Omsorg ved livets slutt - En kvalitativ studie av sykepleieres erfaringer med bruk av Liverpool
Care Pathway i sykehjem
Engelsk titel: Care at the end of life - A qualitative study of nurses' experiences in using the Liverpool Care
Pathway in nursing homes
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Författare:
Brattgjerd, Marianne
;
Olsen, Rose Mari
Email: marianne.brattgjerd@nord.no
Språk: Nor
Antal referenser: 50
Dokumenttyp:
Artikel
UI-nummer: 16123732
Sammanfattning
Background and aim: Over the past decade, several nursing homes in Norway have
implemented an integrated care plan, Liverpool Care Pathway (LCP), in order to ensure the quality of
care at the end of life. Nurses have an important role in caring for dying patients, both as partners in
treatment team around the patient, and through the daily follow-up care of patients and their relatives.
The aim of this study was to explore nurses’ experiences of using the Liverpool Care Pathway in
end-of-life care in nursing homes. Method: A qualitative design with a phenomenological approach.
Interviews were conducted with eleven registered nurses working in community nursing homes. Data
was analysed by systematic text condensation. Results: Nurses experiences of using LCP can be
summarized in two main themes with several subthemes: "LCP contributes to good care at the end of
life" ("To see the whole patient", "To be ahead", "To relieve, not cure", "To see and involve relatives"
and "To ensure continuity of care"), and "Challenges related to the use of LCP" ("Difficult to diagnose
the patient as terminal", "Problematic documentation", "Rigid integrated care plan requires use of
discretion", and "Hard to achieve continuity in collaboration with physician"). Conclusion: The study
shows that nurses face several challenges related to the use of LCP in nursing homes. Yet, they
experience that LCP contributes to a dignified and proper end-of-life care for the patient.