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Published on: February 16, 2011
CURA: A clinical ethics support instrument for caregivers in palliative care
Suzanne Metselaar1, Malene van Schaik1, Guy Widdershoven1
1Department of Ethics, Law & Humanities, 1209Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Abstract:
This article presents an ethics support instrument for healthcare professionals called CURA. It is designed with a focus on and together with nurses and nurse assistants in palliative care. First, we shortly go into the background and the development study of the instrument. Next, we describe the four steps CURA prescribes for ethical reflection: (1) Concentrate, (2) Unrush, (3) Reflect, and (4) Act. In order to demonstrate how CURA can structure a moral reflection among caregivers, we discuss how a case was discussed with CURA at a psychogeriatric ward of an elderly care home. Furthermore, we go into some considerations regarding the use of the instrument in clinical practice. Finally, we focus on the need for further research on the effectiveness and implementation of CURA.
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