Development of a guide to multidimensional needs assessment in the Palliative Care Initial Encounter (MAP)
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...
| Autores: | , , , , , , , , , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2023 |
| País: | España |
| Institución: | Universidad de Navarra |
| Repositorio: | Dadun. Depósito Académico Digital de la Universidad de Navarra |
| Idioma: | inglés |
| OAI Identifier: | oai:dadun.unav.edu:10171/110818 |
| Acceso en línea: | https://hdl.handle.net/10171/110818 |
| Access Level: | acceso abierto |
| Palabra clave: | Needs assessment Delphi technique Clinical interview Palliative care Hospices |
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Development of a guide to multidimensional needs assessment in the Palliative Care Initial Encounter (MAP)Goni-Fuste, B. (Blanca)|||/items/81bbd3d3-36cf-422a-bbc4-35c83c5263e2Pergolizzi, D. (Denise)|||/items/6b4fb7ac-80a0-4f9a-b97b-10ba3a2b5cd1Monforte-Royo, C. (Cristina)|||/items/acfe6978-36c2-444e-9776-896986d9a9d7Alonso-Babarro, A. (Alberto)|||/items/978d35e0-ee0e-4dad-8527-5b49bbb70ec0Belar-Beitia, A. (Alazne)|||/items/be904b36-7cce-4576-992d-bf9ecb97b0ebCrespo, I. (Iris)|||/items/aedc25d0-f139-4819-b697-453d111e61d3Güell, E. (Ernest)|||/items/17fe22c4-f2e2-48d1-a800-aa376c2efcadJulià-Torras, J. (Joaquim)|||/items/168880ee-0d7c-4909-a046-477fa2d1a831Moreno-Alonso, D. (Deborah)|||/items/2254888c-24d6-446a-93c2-0e78aee4852fVicuña, M.N. (Maria Nabal)|||/items/56e72bb5-41ae-4f95-9b44-38e3f58a723cPascual, A. (Antonio)|||/items/c613ba86-c6ae-4c5f-9efa-f31bf707f3f2Porta-Sales, J. (Josep)|||/items/0d9340eb-2f44-4dd1-a8ae-1fbfa88104bfRocafort, J. (Javier)|||/items/ba8d63b3-dae1-4f29-9bfe-cbd12703b193Rodríguez-Prat, A. (Andrea)|||/items/2109fa61-7712-4bcc-9fba-58aeda6bfdc4Rodríguez, D. (Dulce)|||/items/d2339e6f-12d2-43e0-810f-33aa605ddfdbSala-Trull, C. (Carmen)|||/items/cdcbb225-db67-479c-89b4-fdfc30d72e8fSerrano-Bermudez, G. (Gala)|||/items/e7a2b938-122a-436b-96f7-38ef9b4dcabcBalaguer, A. (Albert)|||/items/a9e5cca9-ff23-4cae-8970-ee79dca02f12Needs assessmentDelphi techniqueClinical interviewPalliative careHospicesContext: 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.ElsevierDadun. Depósito Académico Digital Universidad de Navarra20232023-01-0120232023-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/110818reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/1108182026-06-21T12:47:57Z |
| dc.title.none.fl_str_mv |
Development of a guide to multidimensional needs assessment in the Palliative Care Initial Encounter (MAP) |
| title |
Development of a guide to multidimensional needs assessment in the Palliative Care Initial Encounter (MAP) |
| spellingShingle |
Development of a guide to multidimensional needs assessment in the Palliative Care Initial Encounter (MAP) Goni-Fuste, B. (Blanca)|||/items/81bbd3d3-36cf-422a-bbc4-35c83c5263e2 Needs assessment Delphi technique Clinical interview Palliative care Hospices |
| title_short |
Development of a guide to multidimensional needs assessment in the Palliative Care Initial Encounter (MAP) |
| title_full |
