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Integrating palliative care and heart failure: a systematic realist synthesis (PalliatHeartSynthesis).
McConnell, Tracey; Blair, Carolyn; Burden, John; Duddy, Claire; Hill, Loreena; Howie, Clare; Jones, Bob; Ruane, Bob; Wong, Geoff; Reid, Joanne.
Afiliação
  • McConnell T; School of Nursing and Midwifery, Queen's University Belfast Faculty of Medicine, Health and Life Sciences, Belfast, UK t.mcconnell@qub.ac.uk.
  • Blair C; School of Nursing and Midwifery, Queen's University Belfast Faculty of Medicine, Health and Life Sciences, Belfast, UK.
  • Burden J; Patient and Public Involvement Network members, British Heart Foundation, London, UK.
  • Duddy C; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
  • Hill L; School of Nursing and Midwifery, Queen's University Belfast Faculty of Medicine, Health and Life Sciences, Belfast, UK.
  • Howie C; School of Nursing and Midwifery, Queen's University Belfast Faculty of Medicine, Health and Life Sciences, Belfast, UK.
  • Jones B; Patient and Public Involvement Network members, British Heart Foundation, London, UK.
  • Ruane B; Patient and Public Involvement Network members, British Heart Foundation, London, UK.
  • Wong G; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
  • Reid J; School of Nursing and Midwifery, Queen's University Belfast Faculty of Medicine, Health and Life Sciences, Belfast, UK.
Open Heart ; 10(2)2023 Dec 14.
Article em En | MEDLINE | ID: mdl-38097362
ABSTRACT

OBJECTIVES:

(1) Develop a programme theory of why, for whom and in what contexts integrated palliative care (PC) and heart failure (HF) services work/do not work; (2) use the programme theory to co-produce with stakeholders, intervention strategies to inform best practice and future research.

METHODS:

A systematic review of all published articles and grey literature using a realist logic of analysis. The search strategy combined terms significant to the review questions HF, PC and end of life. Documents were included if they were in English and provided data relevant to integration of PC and HF services. Searches were conducted in November 2021 in EMBASE, MEDLINE, PsycINFO, AMED, HMIC and CINAHL. Further relevant documents were identified via monthly alerts (up until April 2023) and the project stakeholder group (patient/carers, content experts and multidisciplinary practitioners).

RESULTS:

130 documents were included (86 research, 22 literature reviews, 22 grey literature). The programme theory identified intervention strategies most likely to support integration of PC and HF services. These included protected time for evidence-based PC and HF education from undergraduate/postgraduate level and continuing professional practice; choice of educational setting (eg, online, face-to-face or hybrid); increased awareness and seeing benefits of PC for HF management; conveying the emotive and intellectual need for integrating PC and HF via credible champions; and prioritising PC and HF guidelines in practice.

CONCLUSIONS:

The review findings outline the required steps to take to increase the likelihood that all key players have the capacity, opportunity and motivation to integrate PC into HF management. PROSPERO REGISTRATION NUMBER CRD42021240185.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Insuficiência Cardíaca Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Insuficiência Cardíaca Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article