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Training nurses to facilitate and implement CURA in palliative care institutions: development and evaluation of a blended learning program
BACKGROUND: Healthcare professionals in palliative care are found to be confronted with moral challenges on a frequent basis. CURA is a low-threshold instrument for dialogical ethical reflection that was developed to deal with these challenges. A previous study identified the need of healthcare prof...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10590004/ https://www.ncbi.nlm.nih.gov/pubmed/37865740 http://dx.doi.org/10.1186/s12904-023-01284-4 |
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author | van Schaik, Malene Kröger, Charlotte Zuidema, Lisa Stolper, Margreet Widdershoven, Guy Pasman, H. Roeline Metselaar, Suzanne |
author_facet | van Schaik, Malene Kröger, Charlotte Zuidema, Lisa Stolper, Margreet Widdershoven, Guy Pasman, H. Roeline Metselaar, Suzanne |
author_sort | van Schaik, Malene |
collection | PubMed |
description | BACKGROUND: Healthcare professionals in palliative care are found to be confronted with moral challenges on a frequent basis. CURA is a low-threshold instrument for dialogical ethical reflection that was developed to deal with these challenges. A previous study identified the need of healthcare professionals to be trained to introduce CURA in their organization, initiate and facilitate reflections with CURA, and contribute to the implementation of CURA. The aim of this study was to develop and evaluate a training for professionals to become ‘CURA-ambassadors’. METHODS: The training was developed in a participatory way in two cycles. We trained 72 healthcare professionals. The training was evaluated by means of a questionnaire and six semi-structured interviews. RESULTS: The study resulted in a blended learning training combining training sessions with an e-module and with practicing with organizing and facilitating CURA in daily healthcare practice. The main objectives of the training are to enable CURA-ambassadors to introduce CURA within their organization, initiate and facilitate ethical reflections using CURA, and contribute to the implementation of CURA. Participants were generally positive about the training program and the trainers. Technical difficulties related to the e-module were mentioned as main point of improvement. DISCUSSION: The training program can generate ownership, responsibility, and competency among CURA-ambassadors, which are essential foundations for implementing complex interventions in healthcare practice. The training program received positive evaluations shortly after completing the program. This study adds to our understanding of what is needed for healthcare professionals to use CURA, in order to support them in dealing with moral challenges and to foster their moral resilience. Further research is needed to assess whether participants experience the training as sufficient and effective when using and implementing CURA structurally in their organizations over a longer period of time. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12904-023-01284-4. |
format | Online Article Text |
id | pubmed-10590004 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-105900042023-10-22 Training nurses to facilitate and implement CURA in palliative care institutions: development and evaluation of a blended learning program van Schaik, Malene Kröger, Charlotte Zuidema, Lisa Stolper, Margreet Widdershoven, Guy Pasman, H. Roeline Metselaar, Suzanne BMC Palliat Care Research BACKGROUND: Healthcare professionals in palliative care are found to be confronted with moral challenges on a frequent basis. CURA is a low-threshold instrument for dialogical ethical reflection that was developed to deal with these challenges. A previous study identified the need of healthcare professionals to be trained to introduce CURA in their organization, initiate and facilitate reflections with CURA, and contribute to the implementation of CURA. The aim of this study was to develop and evaluate a training for professionals to become ‘CURA-ambassadors’. METHODS: The training was developed in a participatory way in two cycles. We trained 72 healthcare professionals. The training was evaluated by means of a questionnaire and six semi-structured interviews. RESULTS: The study resulted in a blended learning training combining training sessions with an e-module and with practicing with organizing and facilitating CURA in daily healthcare practice. The main objectives of the training are to enable CURA-ambassadors to introduce CURA within their organization, initiate and facilitate ethical reflections using CURA, and contribute to the implementation of CURA. Participants were generally positive about the training program and the trainers. Technical difficulties related to the e-module were mentioned as main point of improvement. DISCUSSION: The training program can generate ownership, responsibility, and competency among CURA-ambassadors, which are essential foundations for implementing complex interventions in healthcare practice. The training program received positive evaluations shortly after completing the program. This study adds to our understanding of what is needed for healthcare professionals to use CURA, in order to support them in dealing with moral challenges and to foster their moral resilience. Further research is needed to assess whether participants experience the training as sufficient and effective when using and implementing CURA structurally in their organizations over a longer period of time. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12904-023-01284-4. BioMed Central 2023-10-21 /pmc/articles/PMC10590004/ /pubmed/37865740 http://dx.doi.org/10.1186/s12904-023-01284-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research van Schaik, Malene Kröger, Charlotte Zuidema, Lisa Stolper, Margreet Widdershoven, Guy Pasman, H. Roeline Metselaar, Suzanne Training nurses to facilitate and implement CURA in palliative care institutions: development and evaluation of a blended learning program |
title | Training nurses to facilitate and implement CURA in palliative care institutions: development and evaluation of a blended learning program |
title_full | Training nurses to facilitate and implement CURA in palliative care institutions: development and evaluation of a blended learning program |
title_fullStr | Training nurses to facilitate and implement CURA in palliative care institutions: development and evaluation of a blended learning program |
title_full_unstemmed | Training nurses to facilitate and implement CURA in palliative care institutions: development and evaluation of a blended learning program |
title_short | Training nurses to facilitate and implement CURA in palliative care institutions: development and evaluation of a blended learning program |
title_sort | training nurses to facilitate and implement cura in palliative care institutions: development and evaluation of a blended learning program |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10590004/ https://www.ncbi.nlm.nih.gov/pubmed/37865740 http://dx.doi.org/10.1186/s12904-023-01284-4 |
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