title: Implementation of the Needs Assessment Tool for patients with interstitial lung disease (NAT:ILD): facilitators and barriers.
abstract: A Needs Assessment Tool (NAT) was developed previously to help clinicians identify the supportive/palliative needs of people with interstitial lung disease (ILD) (NAT:ILD). This letter presents barriers and facilitators to clinical implementation. Data from (1) a focus group of respiratory clinicians and (2) an expert consensus group (respiratory and palliative clinicians, academics, patients, carers) were analysed using Framework Analysis. Barriers related to resources and service reconfiguration, and facilitators to clinical need, structure, objectiveness, flexibility and benefits of an 'aide-memoire'. Identified training needs included communication skills and local service knowledge. The NAT:ILD was seen as useful, necessary and practical in everyday practice.
authors.affiliation: Hull York Medical School, University of Hull, Hull, UK.
authors.forename: C
authors.initials: C
authors.lastname: Reigada
authors.affiliation: Kent Business School, University of Kent, Canterbury, Kent, UK.
authors.forename: A
authors.initials: A
authors.lastname: Papadopoulos
authors.affiliation: Hull York Medical School, University of Hull, Hull, UK.
authors.forename: J W
authors.initials: JW
authors.lastname: Boland
authors.affiliation: Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, UK.|The Christie NHS Foundation Trust, Manchester, UK.
authors.forename: J
authors.initials: J
authors.lastname: Yorke
authors.affiliation: St Christopher's Hospice, Sydenham, Kent, UK.
authors.forename: J
authors.initials: J
authors.lastname: Ross
authors.affiliation: Hull York Medical School, University of Hull, Hull, UK.|University of Technology, Sydney, Australia.
authors.forename: D C
authors.initials: DC
authors.lastname: Currow
authors.affiliation: Hull York Medical School, University of Hull, Hull, UK.
authors.forename: S
authors.initials: S
authors.lastname: Hart
authors.affiliation: Cicely Saunders Institute, King's College London, London, UK.
authors.forename: S
authors.initials: S
authors.lastname: Bajwah
authors.affiliation: Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, UK.
authors.forename: G
authors.initials: G
authors.lastname: Grande
authors.affiliation: Royal & Harefield Trust Foundation, London, UK.
authors.forename: A
authors.initials: A
authors.lastname: Wells
authors.affiliation: Hull York Medical School, University of Hull, Hull, UK.
authors.forename: M J
authors.initials: MJ
authors.lastname: Johnson
mesh_terms: D032921:Consensus; D017144:Focus Groups; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000628:therapy*; D020380:Needs Assessment; D010166:Palliative Care
keywords: Interstitial Fibrosis; Palliative Care