What is the clinical evidence from this study?

Study design: Systematic Review. Population: Advanced heart failure (carers) (n=270). Intervention: Caregiving for advanced heart failure. Primary outcome: Palliative care needs expressed by carers.

April 28, 2015European Journal of Cardiovascular NursingOpen Access

Carers’ needs in advanced heart failure: A systematic narrative review

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Key result

Carers of patients with advanced heart failure identified three key areas of support needs: psychosocial support to maintain a sense of normalcy, support with daily living, and support navigating the healthcare system.

Population

Carers of people living with advanced heart failure, majority older female spouses.

Design

Systematic_review

Authors

LDLeanne C DohertyUniversity of Ulster DFDonna FitzsimonsPreventive Cardiology SMSonja McIlfatrickUniversity of Ulster

Discussion

Member takes

Implication

Clinicians should address carers' psychosocial, daily living, and navigation needs in advanced HF; extends evidence for early palliative care integration.

Study Design

Type

Systematic Review (n=270)

Structured PICO

Population

270 informal caregivers, predominantly older female spouses, of patients with advanced heart failure across 15 qualitative studies.

Outcome

Palliative care needs expressed by carerspatient reported

Carers of patients with advanced heart failure have significant unmet needs for psychosocial support, assistance with daily living, and help navigating the healthcare system, highlighting the importance of integrating palliative care early.

Limitations

Interpretations may not be generalisable to younger male carers, given the population is mostly older female spouses.
Differences exist in the healthcare structure of different countries, so support needs identified in one region may not be lacking in another.
Secondary analysis using thematic analysis on qualitative research studies that originally employed thematic analysis, relying on the interpretations of various other authors.
Interpretations may not be generalisable to younger male carers due to homogenous population of older female spouses
Differences in healthcare structures across countries may affect generalizability
Secondary analysis based on interpretations of various other authors

Cite This Study

Doherty et al. (2015) conducted a systematic review in Advanced heart failure (carers) (n=270). Caregiving for advanced heart failure was evaluated on Palliative care needs expressed by carers. Carers of patients with advanced heart failure identified three key areas of support needs: psychosocial support to maintain a sense of normalcy, support with daily living, and support navigating the healthcare system.

synapsesocial.com/papers/6a20ec7a6dd54ee3d3eb2aba https://doi.org/10.1177/1474515115585237

Topics

Heart failure HFrEF treatment

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Implication

Clinicians should address carers' psychosocial, daily living, and navigation needs in advanced HF; extends evidence for early palliative care integration.

Carers’ needs in advanced heart failure: A systematic narrative review

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Topics

Carers’ needs in advanced heart failure: A systematic narrative review

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Topics

Also Consider