Development of a guide to multidimensional needs assessment in the Palliative Care Initial Encounter (MAP) |
| title_fullStr |
Development of a guide to multidimensional needs assessment in the Palliative Care Initial Encounter (MAP) |
| title_full_unstemmed |
Development of a guide to multidimensional needs assessment in the Palliative Care Initial Encounter (MAP) |
| title_sort |
Development of a guide to multidimensional needs assessment in the Palliative Care Initial Encounter (MAP) |
| dc.creator.none.fl_str_mv |
Goni-Fuste, B. (Blanca)|||/items/81bbd3d3-36cf-422a-bbc4-35c83c5263e2 Pergolizzi, D. (Denise)|||/items/6b4fb7ac-80a0-4f9a-b97b-10ba3a2b5cd1 Monforte-Royo, C. (Cristina)|||/items/acfe6978-36c2-444e-9776-896986d9a9d7 Alonso-Babarro, A. (Alberto)|||/items/978d35e0-ee0e-4dad-8527-5b49bbb70ec0 Belar-Beitia, A. (Alazne)|||/items/be904b36-7cce-4576-992d-bf9ecb97b0eb Crespo, I. (Iris)|||/items/aedc25d0-f139-4819-b697-453d111e61d3 Güell, E. (Ernest)|||/items/17fe22c4-f2e2-48d1-a800-aa376c2efcad Julià-Torras, J. (Joaquim)|||/items/168880ee-0d7c-4909-a046-477fa2d1a831 Moreno-Alonso, D. (Deborah)|||/items/2254888c-24d6-446a-93c2-0e78aee4852f Vicuña, M.N. (Maria Nabal)|||/items/56e72bb5-41ae-4f95-9b44-38e3f58a723c Pascual, A. (Antonio)|||/items/c613ba86-c6ae-4c5f-9efa-f31bf707f3f2 Porta-Sales, J. (Josep)|||/items/0d9340eb-2f44-4dd1-a8ae-1fbfa88104bf Rocafort, J. (Javier)|||/items/ba8d63b3-dae1-4f29-9bfe-cbd12703b193 Rodríguez-Prat, A. (Andrea)|||/items/2109fa61-7712-4bcc-9fba-58aeda6bfdc4 Rodríguez, D. (Dulce)|||/items/d2339e6f-12d2-43e0-810f-33aa605ddfdb Sala-Trull, C. (Carmen)|||/items/cdcbb225-db67-479c-89b4-fdfc30d72e8f Serrano-Bermudez, G. (Gala)|||/items/e7a2b938-122a-436b-96f7-38ef9b4dcabc Balaguer, A. (Albert)|||/items/a9e5cca9-ff23-4cae-8970-ee79dca02f12 |
| author |
Goni-Fuste, B. (Blanca)|||/items/81bbd3d3-36cf-422a-bbc4-35c83c5263e2 |
| author_facet |
Goni-Fuste, B. (Blanca)|||/items/81bbd3d3-36cf-422a-bbc4-35c83c5263e2 Pergolizzi, D. (Denise)|||/items/6b4fb7ac-80a0-4f9a-b97b-10ba3a2b5cd1 Monforte-Royo, C. (Cristina)|||/items/acfe6978-36c2-444e-9776-896986d9a9d7 Alonso-Babarro, A. (Alberto)|||/items/978d35e0-ee0e-4dad-8527-5b49bbb70ec0 Belar-Beitia, A. (Alazne)|||/items/be904b36-7cce-4576-992d-bf9ecb97b0eb Crespo, I. (Iris)|||/items/aedc25d0-f139-4819-b697-453d111e61d3 Güell, E. (Ernest)|||/items/17fe22c4-f2e2-48d1-a800-aa376c2efcad Julià-Torras, J. (Joaquim)|||/items/168880ee-0d7c-4909-a046-477fa2d1a831 Moreno-Alonso, D. (Deborah)|||/items/2254888c-24d6-446a-93c2-0e78aee4852f Vicuña, M.N. (Maria Nabal)|||/items/56e72bb5-41ae-4f95-9b44-38e3f58a723c Pascual, A. (Antonio)|||/items/c613ba86-c6ae-4c5f-9efa-f31bf707f3f2 Porta-Sales, J. (Josep)|||/items/0d9340eb-2f44-4dd1-a8ae-1fbfa88104bf Rocafort, J. (Javier)|||/items/ba8d63b3-dae1-4f29-9bfe-cbd12703b193 Rodríguez-Prat, A. (Andrea)|||/items/2109fa61-7712-4bcc-9fba-58aeda6bfdc4 Rodríguez, D. (Dulce)|||/items/d2339e6f-12d2-43e0-810f-33aa605ddfdb Sala-Trull, C. (Carmen)|||/items/cdcbb225-db67-479c-89b4-fdfc30d72e8f Serrano-Bermudez, G. (Gala)|||/items/e7a2b938-122a-436b-96f7-38ef9b4dcabc Balaguer, A. (Albert)|||/items/a9e5cca9-ff23-4cae-8970-ee79dca02f12 |
