Key result
The I-HARP tool was developed using input from 82 stakeholders to identify 13 palliative care needs and provide screening questions for patients with chronic heart failure.
Why the study?
Healthcare professionals face difficulties in timely recognizing and directing palliative care needs of patients with chronic heart failure.
The newly developed I-HARP tool provides an evidence-based, stakeholder-approved method for healthcare professionals to identify and manage palliative care needs in chronic heart failure patients.
I-HARP may aid palliative needs screening in chronic HF; prospective validation required before clinical use.
INTRODUCTION: Healthcare professionals (HCPs) experience difficulties in timely recognising and directing palliative care (PC) needs of their patients with chronic heart failure (CHF). The aim of this study was to develop a comprehensive tool to enable HCPs in timely recognising and directing PC needs in CHF. METHODS: A four-stage mixed-method study was performed. Stage 1: identification of needs and questions of patients and families; stage 2: prioritisation and refinement of the needs and questions; stage 3a: testing and online feedback on V.1; stage 3b: selecting and refining care recommendations; stage 4: testing and review of V.2. Iterative reviews followed each step in the development process to ensure a wide range of stakeholder input. In total, 16 patients, 12 family members and 54 HCPs participated. RESULTS: A comprehensive set of 13 PC needs was identified, redefined and tested. The resulting tool, called Identification of patients with HeARt failure with PC needs (I-HARP), contains an introduction prompt with open questions to start the conversation, 13 closed screening questions with additional in-depth questions, and recommendations on actions for identified needs. CONCLUSION: I-HARP contains an evidence-based set of questions and palliative CHF care suggestions for HCPs in the Netherlands. The resulting tool, approved by HCPs, patients and family members, is a promising guidance for HCP to timely recognise and direct PC needs in CHF.
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Ament et al. (2020) studied Chronic heart failure (n=82). I-HARP tool development was evaluated on Identification of palliative care needs and tool development. The I-HARP tool was developed using input from 82 stakeholders to identify 13 palliative care needs and provide screening questions for patients with chronic heart failure.
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