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Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
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Palliative Care and Heart Failure Services: Mapping National Data to Inform Policy and Service Provision
Ashleen Crowe1, Joanne Reid2, Loreena Hill3
1Ashleen Crowe, PhD, Research Fellow, School of Nursing and Midwifery, Queen's University Belfast, Northern Ireland, United Kingdom.
The Journal of Cardiovascular Nursing
|February 17, 2026
Summary
Palliative care integration into heart failure services shows significant gaps, including inconsistent needs assessment and unequal access. Addressing these disparities is crucial for meeting patient needs in heart failure care.
Area of Science:
- Cardiology
- Palliative Care
- Health Services Research
Background:
- Palliative care is recommended in heart failure guidelines but lacks standardized integration.
- Current practices for integrating palliative care into heart failure management are not universally defined.
Purpose of the Study:
- To map palliative care services for heart failure patients in the UK.
- To assess the implementation of palliative care access across Northern Ireland.
Main Methods:
- An online survey was employed to gather quantitative and qualitative data.
- Heart failure experts across Northern Ireland's healthcare system participated.
Main Results:
- Identified gaps include end-of-life-only needs assessment and lack of systematic tools.
- Inconsistent awareness of referral criteria, infrequent advance care planning, and inequitable provision for different heart failure types were noted.
- Palliative care integration varied significantly by geographical location.
Conclusions:
- Significant gaps exist in palliative care provision for individuals with heart failure.
- Recognizing and addressing these gaps is essential for equitable and effective patient care.
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