Development of a Learning Needs Assessment Tool for Patients with Congestive Heart Failure

1999 ◽  
Vol 11 (6) ◽  
pp. 11-25 ◽  
Author(s):  
Jan Barrett Lile ◽  
Jan Buhmann ◽  
Susan Roders
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Needs Assessment ◽  
Assessment Tool ◽  
Learning Needs

scholarly journals Palliative care needs-assessment and measurement tools used in patients with heart failure: a systematic mixed-studies review with narrative synthesis

2020 ◽  
Vol 26 (1) ◽  
pp. 137-155
Author(s):  
Bader Nael Remawi ◽  
Amy Gadoud ◽  
Iain Malcolm James Murphy ◽  
Nancy Preston
Keyword(s):  
Heart Failure ◽  
Palliative Care ◽  
Needs Assessment ◽  
Assessment Tool ◽  
Cochrane Library ◽  
Patient Needs ◽  
Care Needs ◽  
Patients With Heart Failure ◽  
Measurement Tools ◽  
Palliative Care Needs

AbstractPatients with heart failure have comparable illness burden and palliative care needs to those with cancer. However, few of them are offered timely palliative care. One main barrier is the difficulty in identifying those who require palliative care. Several palliative care needs-assessment/measurement tools were used to help identify these patients and assess/measure their needs, but it is not known which one is the most appropriate for this population. This review aimed to identify the most appropriate palliative care needs-assessment/measurement tools for patients with heart failure. Cochrane Library, MEDLINE Complete, AMED, PsycINFO, CINAHL Complete, EMBASE, EThOS, websites of the identified tools, and references and citations of the included studies were searched from inception to 25 June 2020. Studies were included if they evaluated palliative care needs-assessment/measurement tools for heart failure populations in terms of development, psychometrics, or palliative care patient/needs identification. Twenty-seven papers were included regarding nineteen studies, most of which were quantitative and observational. Six tools were identified and compared according to their content and context of use, development, psychometrics, and clinical applications in identifying patients with palliative care needs. Despite limited evidence, the Needs Assessment Tool: Progressive Disease – Heart Failure (NAT:PD-HF) is the most appropriate palliative care needs-assessment tool for use in heart failure populations. It covers most of the patient needs and has the best psychometric properties and evidence of identification ability and appropriateness. Psychometric testing of the tools in patients with heart failure and evaluating the tools to identify those with palliative care needs require more investigation.

scholarly journals Migraine: The Doctor-Patient Link. Results of a Needs Assessment

2002 ◽  
Vol 29 (S2) ◽  
pp. S3-S7 ◽  
Author(s):  
R. Allan Purdy
Keyword(s):  
Quality Of Life ◽  
Needs Assessment ◽  
Communication Skills ◽  
Assessment Tool ◽  
Current Knowledge ◽  
Learning Needs ◽  
Life Issues ◽  
Educational Workshop ◽  
Structured Questionnaire

Objectives:To do a needs assessment directed to neurologists attending a workshop on communication skills emphasizing relationships between physician and patient, assessment of disability and quality of life of migraine patients, and communication of therapies for migraine.Methods:A structured questionnaire was sent to all participants related to the issues indicated in the objective. This was prepared by the faculty and the results were collated by the author and presented at the beginning of the workshop. This paper overviews the use and results of a needs assessment to highlight learning needs of the participants and to focus the issues, interest and interactions of neurologists in a workshop. The workshop focused primarily on communication skills and on the understanding of disability and quality of life issues in migraine patients.Results:In general the responses revealed that the attendees were neurologists in practice for more than 15 years, that over 50% had prior knowledge of communication skills and used them in various ways, and 74% were involved in teaching family physicians. Some knew and used disability and quality of life tools but up to one third of participants did not assess disability in their patients. Most wanted to learn more about communication skills and other objectives noted and 19% of respondents wanted to learn more about prophylactic antimigraine treatments and how to differentiate/contrast the triptans.Conclusion:Using a needs assessment tool allowed organizers of an educational workshop to determine the current knowledge and perceived and unperceived needs of the participants with respect to communication skills, assessing disability and quality of life issues, and communication of treatments to migraine patients.

scholarly journals Validation of the German version of the needs assessment tool: progressive disease-heart failure

