International journal of palliative nursing · 2025
The feasibility, sustainability and impact of embedding the AMBER care bundle at a tertiary cancer centre.
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Cadwallader Claire, Wong Helen, Monnery Daniel
Аннотация
BACKGROUND: The AMBER care bundle facilitates earlier conversations with patients and their family about uncertain recovery and has been validated in acute hospitals. However, this tool has not been reported in a tertiary cancer setting to date.
AIM: Determine the feasibility and impact of embedding the AMBER care bundle within a tertiary cancer centre.
METHOD: The AMBER care bundle was launched in 2020 at a tertiary cancer centre, facilitated by a rolling education programme, digital tools and designated clinical leadership. Confidence with communicating uncertainty was collected pre- and post-training and clinical outcomes for patients supported by the AMBER care bundle were compared between baseline and 3 years post implementation.
RESULTS: Trainees' confidence in communicating uncertainty was statistically significantly improved following training (P<0.01). Patient outcomes improved, including achievement of preferred place of death, which increased from 8 to 80% over 3 years. The AMBER care bundle is feasible and effective when implemented within a tertiary cancer setting.
AIM: Determine the feasibility and impact of embedding the AMBER care bundle within a tertiary cancer centre.
METHOD: The AMBER care bundle was launched in 2020 at a tertiary cancer centre, facilitated by a rolling education programme, digital tools and designated clinical leadership. Confidence with communicating uncertainty was collected pre- and post-training and clinical outcomes for patients supported by the AMBER care bundle were compared between baseline and 3 years post implementation.
RESULTS: Trainees' confidence in communicating uncertainty was statistically significantly improved following training (P<0.01). Patient outcomes improved, including achievement of preferred place of death, which increased from 8 to 80% over 3 years. The AMBER care bundle is feasible and effective when implemented within a tertiary cancer setting.