The Liverpool Care Pathway in hospices: an exploratory study of doctor and nurse perceptions
The Liverpool Care Pathway in hospices: an exploratory study of doctor and nurse perceptions
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DOI：
10.12968/ijpn.2006.12.9.21869
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发表时间：
2006-01-01
影响因子：
1
通讯作者：
Ellershaw, John E.
中科院分区：
文献类型：
--
作者：
Gambles, Maureen;Stirzaker, Susan;Ellershaw, John E.
背景：利物浦临终关怀路径（LCP）是为了将临终关怀模式转移到其他护理环境中而开发的。这是一个多专业的文件，为临终阶段提供了一个基于证据的框架。它在医院广泛使用，现在已被用于临终关怀医院。方法：在英格兰西北部一所有30张床位的安宁疗护所进行一项质性研究，探讨安宁疗护医生和护士对LCP影响的看法，采用半结构化访谈的有目的样本。对新出现的主题按主题分析了数据。结果与讨论：共访谈11人（8名护士，3名医生）。结果表明，尽管一些最初的怀疑，根据抽样的医生和护士，LCP在临终关怀环境中有一个有价值的地方。除了可能用于审计和研究之外，人们认为的好处还包括改进文件、促进护理的连续性以及加强联系和对亲属的照顾。会议强调，保持对文件使用情况的持续教育和反馈是确保提供最佳护理的重要机制。
Background: The Liverpool Care of the Dying Pathway (LCP) was developed to transfer the hospice model of care into other care settings. It is a multiprofessional document providing an evidence-based framework for the dying phase. Widely used in hospitals it has now been adopted for use in hospices.Method: A qualitative study exploring hospice doctors' and nurses' perceptions of the impact of the LCP using semi-structured interviews of a purposive sample were undertaken in a 30 bed hospice in the north-west of England. Data was thematically analysed for emerging themes.Results and Discussion: Eleven interviews were undertaken (eight nurses, three doctors). The results suggest that despite some initial scepticism the LCP has a valuable place in the hospice setting according to the doctors and nurses sampled. Alongside the potential for use in audit and research, perceived benefits include improving documentation, promoting continuity of care and enhancing communication and the care of relatives. Maintaining ongoing education and feedback on the use of the document were highlighted as important mechanisms for ensuring that the delivery of care remained optimum.