{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T17:12:51Z","timestamp":1757610771986,"version":"3.44.0"},"reference-count":9,"publisher":"Mark Allen Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Palliat Nurs"],"published-print":{"date-parts":[[2025,6,2]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> 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. <\/jats:p><\/jats:sec><jats:sec><jats:title>Aim:<\/jats:title><jats:p> Determine the feasibility and impact of embedding the AMBER care bundle within a tertiary cancer centre. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p> 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. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Trainees\u2019 confidence in communicating uncertainty was statistically significantly improved following training (P&lt;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. <\/jats:p><\/jats:sec>","DOI":"10.12968\/ijpn.2024.0072","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T07:14:54Z","timestamp":1750317294000},"page":"288-293","source":"Crossref","is-referenced-by-count":0,"title":["The feasibility, sustainability and impact of embedding the AMBER care bundle at a tertiary cancer centre"],"prefix":"10.12968","volume":"31","author":[{"given":"Claire","family":"Cadwallader","sequence":"first","affiliation":[{"name":"Palliative care clinical nurse specialist, Clatterbridge CC NHS Foundation Trust, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Wong","sequence":"additional","affiliation":[{"name":"Quality manager, The Clatterbridge Cancer Centre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Monnery","sequence":"additional","affiliation":[{"name":"Consultant in palliative medicine, The Clatterbridge Cancer Centre"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2013-000634rep"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2013-000608"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1177\/0269216316647610"},{"issue":"8","key":"B4","first-page":"afac188","volume":"51","author":"Etkind SN","year":"2022","journal-title":"Age Ageing"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2013-000640"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.3310\/hta23550"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-019-3612-0"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2018-000396"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab176"}],"container-title":["International Journal of Palliative Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/ijpn.2024.0072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T17:09:48Z","timestamp":1756919388000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/ijpn.2024.0072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,2]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6,2]]}},"alternative-id":["10.12968\/ijpn.2024.0072"],"URL":"https:\/\/doi.org\/10.12968\/ijpn.2024.0072","relation":{},"ISSN":["1357-6321","2052-286X"],"issn-type":[{"type":"print","value":"1357-6321"},{"type":"electronic","value":"2052-286X"}],"subject":[],"published":{"date-parts":[[2025,6,2]]}}}