Palliative care in chronic heart failure: a theoretically guided, qualitative meta-synthesis of decision-making.

Singh, GK; Ivynian, SE; Ferguson, C; Davidson, PM; Newton, PJ

Palliative care in chronic heart failure: a theoretically guided, qualitative meta-synthesis of decision-making.

Singh, GK Ivynian, SE Ferguson, C

Davidson, PM Newton, PJ

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Publisher:: SPRINGER
Publication Type:: Journal Article
Citation:: Heart failure reviews, 2020, 25, (3), pp. 457-467
Issue Date:: 2020-05

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Field	Value	Language
dc.contributor.author	Singh, GK
dc.contributor.author	Ivynian, SE
dc.contributor.author	Ferguson, C https://orcid.org/0000-0002-2417-2216
dc.contributor.author	Davidson, PM
dc.contributor.author	Newton, PJ
dc.date.accessioned	2020-08-27T05:47:52Z
dc.date.available	2020-08-27T05:47:52Z
dc.date.issued	2020-05
dc.identifier.citation	Heart failure reviews, 2020, 25, (3), pp. 457-467
dc.identifier.issn	1382-4147
dc.identifier.issn	1573-7322
dc.identifier.uri	http://hdl.handle.net/10453/142404
dc.description.abstract	International clinical practice guidelines recommend that patients with chronic heart failure receive timely and high-quality palliative care. However, integrating palliative care is highly variable and dependent on decision-making and care models. This meta-synthesis aimed to examine health care professionals' decision-making processes and explore factors impacting decisions to refer or deliver palliative care in chronic heart failure. The electronic databases SCOPUS, CINAHL, and Medline were searched. Included studies were those that reported health care professionals' perceptions of palliative care in chronic heart failure through qualitative data collection, were written in English, and were peer-reviewed articles. Included articles were analysed using Thomas and Harden's approach. The dual-process theory was used and applied a priori to organise the findings. The perception of palliative care as a transition and active treatment failure fit within the intuitive system of thinking in the dual-process theory. The theme that overlapped into both intuitive and analytical systems of thinking was acquiring patient and illness information themes reflecting the analytical system of thinking were professional role and experience, pre-existing decision pathways, and balancing viewpoints. This meta-synthesis identified factors influencing the decision-making process in referring patients with chronic heart failure to palliative care. The findings from this review highlight the need for further development of decision-making tools or facilitate guidelines to assist health care professionals' shared decision-making to improve patient outcomes.
dc.format	Print
dc.language	eng
dc.publisher	SPRINGER
dc.relation.ispartof	Heart failure reviews
dc.relation.isbasedon	10.1007/s10741-019-09910-1
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1102 Cardiorespiratory Medicine and Haematology
dc.subject.classification	Cardiovascular System & Hematology
dc.title	Palliative care in chronic heart failure: a theoretically guided, qualitative meta-synthesis of decision-making.
dc.type	Journal Article
utslib.citation.volume	25
utslib.location.activity	United States
utslib.for	1102 Cardiorespiratory Medicine and Haematology
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2020-08-27T05:47:47Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	25
utslib.citation.issue	3

Abstract:

International clinical practice guidelines recommend that patients with chronic heart failure receive timely and high-quality palliative care. However, integrating palliative care is highly variable and dependent on decision-making and care models. This meta-synthesis aimed to examine health care professionals' decision-making processes and explore factors impacting decisions to refer or deliver palliative care in chronic heart failure. The electronic databases SCOPUS, CINAHL, and Medline were searched. Included studies were those that reported health care professionals' perceptions of palliative care in chronic heart failure through qualitative data collection, were written in English, and were peer-reviewed articles. Included articles were analysed using Thomas and Harden's approach. The dual-process theory was used and applied a priori to organise the findings. The perception of palliative care as a transition and active treatment failure fit within the intuitive system of thinking in the dual-process theory. The theme that overlapped into both intuitive and analytical systems of thinking was acquiring patient and illness information themes reflecting the analytical system of thinking were professional role and experience, pre-existing decision pathways, and balancing viewpoints. This meta-synthesis identified factors influencing the decision-making process in referring patients with chronic heart failure to palliative care. The findings from this review highlight the need for further development of decision-making tools or facilitate guidelines to assist health care professionals' shared decision-making to improve patient outcomes.

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http://hdl.handle.net/10453/142404