Table 1.

Nominal Group Technique Ranked Responses About Integration of Palliative Care and Heart Failure

What are the challenges that you face in the care of your patients with HF? How can palliative care help?	Symptom management
	Goals of care
	Improved cross-training (HF training for palliative care clinicians and palliative care training for HF clinicians)
	Prognostic uncertainty
	Myths about palliative care (only end-of-life care)
	Optimal timing for palliative care
	Caregiver burden
What evidence would influence you and your colleagues about the role of palliative care in caring for your patients with HF?	Translation of guidelines to practice
	Recognize patient medical complexity
	Mandated guidelines
	Better symptom evidence
	Consensus on care model
What models have been successful in integrating palliative care into the care of patients with HF?	Triggered consults
	Palliative care embedded clinic model
	Primary palliative care models of training nurse practitioners within the HF clinic
	Palliative home care
	Trust and relationship building between palliative care and HF clinicians

This table represents the results (ranked in order of priority) from a nominal group technique exercise that used a series of questions asked to an interdisciplinary group of key stakeholders representing national leaders in the fields of HF and palliative care.

HF, heart failure.