Palliative Care after the LCP:: A qualitative study of staff experiences

Heather  Collins; Peter Raby

doi:10.12968/bjon.2019.28.15.1001

Palliative Care after the LCP: A qualitative study of staff experiences

Heather Collins , Peter Raby

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Abstract

The objective of this study is to explore nursing staffs’ perceptions of end of life care, following the removal of the Liverpool Care Pathway (LCP). Thirteen semi-structured, interviews were conducted with nurses working within palliative care. Data were analysed using thematic analysis. Three themes emerged: perceptions of the LCP, prevailing issues, and patients’ and families’ experiences. This study suggests that the removal of the pathway has not remedied the issues attributed to it. Further, the nature by which the LCP was removed indicates that the non-expert media plays a negative role, which inhibits the care process. In this respect it is important that ‘insider’ voices are also heard, in order to educate and also redress disinformation. Similarly, broader, persisting, contextual challenges facing staff need addressing in order to prevent a repeat of the issues leading to the removal of the LCP.

Original language	English
Journal	British Journal of Nursing
Volume	28
Issue number	15
Early online date	8 Aug 2019
DOIs	https://doi.org/10.12968/bjon.2019.28.15.1001
Publication status	E-pub ahead of print - 8 Aug 2019

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title = "Palliative Care after the LCP:: A qualitative study of staff experiences",

abstract = "The objective of this study is to explore nursing staffs{\textquoteright} perceptions of end of life care, following the removal of the Liverpool Care Pathway (LCP). Thirteen semi-structured, interviews were conducted with nurses working within palliative care. Data were analysed using thematic analysis. Three themes emerged: perceptions of the LCP, prevailing issues, and patients{\textquoteright} and families{\textquoteright} experiences. This study suggests that the removal of the pathway has not remedied the issues attributed to it. Further, the nature by which the LCP was removed indicates that the non-expert media plays a negative role, which inhibits the care process. In this respect it is important that {\textquoteleft}insider{\textquoteright} voices are also heard, in order to educate and also redress disinformation. Similarly, broader, persisting, contextual challenges facing staff need addressing in order to prevent a repeat of the issues leading to the removal of the LCP. ",

author = "Heather Collins and Peter Raby",

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AU - Raby, Peter

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AB - The objective of this study is to explore nursing staffs’ perceptions of end of life care, following the removal of the Liverpool Care Pathway (LCP). Thirteen semi-structured, interviews were conducted with nurses working within palliative care. Data were analysed using thematic analysis. Three themes emerged: perceptions of the LCP, prevailing issues, and patients’ and families’ experiences. This study suggests that the removal of the pathway has not remedied the issues attributed to it. Further, the nature by which the LCP was removed indicates that the non-expert media plays a negative role, which inhibits the care process. In this respect it is important that ‘insider’ voices are also heard, in order to educate and also redress disinformation. Similarly, broader, persisting, contextual challenges facing staff need addressing in order to prevent a repeat of the issues leading to the removal of the LCP.

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DO - 10.12968/bjon.2019.28.15.1001

M3 - Article

SN - 0966-0461

VL - 28

JO - British Journal of Nursing

JF - British Journal of Nursing

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Palliative Care after the LCP: A qualitative study of staff experiences

Abstract

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