Tijdschrift voor gerontologie en geriatrie · 2024
[Clinical ethics support with CURA. Acceptability and feasibility among medical practitioners in geriatric and palliative medicine].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Swart Lieke M, van Schaik Malene V, Garstman Charlotte C S, Sizoo Eefje M, Metselaar Suzanne
Аннотация
INTRODUCTION: Moral conflicts are common within geriatric and palliative care and can lead to moral distress. Clinical ethics support helps healthcare providers in managing moral conflicts and moral distress. CURA is a low-threshold clinical ethics support instrument. The feasibility for nurses and nurse-assistants in palliative care has already been investigated. However, the acceptability and feasibility of CURA within medical practitioners is unclear.
METHODS: Prospective cohort study, using mixed methods. Participants are medical practitioners working in geriatric or palliative care, who attended a workshop on CURA. They received a baseline questionnaire (n=41) after the workshop regarding acceptability and a follow-up questionnaire (n=22) after three months regarding feasibility. Additionally, in-depth interviews (n=7) were conducted.
RESULTS: 68% of participants expressed intention to use CURA at baseline; 32% were uncertain. 14% has actually used CURA after three months. Feasibility is dependent of several factors: (1) recognizing a moral situation; (2) familiarity with the methodology; (3) scheduling a CURA moment; (4) the role of colleagues and the healthcare organization.
CONCLUSION: Whereas CURA is an acceptable tool for medical practitioners, feasibility is found to be low if practitioners do not receive additional training and support.
METHODS: Prospective cohort study, using mixed methods. Participants are medical practitioners working in geriatric or palliative care, who attended a workshop on CURA. They received a baseline questionnaire (n=41) after the workshop regarding acceptability and a follow-up questionnaire (n=22) after three months regarding feasibility. Additionally, in-depth interviews (n=7) were conducted.
RESULTS: 68% of participants expressed intention to use CURA at baseline; 32% were uncertain. 14% has actually used CURA after three months. Feasibility is dependent of several factors: (1) recognizing a moral situation; (2) familiarity with the methodology; (3) scheduling a CURA moment; (4) the role of colleagues and the healthcare organization.
CONCLUSION: Whereas CURA is an acceptable tool for medical practitioners, feasibility is found to be low if practitioners do not receive additional training and support.