Telemonitoring for chronic heart failure: the views of patients and healthcare professionals - a qualitative study

2013 ◽  
Vol 23 (1-2) ◽  
pp. 132-144 ◽  
Author(s):  
Peter Fairbrother ◽  
Jenny Ure ◽  
Janet Hanley ◽  
Lucy McCloughan ◽  
Martin Denvir ◽  
...  
2022 ◽  
Vol 21 (1) ◽  
Author(s):  
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 ◽  
...  

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.


2020 ◽  
Vol 29 (9-10) ◽  
pp. 1576-1589
Author(s):  
Gursharan K. Singh ◽  
Lucie Ramjan ◽  
Caleb Ferguson ◽  
Patricia M. Davidson ◽  
Phillip J. Newton

2017 ◽  
Vol 26 (13-14) ◽  
pp. 2036-2044 ◽  
Author(s):  
Helen Walthall ◽  
Crispin Jenkinson ◽  
Mary Boulton

2009 ◽  
Vol 65 (4) ◽  
pp. 799-808 ◽  
Author(s):  
Rebecca Olbort ◽  
Cornelia Mahler ◽  
Stephen Campbell ◽  
Bernd Reuschenbach ◽  
Thomas Müller-Tasch ◽  
...  

2020 ◽  
pp. 026921632096394 ◽  
Author(s):  
Stephanie MC Ament ◽  
Inge ME Couwenberg ◽  
Josiane JJ Boyne ◽  
Jos Kleijnen ◽  
Henri EJH Stoffers ◽  
...  

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.


Author(s):  
Anna Gund ◽  
Kaj Lindecrantz ◽  
Maria Schaufelberger ◽  
Harshida Patel ◽  
Bengt Arne Sjöqvist

2012 ◽  
Vol 15 (7) ◽  
pp. A378 ◽  
Author(s):  
S. Blackburn ◽  
L. Humphrey ◽  
L. Maguire ◽  
C. Deschaseaux ◽  
A. Stromberg

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