利用 CURA 对道德疑惑进行联合思考:一种低门槛的道德思考工具

M. van Schaik, G. Froyen
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引用次数: 1

摘要

利用 CURA 对道德疑虑进行联合反思:一种低门槛临床道德支持工具医疗服务提供者经常会遇到具有道德挑战性的情况。通过促进反思、产生新的见解和行动方案,临床道德支持可以帮助他们在这些复杂的情况下游刃有余。CURA 是一种在唤起道德怀疑的情况下提供低阈值支持的工具。本文通过一个案例来说明 CURA 如何发挥作用,并强调它能为医疗服务提供者带来的益处。该案例涉及一名患有阿尔茨海默氏症的妇女在夜间表现出烦躁不安,扰乱了住宿护理中心其他客户的睡眠。夜班护士希望通过固定等措施来解决这种情况。而痴呆症个案经理则主张采取一种既能满足她的价值观,又能满足所有参与者需求的方法。这一案例讨论突出了在临床伦理支持下共同反思的重要性:通过共同制定新的行动方案来提供良好的护理,通过分享道德疑虑来减少道德困扰。CURA 是实现这些目标的方法之一。
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Gezamenlijke reflectie over ethische twijfel met CURA: een laagdrempelig instrument voor moreel beraad
Joint reflection on moral doubts with CURA: a low-threshold clinical ethics support instrument Healthcare providers frequently encounter morally challenging situations. Clinical ethics support helps them to navigate in these complex situations by fostering reflection and generating new insights and courses of action. CURA is an instrument developed to provide low-threshold support in situations that evoke moral doubt. This article presents a case study to illustrate how CURA works and to underline the benefits it can bring to healthcare providers. The case involves a woman with Alzheimer’s disease exhibiting restlessness at night, disrupting the sleep of other clients of the residential care center. The night shift nurses want the situation to be resolved, for instance through measures such as fixation. The dementia case manager, however, advocates for an approach that meets her values and the needs of all participants. This case discussion highlights the significance of joint reflection with clinical ethics support: provide good care through generating new courses of action together and reduce moral distress by sharing moral doubts. CURA is one of the methods that can be used to achieve these goals.
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