognition of palliative care needs in heart failure: a context-based qualitative study |
| title_full_unstemmed | What to consider when implementing a tool for timely recognition of palliative care needs in heart failure: a context-based qualitative study |
| title_short | What to consider when implementing a tool for timely recognition of palliative care needs in heart failure: a context-based qualitative study |
| title_sort | what to consider when implementing a tool for timely recognition of palliative care needs in heart failure a context based qualitative study |
| topic | End-of-life Palliative medicine Congestive heart failure Implementation |
| url | https://doi.org/10.1186/s12904-021-00896-y |
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