Background: Nurses are the largest professional group in healthcare and those who make more decisions. In 2014, the Committee on Bioethics of the Council of Europe launched the “Guide on the decision-making process regarding medical treatment in end-of-life situations”, aiming at improving decision-making processes and empowering professionals in making end-of-life decisions. The Guide does not mention nurses explicitly. Objectives: To analyze the ethical principles most valued by nurses working in palliative care when making end-of-life decisions and investigate if they are (...) consistent with the framework and recommendations of the Guide; to identify what disputed/controversial issues are more frequent in these nurses’ current end-of-life care practices. Design: Qualitative secondary analysis. Participants/context: Three qualitative datasets including 32 interviews from previous studies with nurses working in palliative care in Portugal. Ethical consideration: Ethical approval was obtained from the Ethics Research Lab of the Instituto de Bioética. Ethical procedures are thoroughly described. Findings: All participant nurses referred to autonomy as an ethical principle paramount in end-of-life decision-making. They were commonly involved in end-of-life decision-making. Palliative sedation and communication were the most mentioned disputed/controversial issues. Discussion: Autonomy was highly valued in end-of-life care and decision-making. Nurses expressed major concerns in assessing patients’ preferences, wishes, and promoting advance care planning. Nurses working in palliative care in Portugal were highly involved in end-of-life decision-making. These processes embraced a collective, inclusive approach. Palliative sedation was the most mentioned disputed issue, which is aligned with previous findings. Communication also emerged as a sensitive ethical issue; it is surprising, however, that only three nurses referred to it. Conclusion: While the Guide does not explicitly mention nurses in its content, this study shows that nurses working in palliative care in Portugal are involved in these processes. Further research is needed on nurses’ involvement and practices in end-of-life decision-making. (shrink)

RESUMEN El objetivo del presente estudio está dirigido a exponer particularidades éticas del trabajo anatomopatológico a la luz de la realidad histórico social. Se emplean métodos teóricos y empíricos y a partir del análisis documental se opera con referentes en los enfoques contemporáneos. El estudio de aspectos generales referidos a la moral y a la ética permitió acceder a definiciones, bases legales y evolución histórica, a la vez que se profundiza en su repercusión en el sector salud y se desarrollan (...) las peculiaridades del trabajo anatomopatológico desde sus manifestaciones en la actividad asistencial, docente e investigativa. Se concluye que los principios éticos generales de la conducta profesional y médica son aplicables al trabajo anatomopatológico en todas sus esferas; al igual que los de la bioética. ABSTRACT The objective of the present study is directed to exhibit ethical peculiarities of the anatomical-pathological work in view of the historical-social reality. Theoretical and empirical methods are used and from the documentary analysis it occurs with modality in the contemporary approaches. The study of general aspects referred to the morality and to the ethics allowed to gain access to definitions, legal bases and historical evolution, simultaneously that deepens in its aftereffect in the sector health and the peculiarities of the anatomical-pathological work develop from its declarations in the welfare, teaching and investigative activity. One concludes that the general ethical beginning of the professional and medical conduct is applicable to the anatomical-pathological work in all its spheres; as those of the bioethics. (shrink)

RESUMEN Se fundamenta la concepción teórica general de la educación axiológica en el contexto del sistema de enseñanza de postgrado para la formación de educadores ambientales. Se aplicaron los métodos del nivel teórico analítico-sintético, inductivo-deductivo, histórico-lógico y ascensión de lo abstracto a lo concreto, con la intención de sistematizar información proveniente de la bibliografía consultada y de la experiencia profesional de los autores. Se defiende la idea de considerar la existencia de una dimensión ambiental de valores universales, en lugar de (...) hacer referencia a valores estrictamente ambientales. Se enfatiza en la importancia que, para la educación, adquiere la estimulación de la actividad valorativa del sujeto, a partir de una noción precisa del sistema de virtudes y fortalezas del carácter. Se identifican cinco valores básicos a desarrollar en el educador ambiental, para asegurar, desde el punto de vista axiológico, su desempeño en la preparación de diferentes sectores sociales y consolidar la necesaria contribución de los mismos a la sostenibilidad ecológica. ABSTRACT In this paper a general theoretical conception of axiological education is systematized in the context of the postgraduate educational system in the training of environmental educators. Methods of the theoretic level to systematize information obtained from the bibliography and from the vocational experience of the author. The category value is analyzed aimed at using it unilaterally from the environmental perspective and it is concluded that it is much more objective, from the theoretical point of view, to assume the existence of an environmental dimension of universal values ​​rather than of strictly environmental values. It emphasizes on the importance of the stimulation of the person’s valuating activity for education, from a precise notion of the system of virtues and character strengths. Five basic values are identified ​​ to be developed in an environmental educator to ensure, from the axiological point of view, his performance in the preparation of different social sectors to strengthen their necessary contribution to ecological sustainability. (shrink)

