The evaluation of an end of life integrated care pathway

Lhussier, Monique; Carr, Susan; Wilcockson, Jane

doi:10.12968/ijpn.2007.13.2.23072

Cited by 22 publications

(39 citation statements)

References 8 publications

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“…(2003) highlighted how hospital ‘network’ nurses’ ( n = 15) perceived the EOLC pathway as a tool for changing the focus of care. This is supported by the findings from studies conducted in primary (Lhussier et al. 2007) and intensive care (Walker & Read 2010).…”

Section: The Influence Of End‐of‐life Care Pathways On Nursing Practicesupporting

confidence: 62%

“…Facilitators in Lhussier et al. ’s (2007) action research study articulated difficulties of simultaneously educating different health professionals with diverse needs.…”

Section: Key Issuesmentioning

confidence: 99%

“…Although inscribed prescribing guidelines have been perceived as contributing to anticipatory symptom control and enhanced care (Jack et al. 2004, Walker & Read 2010), changed prescribing habits have not been universally experienced (Lhussier et al. 2007).…”

Section: The Influence Of End‐of‐life Care Pathways On Nursing Practicementioning

confidence: 99%

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

Watts¹

2012

J Nurs Manag

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Section: The Influence Of End‐of‐life Care Pathways On Nursing Practicesupporting

confidence: 62%

“…Facilitators in Lhussier et al. ’s (2007) action research study articulated difficulties of simultaneously educating different health professionals with diverse needs.…”

Section: Key Issuesmentioning

confidence: 99%

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

Watts¹

2012

J Nurs Manag

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“…2005; Gambles et al . 2006; Lhussier et al . 2007; Walker & Read 2010) have revealed a general perception among health professionals, primarily nurses, that directly and indirectly pathways positively influence the quality of end‐of‐life care.…”

Section: Care Pathwaysmentioning

confidence: 99%

End-of-life care pathways as tools to promote and support a good death: a critical commentary

Watts

2011

European Journal of Cancer Care

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This paper calls into question whether and how end-of-life care pathways facilitate the accomplishment of a 'good death'. Achieving a 'good death' is a prominent social and political priority and an ideal which underpins the philosophy of hospice and palliative care. End-of-life care pathways have been devised to enhance the care of imminently dying patients and their families across care settings and thereby facilitate the accomplishment of a 'good death'. These pathways have been enthusiastically adopted and are now recommended by governments in the UK as 'best practice' templates for end-of-life care. However, the literature reveals that the 'good death' is a nebulous, fluid concept. Moreover, concerns have been articulated regarding the efficacy of care pathways in terms of their impact on patient care and close analysis of two prominent end-of-life pathways reveals how biomedical aspects of care are privileged. Nonetheless drawing on a diverse range of evidence the literature indicates that end-of-life care pathways may facilitate a certain type of 'good death' and one which is associated with the dying process and framed within biomedicine.

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“…Pathways have been found to lead to improvements in patient satisfaction and quality of life in chronic liver disease46 while also enhancing openness and honesty in end of life care between professionals, patients and families 47. Favourable rehabilitation outcomes and cost-effectiveness have been found for hip replacements 48.…”

Section: Introductionmentioning

confidence: 99%

Shared learning for chronic conditions: a methodology for developing the Royal College of Paediatrics and Child Health (RCPCH) care pathways for children with allergies

Warner

Lloyd²

2011

Archives of Disease in Childhood

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The authors present eight national care pathways for allergic conditions based on evidence review, expert consensus and stakeholder input. They provide a guide for training and development of services to facilitate improvements in delivery as close to the patient's home as possible. The authors recommend that these pathways are implemented locally by a multidisciplinary team with a focus on creating networks between primary, secondary and tertiary care to improve services for children with allergic conditions.

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The evaluation of an end of life integrated care pathway

Abstract: end of life is now every health care professional's business and this may have the potential to raise the place of palliative care in general on the professional agenda.

Cited by 22 publications

References 8 publications

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

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

End-of-life care pathways as tools to promote and support a good death: a critical commentary

Shared learning for chronic conditions: a methodology for developing the Royal College of Paediatrics and Child Health (RCPCH) care pathways for children with allergies

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