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  1. Limitation of therapeutic effort experienced by intensive care nurses.Juan Francisco Velarde-García, Raquel Luengo-González, Raquel González-Hervías, César Cardenete-Reyes, Beatriz Álvarez-Embarba & Domingo Palacios-Ceña - 2018 - Nursing Ethics 25 (7):867-879.
    Background: Nurses who practice limitation of therapeutic effort become fully involved in emotionally charged situations, which can affect them significantly on an emotional and professional level. Objectives: To describe the experience of intensive care nurses practicing limitation of therapeutic effort. Method: A qualitative, phenomenological study was performed within the intensive care units of the Madrid Hospitals Health Service. Purposeful and snowball sampling methods were used, and data collection methods included semi-structured and unstructured interviews, researcher field notes, and participants’ personal letters. (...)
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  • CURA: A clinical ethics support instrument for caregivers in palliative care.Suzanne Metselaar, Malene van Schaik, Guy Widdershoven & H. Roeline Pasman - 2022 - Nursing Ethics 29 (7-8):1562-1577.
    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 (...)
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  • Procedures for clinical ethics case reflections: an example from childhood cancer care.Cecilia Bartholdson, Pernilla Pergert & Gert Helgesson - 2014 - Clinical Ethics 9 (2-3):87-95.
    The procedures for structuring clinical ethics case reflections in a childhood cancer care setting are presented, including an eight-step model. Four notable characteristics of the procedures are: members of the inter-professional health care team, not external experts, taking a leading role in the reflections; patients or relatives not being directly involved; the model explicitly addressing values and moral principles instead of focussing exclusively on the interests of involved parties; using a case-based (inductive) rather than principle-based (deductive) method. By discusing the (...)
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