Lessons from an incomplete implementation project introducing the AMBER care bundle

Kirsty Randall, Annamarie Challinor, Bie Nio Ong

  • Abstract

    The AMBER care bundle was formally adopted in 2015 by the National Health Service (NHS) Improving Quality and provides a systematic approach to managing the care of hospital patients who are facing an uncertain recovery and who are at risk of dying in the next 1–2 months. This paper describes the introduction of this approach in an acute hospital and analyses why the implementation remained incomplete. The normalisation process theory (NPT) is used as the conceptual framework to understand the complex processes involved, the importance of context and sense-making. Key learning points from the incomplete adoption of the AMBER care bundle are outlined. We conclude that the NPT is helpful in monitoring progress and allow for timely adaptation to ensure successful implementation. We suggest that its use as a diagnostic tool might be explored.

  • Contributors

    Kirsty Randall, Annamarie Challinor, Bie Nio Ong


    Correct at article publish date

    End of Life Partnership, Sandbach, UK

    Author notes

    Correspondence to Professor Bie Nio Ong; b.n.ong@keele.ac.uk

    Original publishing information

    • Publisher: St Christopher's Hospice
    • Publish date: 01/04/2017
    • ePub Date: 08/04/2017
    • Volume: 7
    • Issue: 1

    Permissions: © St Christopher's Hospice (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.2017

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