End-of-life care pathways and nursing: a literature review

Watts, Tessa

doi:10.1111/j.1365-2834.2012.01423.x

Cited by 10 publications

(10 citation statements)

References 78 publications

(213 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our study, initiation of the LCP was a signal communicating the fact of the transition to EoL care, which is also reported in other studies (Andersson et al, ; Brännström et al, ; Lemos Dekker et al, ; Sleeman et al, ). Several studies highlight that determining the onset of dying is complex (Chapman & Ellershaw, ; Kennedy et al, ; Watts, ; Wrigley, ). Kennedy et al () stress the importance of recognizing the uncertainty in diagnosing dying and of viewing it as a process rather than a specific event.…”

Section: Discussionmentioning

confidence: 99%

Impact of the Liverpool Care Pathway on quality end‐of‐ care in residential care homes and home care—Nurses’ perceptions

Olsson

Kling

Persson³

et al. 2019

Nursing Open

View full text Add to dashboard Cite

AimAim was to describe how Registered Nurses (RNs) and assistant nurses (ANs) working in residential care homes and home care perceived quality end‐of‐life care after implementation of the Liverpool Care Pathway (LCP) in terms of subjective importance of care aspects and actual care given.DesignDescriptive cross‐sectional.MethodsRegistered Nurses (N = 22; 100% response rate) and ANs (N = 120; 59% response rate) working in a Swedish municipality. Data collection with a study‐specific questionnaire (50 items) about perceived reality (PR) and subjective importance (SI). Non‐parametric statistics.ResultsImplementation of the LCP ensured systematic assessment and alleviation of patients’ symptoms and needs. The ANs, more than the RNs, perceived that the patients received the best possible nursing and medical care (p = .01). Both groups considered that communication with patients and families as well as the information exchange between the team members was facilitated. Areas for improvement were identified about psychological and existential support and patients and families’ participation in care.

show abstract

Section: Discussionmentioning

confidence: 99%

Impact of the Liverpool Care Pathway on quality end‐of‐ care in residential care homes and home care—Nurses’ perceptions

Olsson

Kling

Persson³

et al. 2019

Nursing Open

View full text Add to dashboard Cite

show abstract

“…The transition to palliative care may begin well before the EOL and many agencies and governments now recognize the value of palliative care for patients who cannot benefit from curative treatment 1,2,33 .…”

Section: Palliative Care and Hospicementioning

confidence: 99%

Care Toward the End of Life in Older Populations and Its Implementation Facilitators and Barriers: A Scoping Review

Threapleton

Chung

Wong

et al. 2017

Journal of the American Medical Directors Association

View full text Add to dashboard Cite

Quality EOL care for older populations requires many core components but the local context and implementation issues may ultimately determine if these elements can be incorporated into the system to improve care. Changes at the macro-level (system/national), meso-level (organizational), and micro-level (individual) will be required to successfully implement service changes to provide holistic and person-centered EOL care for elderly populations.

show abstract

“…Further research could identify other significant factors affecting implementation and compliance. Watts (2013) discussed challenges with implementation and sustainability when using EoL care plans, with transient workforce, organisational culture, role boundaries and concern about litigation as mitigating factors. In addition there are concerns around whether standardised care plans satisfy the recommendation for individualised patient care at EoL (Watt, 2013).…”

Section: Implementation and Compliancementioning

confidence: 99%

End-of-life care guidelines and care plans in the intensive care unit

Luckett

2017

Br J Nurs

View full text Add to dashboard Cite

Providing high-quality end-of-life (EoL) care within UK healthcare settings is a high priority identified in national and local guideline and policy documents. The Department of Health (DH) (2016) published a document of commitment following a review of choice at EoL, recognising the need for high-quality personalised care. This echoes many of the priorities put forward by The National Palliative and End of Life Care Partnership (2015) who published ambitions for EOL provision. These ambitions emphasised the need for individualised care, equality of access, maintaining comfort, coordination across service providers and the need for staff education and training. The National Institute of Health and Care Excellence (NICE) (2011 (updated in 2013)) quality standard for End of Life care for Adults lists several quality statements. Quality statement 3 considers the need for assessment and formation of individualised care plans for dying patients:'People approaching the end of life are offered comprehensive holistic assessments in response to their changing needs and preferences, with the opportunity to discuss, develop and review End-of-life care guidelines and care plans in the intensive care unit Alison Luckett ABSTRACTThe aim of this literature review was to examine end of life (EoL) care practice within the Intensive care unit (ICU). By exploring the literature, it is hoped to suggest how national guidance can be integrated into the ICU setting. Delivering high-quality, patient-centred EoL care is high priority on the UK health agenda. The highly technological environment within ICU can create barriers to recognising death and initiating EoL care planning. Despite recommendations in the literature for the integration of standardised guidance, implementation, compliance and evaluation are yet to be widely reported. This literature review highlights the need for ICU health professionals to embrace EoL guideline recommendations. Development of robust processes is vital to inform future practice.

show abstract

End-of-life care pathways and nursing: a literature review

Cited by 10 publications

References 78 publications

Impact of the Liverpool Care Pathway on quality end‐of‐ care in residential care homes and home care—Nurses’ perceptions

Impact of the Liverpool Care Pathway on quality end‐of‐ care in residential care homes and home care—Nurses’ perceptions

Care Toward the End of Life in Older Populations and Its Implementation Facilitators and Barriers: A Scoping Review

End-of-life care guidelines and care plans in the intensive care unit

Contact Info

Product

Resources

About