《CURA：姑息治疗护理人员的临床伦理支持工具》。
CURA: A clinical ethics support instrument for caregivers in palliative care.
机构信息
Department of Ethics, Law & Humanities, 1209Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Department of Public and Occupational Health, 1209Amsterdam University Medical Centers, Amsterdam, The Netherlands.
出版信息
Nurs Ethics. 2022 Nov-Dec;29(7-8):1562-1577. doi: 10.1177/09697330221074014. Epub 2022 May 27.
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.
本文介绍了一种名为 CURA 的医疗保健专业人员伦理支持工具。它是专门为姑息治疗中的护士和护工设计的。首先，我们简要介绍一下该工具的背景和开发研究。接下来，我们描述了 CURA 规定的进行伦理反思的四个步骤：（1）集中注意力，（2）不匆忙，（3）反思，和（4）行动。为了展示 CURA 如何在护理人员中构建道德反思，我们讨论了如何在一家养老院的老年精神病科病房中使用 CURA 讨论一个案例。此外，我们还考虑了在临床实践中使用该工具的一些注意事项。最后，我们关注的是需要进一步研究 CURA 的有效性和实施情况。
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