Staff perceptions of the impact of the Liverpool Care Pathway in aged residential care in New Zealand

Int J Palliat Nurs. 2012 Apr;18(4):171-8. doi: 10.12968/ijpn.2012.18.4.171.

Abstract

Aim: To determine staff perceptions of the impact of the Liverpool Care Pathway for the dying patient (LCP) in three aged residential care facilities in New Zealand.

Methods: A mixed methodology approach was adopted, including the use of a survey, focus groups, and individual interviews.

Findings: Fifteen of 194 staff participated in the focus groups (five nurses and nine health-care assistants). The interviewees included three GPs, one registered nurse, and one manager. The post-implementation survey response rate of 13% was poorer than the 32% response rate to a pre-implementation survey reported elsewhere. Nevertheless, there was congruence across the data sources. The participating staff perceived multiple benefits to residents, family, whãnau, and staff following implementation of the LCP.

Conclusion: As a tool the LCP was effective in supporting, guiding, and prompting care delivery. However, challenges remained, particularly regarding environmental factors.

MeSH terms

  • Adult
  • Aged
  • Attitude of Health Personnel*
  • Critical Pathways*
  • Female
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice
  • Health Plan Implementation
  • Homes for the Aged*
  • Humans
  • Male
  • Middle Aged
  • New Zealand
  • Nursing Homes*
  • Palliative Care*