Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Tools for guiding interventions to address patient-perceived multidimensional unmet healthcare needs in palliative care : systematic literature review
Authors: Schmidt, Ellie B.
Blum, David
Domeisen Benedetti, Franzisca
Schlögl, Mathias
Strasser, Florian
et. al: No
DOI: 10.1136/bmjspcare-2020-002495
Published in: BMJ Supportive & Palliative Care
Issue Date: 2020
Publisher / Ed. Institution: BMJ Publishing Group
ISSN: 2045-435X
Language: English
Subject (DDC): 610.73: Nursing
616: Internal medicine and diseases
Abstract: Context The unmet needs of patients with advanced disease are indicative of the patient centredness of healthcare. By tracking unmet needs in clinical practice, palliative interventions are aligned with patient priorities, and clinicians receive support in intervention delivery decisions for patients with overlapping, complex needs. Objective Identify tools used in everyday clinical practice for the purpose of identifying and addressing unmet healthcare needs for patients with advanced disease. Methods We conducted PubMed and Cumulative Index of Nursing and Allied Health Literature searches to include studies published between 1 January 2008 and 21 April 2020. Three concepts were used in constructing a search statement: (1) patient need, (2) validated instrument and (3) clinical practice. 2313 citations were reviewed according to predefined eligibility, exclusion and inclusion criteria. Data were collected from 17 tools in order to understand how instruments assess unmet need, who is involved in tool completion, the psychometric validation conducted, the tool’s relationship to delivering defined palliative interventions, and the number of palliative care domains covered. Results The majority of the 17 tools assessed unmet healthcare needs and had been validated. However, most did not link directly to clinical intervention, nor did they facilitate interaction between clinicians and patients to ensure a patient-reported view of unmet needs. Half of the tools reviewed covered ≤3 dimensions of palliative care. Of the 17 tools evaluated, 4 were compared in depth, but all were determined to be insufficient for the specific clinical applications sought in this research. Conclusion A new, validated tool is needed to track unmet healthcare needs and guide interventions for patients with advanced disease.
Fulltext version: Published version
License (according to publishing contract): Licence according to publishing contract
Departement: Health Professions
Organisational Unit: Institute of Nursing (IPF)
Appears in collections:Publikationen Gesundheit

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