Abstract
Introduction: Moral dilemmas are common within geriatric and palliative care and can lead to moral distress. Clinical ethics support helps healthcare providers in managing moral dilemmas 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.
Published Version
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