ArticleBMC health services research2016
Palliative care for patients with heart failure: facilitators and barriers - a cross sectional survey of German health care professionals.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Dementia as a predictor of palliative care: Uncovering patient patterns based on German claims data.BMC palliative care · 2025Article
- Improving Palliative Care Knowledge of nurses caring for heart failure patients : Author and corresponding author.BMC palliative care · 2025Article
- Article
- Pediatric nurse-patient communication practices at Pentecost Hospital, Madina: A qualitative study.International journal of nursing sciences · 2022Article
- [Assessment tools for palliative care needs in patients with heart failure in general practice].Wiener medizinische Wochenschrift (1946) · 2022Article
- Palliative Care in Older People with Multimorbidities: A Scoping Review on the Palliative Care Needs of Patients, Carers, and Health Professionals.International journal of environmental research and public health · 2022Article
- The impact of uncertainty on bereaved family's experiences of care at the end of life: a thematic analysis of free text survey data.BMC palliative care · 2021Article
- Article
- Attitudes toward advance directives and prognosis in patients with heart failure: a pilot study.The Korean journal of internal medicine · 2020Article
- The effects of teaching methods of palliative care on life pattern of old women with chronic pain.European journal of translational myology · 2019Article
- Utilization of palliative care in patients hospitalized with heart failure: A contemporary national perspective.Clinical cardiology · 2019Article
- Is the content of guidelines/pathways a barrier for the integration of palliative Care in Chronic Heart Failure (CHF) and chronic pulmonary obstructive disease (COPD)? A comparison with the case of cancer in Europe.BMC palliative care · 2017Article
- Health care professionals' attitudes regarding palliative care for patients with chronic heart failure: an interview study.BMC palliative care · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCompared to patients with cancer, heart failure patients are seldom candidates for palliative care. Numerous studies have investigated reasons why heart failure patients do not receive palliative care; however, none of these studies have ever evaluated the situation in the German health care setting. This study aims to identify German healthcare providers' (HCP) perception of barriers and facilitators to palliative care of patients with chronic heart failure.
methodsWe conducted an online-survey with 315 nurses and physicians of different medical disciplines.
resultsEven though heart failure patients' need of palliative care and its advantages has been recognized, HCP see potential for development and improvement. A lack of knowledge about the content and measures of palliative care, poor communication and unclear responsibilities between medical disciplines, difficulties to determine the right time to initiate palliative care, and the feeling not to be prepared to discuss end-of-life issues with the patient has been identified as barriers. Further, HCP believe that patients and relatives do not possess adequate knowledge about the disease and its progression and are therefore unprepared in asking questions regarding palliative care. They rather tend to demand everything possible to be done in order prolong life, and are reluctant to accept that life is limited. Overall, HCP perceive that dying is a taboo subject within our society placing palliative care on the same level as assisted dying. In addition, results indicate that HCP have an inappropriate notion of ideal medicine fearing to lose patient and are worried about the appropriateness of PC remuneration.
conclusionsIn order to overcome the described barriers, HCP, patients, and relatives need to be educated in palliative care. Information and education encompassing the aim, content and measures of palliative care needs to be provided for all parties in order to optimize patient care, to foster communication between healthcare professionals, patients, and relatives, and to overcome perceived barriers.
trial registrationDRKS00007119.
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