CURA: Developing, evaluating and implementing a new clinical ethics support instrument in palliative care

This thesis describes the development, evaluation and implementation of CURA, a clinical ethics support instrument. It is a four-step instrument that can be used to reflect on moral challenges. CURA is developed for and with healthcare professionals working in palliative care. While CURA is considered feasible and effective, support is needed for implementation. One of the strategies to support implementation is by training ‘CURA ambassadors’. These ambassadors are trained to initiate, facilitate and help implement CURA within their organization. CURA is aimed at strengthening moral competences and fostering moral resilience, which enables healthcare professionals to reflect on moral challenges, take well-considered ethical actions and navigate moral distress.