Liverpool care pathway carers survey

Mullick, Anjali; Beynon, Teresa; Colvin, Margaret; Morris, Meg E.; Shepherd, Laurel; Cave, L.; Lowell, Janice; Asmall, N; Carey, Ivana

doi:10.1177/0269216309106459

Cited by 4 publications

(4 citation statements)

References 3 publications

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“… Third, despite the pathway being endorsed by national professional organisations, it severely lacked the research evidence that is expected in the adoption of any other new health technology. Early studies did show anecdotal and qualitative evidence of benefit, 276 , 277 , 278 , 279 but the studies did not include any controlled trials, and some had been written by the authors who had developed and promoted the pathway. Just as the review into the pathway was being published, a formal cluster randomised controlled trial did appear, evaluating how the pathway had performed clinically in an Italian hospital setting.…”

Section: The Difficult Conversation:” Breaking Bad News Communication and Prognosticationmentioning

confidence: 99%

See 1 more Smart Citation

Report of the Lancet Commission on the Value of Death: bringing death back into life

Sallnow¹,

Smith²,

Ahmedzai³

et al. 2022

The Lancet

311

235

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Section: The Difficult Conversation:” Breaking Bad News Communication and Prognosticationmentioning

confidence: 99%

“…Early studies did show anecdotal and qualitative evidence of benefit, 276 , 277 , 278 , 279 but the studies did not include any controlled trials, and some had been written by the authors who had developed and promoted the pathway.…”

Section: The Difficult Conversation:” Breaking Bad News Communication and Prognosticationmentioning

confidence: 99%

Report of the Lancet Commission on the Value of Death: bringing death back into life

Sallnow¹,

Smith²,

Ahmedzai³

et al. 2022

The Lancet

311

235

View full text Add to dashboard Cite

“…Mullick et al. (2009) surveyed the caregivers ( n = 42) of people who had died with the LCP in place and found that those who responded ( n = 25) were satisfied with the care provided.…”

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

confidence: 99%

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

Watts¹

2012

J Nurs Manag

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“…The results from: qualitative studies [3-6], a survey of bereaved relatives [7] and experimental assessments in non-randomised trials [8,9] suggest that the LCP can significantly improve the quality of end-of-life care delivery in hospitals by changing the emphasis of care, directing end–of-life decision making and providing a greater emphasis on the patient’s and family’s needs in care.…”

Section: Resultsmentioning

confidence: 99%

Why is the Liverpool care pathway used for some dying cancer patients and not others? Healthcare professionals’ perspectives

Freemantle

Seymour

2012

BMC Res Notes

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BackgroundDespite evidence suggesting that the Liverpool Care Pathway for the Dying Patient is a structured and proficient means of supporting care delivery in the last hours or days of life, discrepancies in uptake are widespread. This exploratory study sought to understand why patients dying of cancer in oncology wards of one hospital trust were, or were not, supported by the LCP. A purposive qualitative case study design was used; each case represented a patient who had died and their most involved nurse and doctor. In-depth interviews explored both recollections of the ‘case’ and wider experiences of using the Pathway in end-of-life care. Eleven healthcare professionals were interviewed about their involvement in the end-of-life care of six patients. For four of these patients care was supported by the LCP.FindingsAlthough doctors and nurses reported they preferred to use the Pathway to ensure comfortable death, an important factor influencing their decisions was time of death. Access to timely senior review was regarded as an essential preliminary to placing patients on the Pathway but delayed access ‘out of hours’ was commonly experienced and tensions arose from balancing conflicting priorities. Consequently, the needs of dying patients sometimes failed to compete with those receiving curative treatment.ConclusionsThis study suggests that greater attention should be focused on ‘out of hours’ care in hospitals to ensure regular senior review of all patients at risk of dying and to support front line staff to communicate effectively and make contingency plans focused on patients’ best interests.

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Liverpool care pathway carers survey

Cited by 4 publications

References 3 publications

Report of the Lancet Commission on the Value of Death: bringing death back into life

Report of the Lancet Commission on the Value of Death: bringing death back into life

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

Why is the Liverpool care pathway used for some dying cancer patients and not others? Healthcare professionals’ perspectives

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