MidCentral Health, Palmerston North, New Zealand.
J Palliat Med. 2012 Apr;15(4):468-73. doi: 10.1089/jpm.2011.0375.
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.
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.
在急性环境中确保提供适当的姑息治疗和临终关怀（EOL）是复杂且具有挑战性的。利物浦护理路径（LCP）旨在利用结构化框架来支持工作人员提供整体 EOL 护理，以提示和指导护理。我们报告了一项混合方法（调查和焦点小组[FG]论坛）研究的实施后结果，该研究调查了 LCP 在两个急症病房试点实施后，工作人员对 EOL 护理的看法。
研究结果表明，在急性环境中，工作人员认为 LCP 总体上改善了 EOL 护理，有助于在死亡和濒死问题上进行跨学科沟通，并且是一个有用的工具，可以积极影响决策和护理提供。需要进一步研究工作人员沟通、临终诊断、改变护理方向以及物理环境等方面的问题。
