Improving the care of the dying in acute hospitals. Nurses' perceptions of the Liverpool Care Pathway

B. Jack, M. Gambles, D. Murphy, J. Ellershaw

Research output: Contribution to conferencePoster

Abstract

Background: The last decade has seen the widespread development of care pathways in many areas of healthcare provision across the UK. Approximately 56% of cancer patients die in hospital and in order to transfer the hospice model of care for the dying patient into other settings, the Liverpool Care of the Dying Pathway (LCP) was developed. This mulitprofessional pathway provides an evidence based framework for the dying phase. Providing guidance on the different aspects of care required including: comfort measures, anticipatory prescribing of medication, and discontinuation of inappropriate interventions. Additionally psychological and spiritual care and family support is included. However, little evidence exists to illustrate the views of nurses regarding the impact of the LCP. The aim of this study was to explore nurses’ perceptions of the impact of the LCP in the acute hospital setting. Methodology: A qualitative methodology using focus groups interviews was adopted for the study to enable group discussion and interaction to take place. A purposive sample of palliative care network nurses familiar with the LCP were invited to participate in the study. 15 ward based nurses from across the hospital participated in two audio taped focus groups. Data was analysed for emerging themes using thematic analysis. Results and Discussion: The results suggest that generally nurses have found the LCP has a positive impact on patients including reducing inappropriate routine care, enhanced symptom control, and improved communication for relatives. Additionally they reported the positive impact on doctors and nurses including increased confidence in their care of dying patients. A potential negative factor concerning the barriers to its usage was also highlighted. This paper discusses the results and explores potential reasons for the findings.
Original languageEnglish
Publication statusPublished - 2004
EventLiverpool Care of the Dying Pathway Conference - London, United Kingdom
Duration: 25 Dec 2004 → …

Conference

ConferenceLiverpool Care of the Dying Pathway Conference
CountryUnited Kingdom
CityLondon
Period25/12/04 → …

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Nurses
Focus Groups
Patient Care
Palliative Care
Communication
Interviews
Psychology
Delivery of Health Care
Neoplasms

Cite this

Jack, B., Gambles, M., Murphy, D., & Ellershaw, J. (2004). Improving the care of the dying in acute hospitals. Nurses' perceptions of the Liverpool Care Pathway. Poster session presented at Liverpool Care of the Dying Pathway Conference, London, United Kingdom.
Jack, B. ; Gambles, M. ; Murphy, D. ; Ellershaw, J. / Improving the care of the dying in acute hospitals. Nurses' perceptions of the Liverpool Care Pathway. Poster session presented at Liverpool Care of the Dying Pathway Conference, London, United Kingdom.
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title = "Improving the care of the dying in acute hospitals. Nurses' perceptions of the Liverpool Care Pathway",
abstract = "Background: The last decade has seen the widespread development of care pathways in many areas of healthcare provision across the UK. Approximately 56{\%} of cancer patients die in hospital and in order to transfer the hospice model of care for the dying patient into other settings, the Liverpool Care of the Dying Pathway (LCP) was developed. This mulitprofessional pathway provides an evidence based framework for the dying phase. Providing guidance on the different aspects of care required including: comfort measures, anticipatory prescribing of medication, and discontinuation of inappropriate interventions. Additionally psychological and spiritual care and family support is included. However, little evidence exists to illustrate the views of nurses regarding the impact of the LCP. The aim of this study was to explore nurses’ perceptions of the impact of the LCP in the acute hospital setting. Methodology: A qualitative methodology using focus groups interviews was adopted for the study to enable group discussion and interaction to take place. A purposive sample of palliative care network nurses familiar with the LCP were invited to participate in the study. 15 ward based nurses from across the hospital participated in two audio taped focus groups. Data was analysed for emerging themes using thematic analysis. Results and Discussion: The results suggest that generally nurses have found the LCP has a positive impact on patients including reducing inappropriate routine care, enhanced symptom control, and improved communication for relatives. Additionally they reported the positive impact on doctors and nurses including increased confidence in their care of dying patients. A potential negative factor concerning the barriers to its usage was also highlighted. This paper discusses the results and explores potential reasons for the findings.",
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Jack, B, Gambles, M, Murphy, D & Ellershaw, J 2004, 'Improving the care of the dying in acute hospitals. Nurses' perceptions of the Liverpool Care Pathway' Liverpool Care of the Dying Pathway Conference, London, United Kingdom, 25/12/04, .

