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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Implementation is the execution of the nursing care plan developed during the planning phase.
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There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...
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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Nursing involves independent, cooperative, person-centered care for people of all ages, families, groups, and communities. Nurses assist the sick or the well person in all settings. Nursing includes promoting health, preventing illness, and caring for ill, disabled, and dying people. Health promotion encourages people to take responsibility for their health. It focuses on the healthy behavior of individuals, families, and the community and the factors that impact their health. Examples of...
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Related Experiment Video

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Implementing palliative care in intensive care units: assessing processes using the normalisation process theory

Stephanie A Meddick-Dyson1, Tracy Finch2, Jason W Boland3

  • 1Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, HU6 7RX, UK. stephanie.meddick-dyson@nhs.net.

Implementation Science Communications
|April 16, 2026
PubMed
Summary

Implementing palliative care in Intensive Care Units (ICUs) shows promise, but operational work needs improvement. Healthcare professionals find palliative care familiar, yet enhancing collective action is key for better patient and family support.

Keywords:
Implementation ScienceIntensive CareNormalisation Process TheoryPalliative Care

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Area of Science:

  • Palliative Care
  • Intensive Care Medicine
  • Healthcare Implementation Science

Background:

  • Palliative care is crucial for Intensive Care Unit (ICU) patients and families.
  • Implementation strategies and professional support for palliative care in ICUs require further investigation.

Purpose of the Study:

  • To assess the implementation processes of palliative care in UK ICUs using Normalisation Process Theory (NPT).
  • To identify barriers and facilitators to integrating palliative care within the ICU setting.

Main Methods:

  • A descriptive cross-sectional survey was administered to UK healthcare professionals involved in ICU palliative care.
  • The Normalisation MeAsure Development (NoMAD) instrument assessed implementation processes.
  • NPT-guided framework analysis was used for open-ended responses.

Main Results:

  • Respondents perceived palliative care as familiar and integrated into normal work.
  • Positive implementation tendencies were observed in coherence, cognitive participation, and reflexive monitoring.
  • Collective action (operational work) showed a neutral tendency, indicating a target for improvement.

Conclusions:

  • NPT identified implementation gaps in operational work, including resource utilization, leadership support, and skill-building.
  • Further qualitative research is recommended to explore contextual influences and patient/family factors.