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J Palliat Med. 2012 Apr;15(4):468-73. doi: 10.1089/jpm.2011.0375.

Staff perceptions of end-of-life care following implementation of the liverpool care pathway for the dying patient in the acute care setting: a New Zealand perspective.

Author information

1
MidCentral Health, Palmerston North, New Zealand. jean.c@arohanuihospice.org.nz

Abstract

BACKGROUND AND METHODS:

Ensuring appropriate palliative and end-of-life (EOL) care in the acute environment is complex and challenging. The Liverpool Care Pathway (LCP) aims to support staff to provide holistic EOL care utilizing a structured framework to prompt and guide care. We report on the post-implementation findings of a mixed methodology (survey and focus group [FG] forums) study into staff perceptions of EOL care following the pilot implementation of the LCP into two acute wards.

RESULTS AND CONCLUSIONS:

Study results suggest that within acute settings staff perceive that the LCP improves EOL care overall, assists interdisciplinary communication around death and dying, and that is a useful tool to positively influence decision making and care delivery. Further research into aspects of staff communication, diagnosing dying, changing direction of care, and the physical environment is warranted.

PMID:
22500482
DOI:
10.1089/jpm.2011.0375
[Indexed for MEDLINE]

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