Improving the care of the dying in acute hospitals. Nurses' perceptions of the Liverpool Care Pathway. / Jack, B.; Gambles, M.; Murphy, D.; Ellershaw, J.

2004. Poster session presented at Liverpool Care of the Dying Pathway Conference, London, United Kingdom.

Research output: Contribution to conferencePoster

TY - CONF

T1 - Improving the care of the dying in acute hospitals. Nurses' perceptions of the Liverpool Care Pathway

AU - Jack, B.

AU - Gambles, M.

AU - Murphy, D.

AU - Ellershaw, J.

PY - 2004

Y1 - 2004

N2 - Background: The last decade has seen the widespread development of care pathways in many areas of healthcare provision across the UK. Approximately 56% of cancer patients die in hospital and in order to transfer the hospice model of care for the dying patient into other settings, the Liverpool Care of the Dying Pathway (LCP) was developed. This mulitprofessional pathway provides an evidence based framework for the dying phase. Providing guidance on the different aspects of care required including: comfort measures, anticipatory prescribing of medication, and discontinuation of inappropriate interventions. Additionally psychological and spiritual care and family support is included. However, little evidence exists to illustrate the views of nurses regarding the impact of the LCP. The aim of this study was to explore nurses’ perceptions of the impact of the LCP in the acute hospital setting. Methodology: A qualitative methodology using focus groups interviews was adopted for the study to enable group discussion and interaction to take place. A purposive sample of palliative care network nurses familiar with the LCP were invited to participate in the study. 15 ward based nurses from across the hospital participated in two audio taped focus groups. Data was analysed for emerging themes using thematic analysis. Results and Discussion: The results suggest that generally nurses have found the LCP has a positive impact on patients including reducing inappropriate routine care, enhanced symptom control, and improved communication for relatives. Additionally they reported the positive impact on doctors and nurses including increased confidence in their care of dying patients. A potential negative factor concerning the barriers to its usage was also highlighted. This paper discusses the results and explores potential reasons for the findings.

AB - Background: The last decade has seen the widespread development of care pathways in many areas of healthcare provision across the UK. Approximately 56% of cancer patients die in hospital and in order to transfer the hospice model of care for the dying patient into other settings, the Liverpool Care of the Dying Pathway (LCP) was developed. This mulitprofessional pathway provides an evidence based framework for the dying phase. Providing guidance on the different aspects of care required including: comfort measures, anticipatory prescribing of medication, and discontinuation of inappropriate interventions. Additionally psychological and spiritual care and family support is included. However, little evidence exists to illustrate the views of nurses regarding the impact of the LCP. The aim of this study was to explore nurses’ perceptions of the impact of the LCP in the acute hospital setting. Methodology: A qualitative methodology using focus groups interviews was adopted for the study to enable group discussion and interaction to take place. A purposive sample of palliative care network nurses familiar with the LCP were invited to participate in the study. 15 ward based nurses from across the hospital participated in two audio taped focus groups. Data was analysed for emerging themes using thematic analysis. Results and Discussion: The results suggest that generally nurses have found the LCP has a positive impact on patients including reducing inappropriate routine care, enhanced symptom control, and improved communication for relatives. Additionally they reported the positive impact on doctors and nurses including increased confidence in their care of dying patients. A potential negative factor concerning the barriers to its usage was also highlighted. This paper discusses the results and explores potential reasons for the findings.

M3 - Poster

ER -

Jack B, Gambles M, Murphy D, Ellershaw J. Improving the care of the dying in acute hospitals. Nurses' perceptions of the Liverpool Care Pathway. 2004. Poster session presented at Liverpool Care of the Dying Pathway Conference, London, United Kingdom.