CURA: A clinical ethics support instrument for caregivers in palliative care

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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.
Original languageEnglish
Pages (from-to)1562-1577
Number of pages16
JournalNursing ethics
Issue number7-8
Early online date2022
Publication statusPublished - Dec 2022


  • clinical ethics support
  • moral competences
  • moral resilience
  • new interventions
  • palliative care

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