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Valentina Gonzalez-Jaramillo ◽  
Jelena Guyer ◽  
Nora Luethi ◽  
Piotr Sobanski ◽  
Rut Zbinden ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Needs Assessment ◽  
Internal Consistency ◽  
Progressive Disease ◽  
Assessment Tool ◽  
Face Validity ◽  
Health Care Personnel ◽  
Retest Reliability ◽  
Test Retest Reliability

Abstract Background The Needs Assessment Tool: Progressive Disease-Heart Failure (NAT: PD-HF) is a tool created to assess the needs of people living with heart failure and their informal caregivers to assist delivering care in a more comprehensive way that addresses actual needs that are unmet, and to improve quality of life. In this study, we aimed to (1) Translate the tool into German and culturally adapt it. (2) Assess internal consistency, inter-rater reliability, and test–retest reliability of the German NAT: PD-HF. (3) Evaluate whether and how patients and health care personnel understand the tool and its utility. (4) Assess the tool’s face validity, applicability, relevance, and acceptability among health care personnel. Methods Single-center validation study. The tool was translated from English into German using a forward–backward translation. To assess internal consistency, we used Cronbach´s alpha. To assess inter-rater reliability and test–retest reliability, we used Cohen´s kappa, and to assess validity we used face validity. Results The translated tool showed good internal consistency. Raters were in substantial agreement on a majority of the questions, and agreement was almost perfect for all the questions in the test–retest analysis. Face validity was rated high by health care personnel. Conclusion The German NAT: PD-HF is a reliable, valid, and internally consistent tool that is well accepted by both patients and health care personnel. However, it is important to keep in mind that effective use of the tool requires training of health care personnel.

Timely recognition of palliative care needs of patients with advanced chronic heart failure: a pilot study of a Dutch translation of the Needs Assessment Tool: Progressive Disease – Heart Failure (NAT:PD-HF)

2019 ◽  
Vol 18 (5) ◽  
pp. 375-388 ◽  
Author(s):  
Daisy JA Janssen ◽  
Josiane Boyne ◽  
David C Currow ◽  
Jos MGA Schols ◽  
Miriam J Johnson ◽  
...  
Keyword(s):  
Heart Failure ◽  
Palliative Care ◽  
Health Status ◽  
Chronic Heart Failure ◽  
Needs Assessment ◽  
Caregiver Burden ◽  
Assessment Tool ◽  
Care Needs ◽  
Care Dependency ◽  
Palliative Care Needs

Background: The Needs Assessment Tool: Progressive Disease – Heart Failure (NAT:PD-HF) was developed to identify and triage palliative care needs in patients with chronic heart failure. A Dutch version is currently lacking. Aims: The aim of this study was to investigate the feasibility and acceptability of a Dutch NAT:PD-HF in chronic heart failure outpatients; and to gain preliminary data regarding the effect of the NAT:PD-HF on palliative care referral, symptoms, health status, care dependency, caregiver burden and advance directives. Methods: A mixed methods study including 23 outpatients with advanced chronic heart failure and 20 family caregivers was performed. Nurses conducted patient consultations using a Dutch translation of the NAT:PD-HF and rated acceptability. Before this visit and 4 months later, symptoms, health status, performance status, care dependency, caregiver burden and recorded advance directives were assessed. A focus group with participating nurses discussed barriers and facilitators towards palliative care needs assessment. Results: Acceptability was rated as 7 (interquartile range 6–7 points) on a 10-point scale. All patients had palliative care needs. In 48% actions were taken, including two patients referred to palliative care. Symptoms, performance status, care dependency, caregiver burden and advance directives were unchanged at 4 months, while health status deteriorated in patients completing follow-up ( n=17). Barriers towards palliative care needs assessment included feeling uncomfortable to initiate discussions and concerns about the ability to address palliative care needs. Conclusions: The NAT:PD-HF identified palliative care needs in all participants, and triggered action to address these in half. However, training in palliative care communication skills as well as palliative care interventions should accompany the introduction of a palliative care needs assessment tool. Netherlands National Trial Register (NTR): 5616. http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5616

scholarly journals What to consider when implementing a tool for timely recognition of palliative care needs in heart failure: a context-based qualitative study

