CURA—An Ethics Support Instrument for Nurses in Palliative Care. Feasibility and First Perceived Outcomes
HEC Forum:1-21 (forthcoming)
AbstractEvaluating the feasibility and first perceived outcomes of a newly developed clinical ethics support instrument called CURA. This instrument is tailored to the needs of nurses that provide palliative care and is intended to foster both moral competences and moral resilience. This study is a descriptive cross-sectional evaluation study. Respondents consisted of nurses and nurse assistants following a continuing education program and colleagues of these course participants. Two questionnaires with five-point Likert scales were used. The feasibility questionnaire was given to all respondents, the perceived outcomes questionnaire only to the course participants. Data collection took place over a period of six months. Respondents were predominantly positive on most items of the feasibility questionnaire. The steps of CURA are clearly described and easy to apply. The perceived outcomes showed that CURA helped respondents to reflect on moral challenges agreed), in perspective taking, with being aware of moral challenges and in dealing with moral distress. Respondents did experience organizational barriers: only half of the respondents agreed that they could easily find time for using CURA. CURA is a feasible instrument for nurses and nurse assistants providing palliative care. However, reported difficulties in organizing and making time for reflections with CURA indicate organizational preconditions ought to be met in order to implement CURA in daily practice. Furthermore, these results indicate that CURA helps to build moral competences and fosters moral resilience.
Similar books and articles
Flemish palliative-care nurses' attitudes to palliative sedation: A quantitative study.J. Gielen, S. Van den Branden, T. Van Iersel & B. Broeckaert - 2012 - Nursing Ethics 19 (5):692-704.
Outcomes of Moral Case Deliberation - the development of an evaluation instrument for clinical ethics support (the Euro-MCD).Mia Svantesson, Jan Karlsson, Pierre Boitte, Jan Schildman, Linda Dauwerse, Guy Widdershoven, Reidar Pedersen, Martijn Huisman & Bert Molewijk - 2014 - BMC Medical Ethics 15 (1):30.
Using the Canadian Code Of Ethics for Registered Nurses to Explore Ethics in Palliative Care Research.Kelly Arraf, Ginny Cox & Kathleen Oberle - 2004 - Nursing Ethics 11 (6):600-609.
Nurses and the Virtues of Dealing with Existential Questions in Terminal Palliative Care.Rob Houtepen & David Hendrikx - 2003 - Nursing Ethics 10 (4):377-387.
Perception of Palliative Care and Euthanasia Among Recently Graduated and Experienced Nurses.Tomasz Brzostek, Wim Dekkers, Zbigniew Zalewski, Anna Januszewska & Maciej Górkiewicz - 2008 - Nursing Ethics 15 (6):761-776.
Ethical issues experienced during palliative care provision in nursing homes.Deborah H. L. Muldrew, Dorry McLaughlin & Kevin Brazil - 2019 - Nursing Ethics 26 (6):1848-1860.
Nurses' views on their involvement in euthanasia: a qualitative study in Flanders (Belgium).B. Dierckx de Casterle - 2006 - Journal of Medical Ethics 32 (4):187-192.
Moral Problems Experienced by Nurses when Caring for Terminally Ill People: a literature review.Jean-Jacques Georges & Mieke Grypdonck - 2002 - Nursing Ethics 9 (2):155-178.
A phenomenological study of nurses' understanding of honesty in palliative care.Eva Erichsen, Elisabeth Hadd Danielsson & Maria Friedrichsen - 2010 - Nursing Ethics 17 (1):39-50.
Nurses’ views on their involvement in euthanasia: a qualitative study in Flanders.B. Dierckx De Casterle, C. Verpoort, Nele De Bal & Chris Gastmans - 2006 - Journal of Medical Ethics 32 (4):187-192.
Defining end-of-life care from perspectives of nursing ethics.S. Izumi, H. Nagae, C. Sakurai & E. Imamura - 2012 - Nursing Ethics 19 (5):608-618.
End-of-life care in a nursing home: Assistant nurses’ perspectives.Bodil Holmberg, Ingrid Hellström & Jane Österlind - 2019 - Nursing Ethics 26 (6):1721-1733.
The Universality of Palliative Care Philosophy.Joris Gielen - 2021 - Revista Latinoamericana de Bioética 21 (1).
Added to PP
Historical graph of downloads
Sorry, there are not enough data points to plot this chart.
Citations of this work
CURA: A clinical ethics support instrument for caregivers in palliative care.Suzanne Metselaar, Malene van Schaik, Guy Widdershoven & H. Roeline Pasman - 2022 - Nursing Ethics 29 (7-8):1562-1577.
Participatory development of CURA, a clinical ethics support instrument for palliative care.Suzanne Metselaar, Guy Widdershoven, H. Roeline Pasman & Malene Vera van Schaik - 2022 - BMC Medical Ethics 23 (1):1-12.
References found in this work
No references found.