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Table 3 Overview of process evaluation results

From: A process evaluation of systematic risk and needs assessment for caregivers in specialised palliative care

Intervention components Feasibility outcomes Barriers to implementation
1. Systematic risk and needs assessment at care entry • Participation rate was 46%.
• Systematic risk and needs assessment was conducted for all included caregivers at enrollment (n = 76).
• Ad hoc assessment was considered sufficient by palliative care staff, resulting in reservations in conducting systematic assessment.
• Shortage of time at the first home visit to conduct caregiver assessment.
• Caution with confronting caregivers with severity of disease at first home visit and eliciting strong emotional responses.
2. Interdisciplinary conference to prepare support plan • Interdisciplinary risk and needs assessment and support plan was conducted for 75% of caregivers. • Time shortage at conference
• Concern that focus is directed away from patient.
3. Targeted support from interdisciplinary team • Targeted support was offered to 29% of caregivers. • Indistinctness in professional role distribution.
4. Establishment of electronic medical record for caregivers to document targeted support • A medical record was established in accordance with the intervention blueprint in 62% of caregivers who received targeted support • Ethical considerations about medical records for caregivers with no formal diagnosis.
• Reservation regarding sharing information with emotional content.