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author |
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Pergolizzi, D. (Denise)|||/items/6b4fb7ac-80a0-4f9a-b97b-10ba3a2b5cd1 Monforte-Royo, C. (Cristina)|||/items/acfe6978-36c2-444e-9776-896986d9a9d7 Alonso-Babarro, A. (Alberto)|||/items/978d35e0-ee0e-4dad-8527-5b49bbb70ec0 Belar-Beitia, A. (Alazne)|||/items/be904b36-7cce-4576-992d-bf9ecb97b0eb Crespo, I. (Iris)|||/items/aedc25d0-f139-4819-b697-453d111e61d3 Güell, E. (Ernest)|||/items/17fe22c4-f2e2-48d1-a800-aa376c2efcad Julià-Torras, J. (Joaquim)|||/items/168880ee-0d7c-4909-a046-477fa2d1a831 Moreno-Alonso, D. (Deborah)|||/items/2254888c-24d6-446a-93c2-0e78aee4852f Vicuña, M.N. (Maria Nabal)|||/items/56e72bb5-41ae-4f95-9b44-38e3f58a723c Pascual, A. (Antonio)|||/items/c613ba86-c6ae-4c5f-9efa-f31bf707f3f2 Porta-Sales, J. (Josep)|||/items/0d9340eb-2f44-4dd1-a8ae-1fbfa88104bf Rocafort, J. (Javier)|||/items/ba8d63b3-dae1-4f29-9bfe-cbd12703b193 Rodríguez-Prat, A. (Andrea)|||/items/2109fa61-7712-4bcc-9fba-58aeda6bfdc4 Rodríguez, D. (Dulce)|||/items/d2339e6f-12d2-43e0-810f-33aa605ddfdb Sala-Trull, C. (Carmen)|||/items/cdcbb225-db67-479c-89b4-fdfc30d72e8f Serrano-Bermudez, G. (Gala)|||/items/e7a2b938-122a-436b-96f7-38ef9b4dcabc Balaguer, A. (Albert)|||/items/a9e5cca9-ff23-4cae-8970-ee79dca02f12 |
| author2_role |
author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Dadun. Depósito Académico Digital Universidad de Navarra |
| dc.subject.none.fl_str_mv |
Needs assessment Delphi technique Clinical interview Palliative care Hospices |
| topic |
Needs assessment Delphi technique Clinical interview Palliative care Hospices |
| description |
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. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023 2023-01-01 2023 2023-01-01 |
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journal article http://purl.org/coar/resource_type/c_6501 |
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info:eu-repo/semantics/article |
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article |
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https://hdl.handle.net/10171/110818 |
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https://hdl.handle.net/10171/110818 |
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Inglés eng |
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Inglés |
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eng |
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open access http://purl.org/coar/access_right/c_abf2 |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 |
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openAccess |
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application/pdf |
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Elsevier |
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Elsevier |
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reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra instname:Universidad de Navarra |
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