Palliative care after the Liverpool Care Pathway: a study of staff experiences

British Journal of Nursing : BJN
Heather Collins, Peter Raby

Abstract

The objective of this study was to explore nurses' perceptions of end-of-life care following the withdrawal of the Liverpool Care Pathway (LCP). Thirteen semi-structured interviews were conducted with nurses working in palliative care. Data were analysed using thematic analysis. Three themes emerged: perceptions of the LCP, prevailing issues, and patients' and families' experiences. This study suggested that the removal of the pathway has not remedied the issues attributed to it. Further, the way in which the LCP was removed indicates that the non-expert media can play a negative role in how palliative care is perceived, which inhibits the care process. In this respect it is important that 'insider' voices are also heard, in order to educate and also redress disinformation. Similarly, broader, persisting, contextual challenges facing staff need addressing in order to prevent a repeat of the issues leading to the removal of the LCP.

References

Aug 14, 2003·JAMA : the Journal of the American Medical Association·Charles L SprungUNKNOWN Ethicus Study Group
Nov 1, 2003·International Journal of Palliative Nursing·Barbara A JackJohn E Ellershaw
Nov 2, 2006·International Journal of Palliative Nursing·Maureen GamblesJohn E Ellershaw
Sep 18, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Allison TongJonathan Craig
Mar 29, 2008·Palliative Medicine·Laetitia VeerbeekAgnes van der Heide
Oct 12, 2010·International Journal of Palliative Nursing·Ruth Walker, Sue Read
Mar 8, 2011·Journal of Nursing Management·J F Dee, R Endacott
Jun 8, 2011·International Journal of Palliative Nursing·Tina O'Hara
Oct 16, 2012·Nurse Researcher·Mary Converse
Mar 2, 2013·BMJ : British Medical Journal·Krishna Chinthapalli
Nov 7, 2013·Administration and Policy in Mental Health·Lawrence A PalinkasKimberly Hoagwood
May 15, 2015·Journal of Advanced Nursing·Munikumar Ramasamy VenkatasaluKaren Cairnduff
Jun 25, 2016·Qualitative Health Research·Linda BirtFiona Walter
Dec 19, 2017·Nurse Researcher·Caroline Jane PictonChristopher Patterson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.