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Nurses' Attitudes and Perceptions Towards Heart Failure Palliative Care: A Mixed Method Systematic Review
Dalia Caleffi1, Sara Alberti1, Sergio Rovesti2
1Clinical and Experimental Medicine PhD Program, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41121 Modena, Italy.
Healthcare (Basel, Switzerland)
|March 28, 2025
Summary
Integrating palliative care early in heart failure management improves patient quality of life. Nurses are key to implementing palliative care, acting as educators and coordinators for better outcomes.
Area of Science:
- Cardiology
- Palliative Care
- Nursing Research
Background:
- Heart failure (HF) management is closely linked to palliative care principles.
- Early integration of supportive and palliative care is crucial for HF patients.
- Palliative care, through interprofessional collaboration, can alleviate HF symptoms and enhance quality of life.
Purpose of the Study:
- To explore nurses' attitudes and perceptions regarding palliative care for heart failure patients.
- To update and expand existing knowledge on heart failure palliative care.
- To identify factors influencing the implementation of palliative care in heart failure.
Main Methods:
- Systematic mixed-method review adhering to Joanna Briggs Institute methodology.
- Comprehensive literature search across multiple databases (PubMed, Cinahl, Embase, Web of Science, PsycInfo, Cochrane, Scopus) in May 2024.
- Convergent integrated approach combining qualitative and quantitative data, analyzed using the Theoretical Domain Framework.
Main Results:
- 26 out of 1048 identified records met inclusion criteria.
- Data were extracted and synthesized across twelve framework domains.
- A flowchart visually represented the interconnectedness of key concepts in HF palliative care implementation.
Conclusions:
- Multiple behaviors and elements significantly influence the implementation of palliative care in heart failure.
- All analyzed elements demonstrated strong intercorrelations.
- Successful implementation, particularly with nurses as educators and coordinators, sustained palliative care benefits and improved outcomes.
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