Resumen En este trabajo se estudia la percepción de un grupo de estudiantes universitarios sevillanos, sin conocimientos especializados sobre la variación geográfica y social del español, hacia las variedades andaluza, canaria y castellana. Los resultados revelan la presencia significativa de juicios negativos hacia su propia modalidad de habla, tanto en lo relativo a la pronunciación como a su asociación con un estatus social bajo. No obstante, se produjo un incremento de consideraciones positivas cuando se les pidió la valoración de los (...) habitantes de su región, los andaluces. La variedad castellana, que se identificó como la forma de hablar más prestigiosa, recibió las valoraciones más positivas: fue considerada una pronunciación clara y sus hablantes se asociaron a una posición social elevada. En tercer lugar, las creencias sobre la variedad canaria reforzaron algunos tópicos como la dulzura del acento. (shrink)

El presente artículo versa sobre la relación entre el sistema que el filósofo mexicanoJosé Vasconcelos llama monismo estético y su teoría del conocimiento, donde primalo que denomina “conocimiento emocional”. Se ubica, además, al pensamientovasconceliano en el contexto del pensamiento latinoamericano de principios delsiglo xx y la reacción antipositivista de la época.

La cuestión de la creación artística ha sido motivo de reflexiones desde hace siglos: si es un fin en sí misma o si es medio de lograr otros fines, políticos e ideológicos. El presente trabajo se encamina a estudiar cuáles son las ideas al respecto planteadas en el marxismo y cuál ha sido el origen teórico del realismo socialista, considerado como un añadido posterior, ajeno a las concepciones de Marx.

La apertura al cognitivismo ético representa la principal línea argumental en defensa del positivismo jurídico. A partir de ella se han examinado las relaciones entre derecho y moral para ver en qué medida se puede seguir manteniendo la tesis de la separación. En este trabajo se sostiene que el problema del positivismo radica en su concepto de derecho y se plantea como alternativa una indagación que exige recuperar la filosofía del derecho como actividad orientada a comprender la raíz del fenómeno (...) jurídico. Esta aproximación alternativa permite, entre otras cosas, examinar la tesis de la separación entre derecho y moral desde una perspectiva no normativista. (shrink)

O presente artigo insere-se no quadro da Didática da Matemática, alicerçando na Teoria Antropológica do didático, uma teoria que tem o objeto de saber como seu foco, analisando-o a nível epistemológico e institucional e tem entre os seus elementos primitivos de analise, a abordagem ecologia, praxeológica e a noção de relação ao objeto. É sobre a relação ao objeto que o artigo concentra a sua discussão, a nível teórico, objetivando mostrar como a DM pode contribuir para um debate sobre a (...) decolonização epistemológica de saberes no ensino da Matemática. Em nossa analise, destacamos a abordagem ecológica como o principal elemento de análise na TAD que, ao se situar na análise das condições e restrições de vida do objeto em seu ambiente conceitual, procura compreender como o objeto está posto nos currículos, ao questionar sobre o que existe? o que não existe? o que desapareceu e porquê? o que existe em outros ambientes de vida e não estão aqui? Porque que não estão aqui? Etc. A DM procura por este meio, questionar e denunciar as práticas de ensino que tem as epistemologias do pensamento moderno colonial, eurocêntrico/ocidental como únicas formas de produção do conhecimento matemático, e que por via disso, tendem a subjugar, subalternizar, primitivizar sabedorias outras, não eurocêntricas/ocidentais. Ao mesmo tempo que denuncia, por meio da abordagem praxeológica, propõe ações, mecanismos que possibilitem trazer e discutir as sabedorias não eurocêntricas/ocidentais em espaços escolares, para participarem do processo de produção do conhecimento científico, através do processo de circulação de saberes ou praxeologias entre instituições. (shrink)

Dos sentidos del término conciencia han convivido desde que tenemos constancia del uso del mismo: el psíquico y el moral. Un rasgo distintivo del pensamiento moderno consiste en considerar que el primero ha de prevalecer sobre el segundo. Sin embargo, la propia evolución del concepto parece exigir en nuestros días una apelación a lo social para completar su determinación.

