CURA-An Ethics Support Instrument for Nurses in Palliative Care. Feasibility and First Perceived Outcomes.
Clinical ethics support
Ethics
Moral resilience
Nurses
Palliative care
Journal
HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues
ISSN: 1572-8498
Titre abrégé: HEC Forum
Pays: Netherlands
ID NLM: 8917455
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
accepted:
17
06
2021
medline:
10
5
2023
pubmed:
11
12
2021
entrez:
10
12
2021
Statut:
ppublish
Résumé
Evaluating 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 (n = 97) following a continuing education program (course participants) and colleagues of these course participants (n = 124). 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 (84% of course participants agreed or strongly agreed, 94% of colleagues) and easy to apply (78-87%). The perceived outcomes showed that CURA helped respondents to reflect on moral challenges (71% (strongly) agreed), in perspective taking (67%), with being aware of moral challenges (63%) and in dealing with moral distress (54%). Respondents did experience organizational barriers: only half of the respondents (strongly) 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.
Identifiants
pubmed: 34888756
doi: 10.1007/s10730-021-09456-6
pii: 10.1007/s10730-021-09456-6
pmc: PMC10167118
doi:
Types de publication
Journal Article
Langues
eng
Pagination
139-159Subventions
Organisme : ZonMw
ID : 844001315
Pays : Netherlands
Informations de copyright
© 2021. The Author(s).
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