Staff perceptions of the impact of the Liverpool Care Pathway in aged residential care in New Zealand

Clark, Jean; Marshall, Bridget M.; Sheward, Karen; Allan, Simon

doi:10.12968/ijpn.2012.18.4.171

Cited by 23 publications

(17 citation statements)

References 24 publications

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“…37,43,51 Previous research has also highlighted the communication environment as a key component in providing effective palliative care. 52,53 Drawing on complexity science (In complexity science healthcare organizations, including aged care facilities, are defined as complex adaptive systems (CAS).…”

Section: Discussionmentioning

confidence: 99%

Burnout matters: The impact on residential aged care staffs’ willingness to undertake formal palliative care training

Frey¹,

Boyd²,

Foster³

et al. 2014

Progress in Palliative Care

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Introduction: Palliative care delivery has become integral to the role of healthcare staff in residential aged care (RAC) internationally. Challenges within this work environment (e.g. workload, staffing levels, resources) may impact on healthcare staffs' willingness to undertake formal palliative care education. The study described herein explored factors (socioenvironmental and psychological) that influence staff willingness to engage in palliative care education. Methods: The predictors of palliative care education uptake for healthcare staff (n = 431) from 52 New Zealand RAC facilities in one large urban District Health Board were assessed. Logistic regression was used to explore willingness to engage in education. Results: Higher scores for burnout predicted a decreased likelihood of engaging in palliative care education (odds ratio (OR) 0.41, P = 0.01). The identified predictor of willingness to engage in education was previous palliative care experience (OR 1.59, P = 0.027). Discussion: These results can inform the design and delivery of future palliative care education programmes within RAC.

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Section: Discussionmentioning

confidence: 99%

Burnout matters: The impact on residential aged care staffs’ willingness to undertake formal palliative care training

Frey¹,

Boyd²,

Foster³

et al. 2014

Progress in Palliative Care

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show abstract

“…In recognition of the important role played by ARC in end-of-life care nationally, educational initiatives have been implemented (eg, Fundamentals of Palliative Care),17 and integrated end-of-life care pathways have been trialled (eg, Liverpool Care Pathway) 18. However, despite these interventions, ARC staff may still be unprepared for their role in palliative and end-of-life care provision 4.…”

Section: The New Zealand Contextmentioning

confidence: 99%

Necessary but not yet sufficient: a survey of aged residential care staff perceptions of palliative care communication, education and delivery

Frey

Boyd

Foster

et al. 2016

BMJ Support Palliat Care

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“…Resultater fra en norsk studie gjort av Johansen & Helgesen (2015) antyder at opplaeringen heller ikke er tilstrekkelig når LCP innføres ved sykehjem. Fra en studie ved aldersinstitusjoner i New Zealand (Clark, Marshall, Sheward, & Allan, 2012a) rapportertes det at helsepersonell opplevde at bruken av LCP var vanskelig fordi de hadde for lite tid sammen med pasienten, og at samarbeid med lege var for dårlig. …”

Section: Litteraturgjennomgangunclassified

Omsorg ved livets slutt - En kvalitativ studie av sykepleieres erfaringer med bruk av Liverpool Care Pathway i sykehjem

Brattgjerd¹,

Olsen²

2016

TFO

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Results: Nurses experiences of using LCP can be summarized in two main themes with several subthemes: "LCP contributes to good care at the end of life" ("To see the whole patient", "To be ahead", "To relieve, not cure", "To see and involve relatives" and "To ensure continuity of care"), and "Challenges related to the use of LCP" ("Difficult to diagnose the patient as terminal", "Problematic documentation", "Rigid integrated care plan requires use of discretion", and "Hard to achieve continuity in collaboration with physician"). Conclusion:The study shows that nurses face several challenges related to the use of LCP in nursing homes. Yet, they experience that LCP contributes to a dignified and proper end-of-life care for the patient.

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Staff perceptions of the impact of the Liverpool Care Pathway in aged residential care in New Zealand

Abstract: As a tool the LCP was effective in supporting, guiding, and prompting care delivery. However, challenges remained, particularly regarding environmental factors.

Cited by 23 publications

References 24 publications

Burnout matters: The impact on residential aged care staffs’ willingness to undertake formal palliative care training

Burnout matters: The impact on residential aged care staffs’ willingness to undertake formal palliative care training

Necessary but not yet sufficient: a survey of aged residential care staff perceptions of palliative care communication, education and delivery

Omsorg ved livets slutt - En kvalitativ studie av sykepleieres erfaringer med bruk av Liverpool Care Pathway i sykehjem

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