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 ◽  
...  
Keyword(s):  
Heart Failure ◽  
Palliative Care ◽  
Chronic Heart Failure ◽  
Qualitative Study ◽  
Needs Assessment ◽  
Healthcare Professionals ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Care Needs ◽  
Palliative Care Needs

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.

scholarly journals Similarity Changes Analysis for Heart Rate Fluctuation Regularity as a New Screening Method for Congestive Heart Failure

Entropy ◽  
2021 ◽  
Vol 23 (12) ◽  
pp. 1669
Author(s):  
Zeming Liu ◽  
Tian Chen ◽  
Keming Wei ◽  
Guanzheng Liu ◽  
Bin Liu
Keyword(s):  
Heart Failure ◽  
Heart Rate ◽  
Congestive Heart Failure ◽  
Assessment Tool ◽  
Screening Method ◽  
Approximate Entropy ◽  
Relevant Information ◽  
Autonomic Nerves ◽  
Rate Fluctuation ◽  
Screening Accuracy

Congestive heart failure (CHF) is a chronic cardiovascular condition associated with dysfunction of the autonomic nervous system (ANS). Heart rate variability (HRV) has been widely used to assess ANS. This paper proposes a new HRV analysis method, which uses information-based similarity (IBS) transformation and fuzzy approximate entropy (fApEn) algorithm to obtain the fApEn_IBS index, which is used to observe the complexity of autonomic fluctuations in CHF within 24 h. We used 98 ECG records (54 health records and 44 CHF records) from the PhysioNet database. The fApEn_IBS index was statistically significant between the control and CHF groups (p < 0.001). Compared with the classical indices low-to-high frequency power ratio (LF/HF) and IBS, the fApEn_IBS index further utilizes the changes in the rhythm of heart rate (HR) fluctuations between RR intervals to fully extract relevant information between adjacent time intervals and significantly improves the performance of CHF screening. The CHF classification accuracy of fApEn_IBS was 84.69%, higher than LF/HF (77.55%) and IBS (83.67%). Moreover, the combination of IBS, fApEn_IBS, and LF/HF reached the highest CHF screening accuracy (98.98%) with the random forest (RF) classifier, indicating that the IBS and LF/HF had good complementarity. Therefore, fApEn_IBS effusively reflects the complexity of autonomic nerves in CHF and is a valuable CHF assessment tool.

Methodological approach to the development of a learning needs assessment tool

2018 ◽  
Author(s):  
David Anekwe ◽  
Lynn Gillespie ◽  
Sherry Katz ◽  
André Bussières ◽  
Gregory Moullec ◽  
...  
Keyword(s):  
Needs Assessment ◽  
Assessment Tool ◽  
Methodological Approach ◽  
Learning Needs

Card sort: an assessment tool for the educational needs of patients with heart failure

1999 ◽  
Vol 8 (5) ◽  
pp. 297-302 ◽  
Author(s):  
M Luniewski ◽  
J Reigle ◽  
B White
Keyword(s):  
Heart Failure ◽  
Assessment Tool ◽  
Hospital Readmissions ◽  
Learning Needs ◽  
Card Sort ◽  
Education Of Patients ◽  
Patients With Heart Failure ◽  
Nurses And Physicians ◽  
The Individual

BACKGROUND: Effective education of patients is an integral component in reducing hospital readmissions for patients with heart failure and in improving patients' quality of life. OBJECTIVES: To describe the use of a card sort method for determining the learning needs of patients with heart failure and the ability of nurses and physicians to accurately predict patients' self-determined needs. METHODS: Thirty patients were asked to sort 12 cards with questions related to the content of discharge teaching for patients with heart failure. The nurse and the physician caring for each patient were instructed to sort the cards independently to characterize the learning needs of the patient. RESULTS: Patients most often selected the following as the most important educational topics: What is wrong with my heart? What is the future of my disease? and How will I know if my heart failure is getting worse? Physicians selected the identical top question as their patients did 17% of the time. Physicians matched any of their patients' top 3 choices 34% of the time. Questions selected as most important by patients were chosen by physicians as least important 13% of the time. Nurses chose the same top question as their patients did 23% of the time. Nurses matched any of their patients' top 3 choices 34% of the time. Nurses selected opposite choices from those of their patients 6% of the time. CONCLUSIONS: The card sort method may be an effective tool to ascertain the individual learning needs of patients with heart failure.

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