College of Human and Health Sciences, Swansea University, Swansea, UK.
J Nurs Manag. 2013 Jan;21(1):47-57. doi: 10.1111/j.1365-2834.2012.01423.x. Epub 2012 May 12.
To identify and discuss the current state of knowledge about end-of-life care (EOLC) pathways in relation to nursing.
Enhancing EOLC has become a central concern in governments' health policies worldwide. End-of-life care pathways have been championed as complex interventions to enhance the quality of end-of-life care. However, concerns have been expressed regarding their purpose, initiation and use.
A range of published literature was used to examine EOLC pathways in relation to nursing.
Three main themes emerged: nursing's contribution to the evolution of EOLC pathways, implementing EOLC pathways and the influence of EOLC pathways on nursing practice.
End-of-life care pathways are to be welcomed as a means by which the quality of EOLC might be enhanced. However, the state of knowledge about EOLC pathways, their development, implementation and influence on families and professional practice is in its infancy.
End-of-life care pathways are championed as a means by which the quality of EOLC, for dying people and their families might be enhanced. However, as concerns regarding the quality of EOLC persist, nursing management has a crucial role in driving forward and supporting EOLC pathway development, implementation and evaluation.
确定并讨论与护理相关的临终关怀（EOLC）路径的现有知识状况。
在全球范围内，增强临终关怀已成为各国政府卫生政策的核心关注点。临终关怀路径被视为增强临终关怀质量的复杂干预措施。然而，人们对其目的、启动和使用表示担忧。
使用了一系列已发表的文献来研究与护理相关的 EOLC 路径。
出现了三个主要主题：护理对 EOLC 路径演变的贡献、实施 EOLC 路径以及 EOLC 路径对护理实践的影响。
欢迎将临终关怀路径作为提高临终关怀质量的一种手段。然而，关于 EOLC 路径的知识状况、它们的发展、实施以及对家庭和专业实践的影响仍处于起步阶段。
临终关怀路径被视为提高临终者及其家属的临终关怀质量的一种手段。然而，由于对临终关怀质量的担忧仍然存在，护理管理在推动和支持 EOLC 路径的发展、实施和评估方面发挥着至关重要的作用。
