In-depth interviews with pt and following bereavement interviews with informal carers As the term heart failure is seen by healthcare professionals as anxiety-invoking, many make use of euphemisms or even more complex terminology instead which is often confusing for patients. Limitations Moderate concerns about methodological limitations MODERATE Coherence Minor concerns about coherence Relevance No or very minor concerns about relevance Adequacy No or very minor concerns about Referral and approach to care Chronic Heart Failure NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: Study design and sample size Finding Quality assessment Number of studies contributing to the finding Design Criteria Rating Overall assessment of confidence and FG with professional carers Ethnographic study involving pt and HCPs Semi-structured interviews with pt and their carers adequacy Understanding heart failure 2a. Understanding of diagnosis Semi-structured interviews with pt + carers Individual interviews with pt + carers and focus groups with HCPs Individual interviews with pt + carer and interviews or FG with HCPs Open-ended narrative interviews with pt Secondary analysis of interview transcripts of pt In-depth interviews with pt and following bereavement interviews with informal carers and FG with professional carers Semi-structured interviews with pt, their carers and HCPs Ethnographic study involving pt and HCPs Semi-structured interviews with Although there is variability in patients understanding of their diagnosis it is generally poor. Limitations Serious concerns about methodological limitations LOW Coherence Minor concerns about coherence Relevance No or very minor concerns about relevance Adequacy No or very minor concerns about adequacy Referral and approach to care Chronic Heart Failure NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: Study design and sample size Finding Quality assessment Number of studies contributing to the finding Design Criteria Rating Overall assessment of confidence pt and their carers Understanding heart failure 2b. 