Development of a Guide to Multidimensional Needs Assessment in the Palliative Care Initial Encounter (MAP).
Por:
Goni-Fuste B, Pergolizzi D, Monforte-Royo C, Alonso-Babarro A, Belar A, Crespo I, Güell E, Julià-Torras J, Moreno-Alonso D, Nabal Vicuña M, Pascual A, Porta-Sales J, Rocafort J, Rodríguez-Prat A, Rodríguez D, Sala C, Serrano-Bermúdez G, Serna J, Balaguer A
Publicada:
1 oct 2023
Ahead of Print:
17 jul 2023
Resumen:
CONTEXT: Ensuring patient-centered palliative care requires a comprehensive assessment of needs beginning in the initial encounter. However, there is no generally accepted guide for carrying out this multidimensional needs assessment as a first step in palliative intervention. OBJECTIVES: To develop an expert panel-endorsed interview guide that would enable proactive and systematic Multidimensional needs Assessment in the Palliative care initial encounter (MAP). METHODS: A preliminary version of the MAP guide was drafted based on a published literature review, published semistructured interviews with 20 patients, 20 family carers, and 20 palliative care professionals, and a nominal group process with palliative care professionals and a representative of the national patient's association. Consensus regarding its content was obtained through a modified Delphi process involving a panel of palliative care physicians from across Spain. RESULTS: The published systematic literature review and qualitative study resulted in the identification of 55 needs, which were sorted and grouped by the nominal group. Following the Delphi process, the list of needs was reduced to 47, linked to six domains: Clinical history and medical conditions (n = 8), Physical symptoms (n = 17), Functional and cognitive status (n = 4), Psycho-emotional symptoms (n = 5), Social issues (n = 8), and Spiritual and existential concerns (n = 5). CONCLUSION: MAP is an expert panel-endorsed semi-structured clinical interview guide for the comprehensive, systematic, and proactive initial assessment to efficiently assess multiple domains while adjusting to the needs of each patient. A future study will assess the feasibility of using the MAP guide within the timeframe of the palliative care initial encounter.
Filiaciones:
Goni-Fuste B:
Department of Nursing, School of Medicine and Health Sciences (B.G-F., C.M-R.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain
Pergolizzi D:
School of Medicine and Health Sciences (D.P., J.J-T., D.M-A., J.P-S., A.B.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain
Monforte-Royo C:
Department of Nursing, School of Medicine and Health Sciences (B.G-F., C.M-R.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain
Alonso-Babarro A:
Hospital Universitario La Paz (A.A-B.), Universitat Autonoma de Madrid, Madrid, Spain
Belar A:
Instituto Cultura y Sociedad (A.B.), Universidad de Navarra, IdiSNA, Pamplona, Spain
Crespo I:
Department of Basic Sciences (I.C.), School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
Güell E:
Hospital Universitari Sant Pau (E.G., A.P.), Barcelona, Spain
Julià-Torras J:
School of Medicine and Health Sciences (D.P., J.J-T., D.M-A., J.P-S., A.B.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain
Department of Palliative Care (J.J-T.), Institut Català d'Oncologia Badalona, Badalona, Spain
Moreno-Alonso D:
School of Medicine and Health Sciences (D.P., J.J-T., D.M-A., J.P-S., A.B.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain
Institut Català d'Oncologia L'Hospitalet (D.M-A., G.S-B.), L'Hospitalet, Barcelona, Spain
Nabal Vicuña M:
Hospital Universitari Arnau de Vilanova (M.N.V.), Lleida, Spain
Faculty of Medicine (M.N.V.), Universidad de Lleida, Lleida, Spain
Pascual A:
Hospital Universitari Sant Pau (E.G., A.P.), Barcelona, Spain
Porta-Sales J:
School of Medicine and Health Sciences (D.P., J.J-T., D.M-A., J.P-S., A.B.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain
Rocafort J:
Fundación Vianorte-Laguna (J.R.), Madrid, Spain
School of Medicine (J.R.), Francisco de Vitoria University, Madrid, Spain
Rodríguez-Prat A:
Department of Humanities (A.R-P.), School of Humanities, Universitat Internacional de Catalunya, Barcelona, Spain
Rodríguez D:
Hospital Universitari Sant Joan de Reus (D.R.), Reus, Spain
Sala C:
Consorci Sanitari de Terrassa (C.S.), Terrassa, Spain
Serrano-Bermúdez G:
Institut Català d'Oncologia L'Hospitalet (D.M-A., G.S-B.), L'Hospitalet, Barcelona, Spain
Serna J:
Hospital Universitari Vall d'Hebron (J.S.), Barcelona, Spain
Balaguer A:
School of Medicine and Health Sciences (D.P., J.J-T., D.M-A., J.P-S., A.B.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain
hybrid
|