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Care professional's experiences about using Liverpool Care Pathway in end-of-life care in residential care homes

Andersson, Sofia; Lindqvist, Olav; Fürst, Carl-Johan LU and Brännström, Margareta (2017) In Scandinavian Journal of Caring Sciences
Abstract

Background: Residential care homes (RCHs) play an important role in end-of-life care, being the most common place of death for elderly people in several European countries. Care pathways such as the Liverpool Care Pathway for the Dying Patient (LCP) are used to improve and ensure quality care at the end of life. There is a lack of scientific evidence supporting the use of care pathways. Design: A descriptive qualitative study. Objective: The aim was to describe care professionals' experiences of using the Liverpool Care Pathway for the Dying Patient in the care of dying residents in residential care homes. Methods: Five focus group interviews and two individual interviews with enrolled nurses (n = 10), Registered Nurses (n = 9) and... (More)

Background: Residential care homes (RCHs) play an important role in end-of-life care, being the most common place of death for elderly people in several European countries. Care pathways such as the Liverpool Care Pathway for the Dying Patient (LCP) are used to improve and ensure quality care at the end of life. There is a lack of scientific evidence supporting the use of care pathways. Design: A descriptive qualitative study. Objective: The aim was to describe care professionals' experiences of using the Liverpool Care Pathway for the Dying Patient in the care of dying residents in residential care homes. Methods: Five focus group interviews and two individual interviews with enrolled nurses (n = 10), Registered Nurses (n = 9) and general practitioners (n = 5) were carried out and analysed using qualitative content analysis. Results: Care professionals expressed that they became confident through a shared approach to care, were supported to tailor the care according to the residents' individual needs, were supported to involve family members in decision-making and care and became more aware of the care environment. Conclusion: The results of this study indicate that the LCP might be a useful tool for care professionals in improving end-of-life care in RCHs through increased attention to the goals of care, the individual needs of residents and family involvement.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Care pathway, Care professionals, Clinical intervention, Elderly, End of life, Liverpool Care Pathway, Nursing home, Palliative care, Qualitative content analysis, Residential care homes
in
Scandinavian Journal of Caring Sciences
publisher
Wiley-Blackwell
external identifiers
  • scopus:85021406781
ISSN
0283-9318
DOI
10.1111/scs.12462
language
English
LU publication?
yes
id
c5be9fce-c704-418f-aad5-ae4ae78eb658
date added to LUP
2017-08-23 14:35:27
date last changed
2017-08-24 03:00:02
@article{c5be9fce-c704-418f-aad5-ae4ae78eb658,
  abstract     = {<p>Background: Residential care homes (RCHs) play an important role in end-of-life care, being the most common place of death for elderly people in several European countries. Care pathways such as the Liverpool Care Pathway for the Dying Patient (LCP) are used to improve and ensure quality care at the end of life. There is a lack of scientific evidence supporting the use of care pathways. Design: A descriptive qualitative study. Objective: The aim was to describe care professionals' experiences of using the Liverpool Care Pathway for the Dying Patient in the care of dying residents in residential care homes. Methods: Five focus group interviews and two individual interviews with enrolled nurses (n = 10), Registered Nurses (n = 9) and general practitioners (n = 5) were carried out and analysed using qualitative content analysis. Results: Care professionals expressed that they became confident through a shared approach to care, were supported to tailor the care according to the residents' individual needs, were supported to involve family members in decision-making and care and became more aware of the care environment. Conclusion: The results of this study indicate that the LCP might be a useful tool for care professionals in improving end-of-life care in RCHs through increased attention to the goals of care, the individual needs of residents and family involvement.</p>},
  author       = {Andersson, Sofia and Lindqvist, Olav and Fürst, Carl-Johan and Brännström, Margareta},
  issn         = {0283-9318},
  keyword      = {Care pathway,Care professionals,Clinical intervention,Elderly,End of life,Liverpool Care Pathway,Nursing home,Palliative care,Qualitative content analysis,Residential care homes},
  language     = {eng},
  month        = {06},
  publisher    = {Wiley-Blackwell},
  series       = {Scandinavian Journal of Caring Sciences},
  title        = {Care professional's experiences about using Liverpool Care Pathway in end-of-life care in residential care homes},
  url          = {http://dx.doi.org/10.1111/scs.12462},
  year         = {2017},
}