It's a comprehensive program for supporting quality heart failure care, including a library of tools and resources to help improve processes and maximize effectiveness. The library includes forms and tools that have proven successful at other hospitals participating in Get With The Guidelines-HF. We offer these documents only to give you an idea of other hospitals' solutions.
This clinical tool is not intended to replace individual medical judgment or individual patient needs. This form was designed to help make early follow up on recently discharged heart failure patients easier.
Studies have proven that early follow up with patients significantly reduces readmission rates and improves overall quality of life for the patient. This quality improvement tool makes it simple to perform a comprehensive follow up that is comprehensive enough to use on its own or flexible enough to incorporate any addition or deletion of questions as deemed appropriate by the provider. This document is intended to provide a brief rationale as to each of the measures that are measured under Target: Heart Failure for each of the three key categories:.
Heart failure patients are at high risk for early rehospitalization. This risk may vary by patients. Bader Nael Remawi, Email: ku. Corresponding author. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material.
If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. This article has been cited by other articles in PMC. Abstract Patients with heart failure have comparable illness burden and palliative care needs to those with cancer.
Electronic supplementary material The online version of this article Keywords: Palliative care, Heart failure, Needs-assessment, Needs-measurement, Systematic review, Mixed-studies review, Narrative synthesis. Compare the development and intended use of the tools. Published in English or Arabic. Search strategy A sensitive search strategy was applied to retrieve relevant studies and tools after consulting experienced librarians. Table 1 Key search terms used in the review.
Open in a separate window. Data collection Data extraction tables were created for the included studies. Quality appraisal To assess the quality of the heterogeneous studies quantitative, qualitative, and mixed methods , Hawker et al. Synthesis method Narrative synthesis, guided by Popay et al. Results Study selection The search strategy for the primary and secondary resources retrieved a total of 46, records, which were reduced to 33, after removing duplicates.
Table 2 List of the included tools and corresponding evaluation studies with their overall quality scores using Hawker et al. Table 3 Main features and comparisons of the tools. Included items The tools include different items to identify patients with palliative care needs. Completion method Other than IPOS which has a version for staff completion and another for patient completion, all tools were designed to be completed by healthcare professionals with interaction from patients or informal caregivers.
Addressed need domains NAT:PD-HF covers more palliative care needs than any other tool, including the key need domains advocated by the WHO: physical, psychological, social, and spiritual [ 1 ]. Comparing the development and intended use of the tools None of the tools was originally developed for use in patients with heart failure. Table 4 Main purpose and intended use of the tools. Table 5 Psychometric and practicality properties of the tools in patients with heart failure, using the Oxford Patient-Reported Outcome Measures Group criteria.
Responsiveness Responsiveness was not evaluated for any tool. Comparing the clinical applications of the tools in identifying patients with heart failure who have palliative care needs The characteristics of the identification studies are shown in Supplemental Table 2. Impact of the tools Three tools were incorporated into palliative care interventions where healthcare professionals were trained on using the tools to identify, and subsequently act on, the palliative care needs of patients [ 56 , 59 , 61 , 62 ].
Strengths and limitations This review adopted a systematic method to search for relevant evidence, screen retrieved studies and tools, extract data from included ones, assess their quality, and synthesize their findings. Implications for research, practice, and policy The tools need further assessment of their psychometric and practicality properties in patients with heart failure.
Code availability Not applicable. Funding information This review was part of a research project for Bader Remawi who is funded by the British Council to pursue his PhD study at Lancaster University which contributes the value of the academic fees.
Data availability Not applicable. Compliance with ethical standards This article is a literature review and does not include an original clinical trail conducted by the authors. Conflict of interest The authors declare that they have no conflict of interest.
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