The feasibility, sustainability and impact of embedding the AMBER care bundle at a tertiary cancer centre.

International journal of palliative nursing Pub Date : 2025-06-02 DOI:10.12968/ijpn.2024.0072

Claire Cadwallader, Helen Wong, Daniel Monnery

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Abstract

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.

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可行性，可持续性和嵌入琥珀护理束在三级癌症中心的影响。

背景：AMBER护理包有助于与患者及其家属就不确定的康复进行早期对话，并已在急性医院得到验证。然而，到目前为止，该工具尚未在三期癌症环境中报道。目的：确定在三级癌症中心嵌入AMBER护理包的可行性和影响。方法：AMBER护理包于2020年在一家三级癌症中心推出，由滚动教育计划、数字工具和指定的临床领导推动。收集培训前后沟通不确定性的置信度，比较AMBER护理包支持的患者的基线和实施后3年的临床结果。结果：培训后学员对沟通不确定性的信心显著提高(P

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International journal of palliative nursing

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