Background The expressions of a “wish to hasten death” or “wish to die” raise ethical concerns and challenges. These expressions are related to ethical principles intertwined within the field of medical ethics, particularly in end-of-life care. Although some reviews were conducted about this topic, none of them provides an in-depth analysis of the meanings behind the “wish to hasten death/die” based specifically on the ethical principles of autonomy, dignity, and vulnerability. The aim of this review is to understand if and (...) how the meanings behind the “wish to hasten death/die” relate to and are interpreted in light of ethical principles in palliative care. Methods We conducted a meta-ethnographic review according to the PRISMA guidelines and aligned with Noblit and Hare’s framework. Searches were performed in three databases, Web of Science, PubMed, CINAHL, with no time restrictions. Original qualitative studies exploring the meanings given by patients, family caregivers and healthcare professionals in any context of palliative and end-of-life care were included. A narrative synthesis was undertaken. PROSPERO registration CRD42023360330. Results Out of 893 retrieved articles, 26 were included in the analysis, accounting for the meanings of a total of 2,398 participants. Several factors and meanings associated with the “wish to hasten death” and/or “wish to die” were identified and are mainly of a psychosocial and spiritual nature. The ethical principles of autonomy and dignity were the ones mostly associated with the “wish to hasten death”. Ethical principles were essentially inferred from the content of included articles, although not explicitly stated as bioethical principles. Conclusions This meta-ethnographic review shows a reduced number of qualitative studies on the “wish to hasten death” and/or “wish to die” explicitly stating ethical principles. This suggests a lack of bioethical reflection and reasoning in the empirical end-of-life literature and a lack of embedded ethics in clinical practice. There is a need for healthcare professionals to address these topics compassionately and ethically, taking into account the unique perspectives of patients and family members. More qualitative studies on the meanings behind a wish to hasten death, their ethical contours, ethical reasoning, and implications for clinical practice are needed. (shrink)

It is sometimes argued that the concept of the self is the unifying thread that ties together the rich diversity of philosophical and theological themes in Kierkegaard's works.1 In his conception of the self he provides us with a coherent and unified view of human existence. For Kierkegaard the self is not a static entity but a dynamic and unfolding reality, something I must strive to become. One is not a self but becomes a self as an ethico‐religious task to (...) be actualized. The purpose of this paper is to outline Kierkegaard's anthropology of the self with particular emphasis on the ethical and religious dimensions of selfhood. I will first elucidate the structure and dynamic character of the self, and then will examine the dialectical development of the self in the ethical and religious stages of existence. Finally I will address the widespread criticism of Kierkegaard's conception of the self as being radically individualistic and asocial. (shrink)

Edition of the opuscules by D. Báñez on De auxiliis controversy. There is the critical edition of three manuscripts and the first Spanish annotated translation of the opuscules. The Latin text is disposed together with the translation. An introduction situates the opuscules in its systematic and historical context.

Climate change is a threat to food system stability, with small islands particularly vulnerable to extreme weather events. In Puerto Rico, a diminished agricultural sector and resulting food import dependence have been implicated in reduced diet quality, rural impoverishment, and periodic food insecurity during natural disasters. In contrast, smallholder farmers in Puerto Rico serve as cultural emblems of self-sufficient food production, providing fresh foods to local communities in an informal economy and leveraging traditional knowledge systems to manage varying ecological and (...) climatic constraints. The current mixed methods study sought to document this expertise and employed a questionnaire and narrative interviewing in a purposeful sample of 30 smallholder farmers after Hurricane María to identify experiences in post-disaster food access and agricultural recovery and reveal underlying socioecological knowledge that may contribute to a more climate resilient food system in Puerto Rico. Although the hurricane resulted in significant damages, farmers contributed to post-disaster food access by sharing a variety of surviving fruits, vegetables, and root crops among community members. Practices such as crop diversification, seed banking, and soil conservation were identified as climate resilient farm management strategies, and smallholder farmer networks were discussed as a promising solution to amass resources and bolster agricultural productivity. These recommendations were shared in a narrative highlighting socioecological identity, self-sufficiency, community and cultural heritage, and collaborative agency as integral to agricultural resilience. Efforts to promote climate resilience in Puerto Rico must leverage smallholder farmers’ socioecological expertise to reclaim a more equitable, sustainable, and community-owned food system. (shrink)

El objetivo del presente trabajo es evaluar si el problema de la adopción supone un obstáculo real para la revisión de la lógica. En este marco, defendemos una posición antiexcepcionalista de la lógica y examinamos la posibilidad de modificar las prácticas inferenciales a raíz de una modificación en la teoría lógica. Aun cediendo el punto central del problema, argumentamos que no solo puede salvaguardarse la posibilidad de modificar racionalmente nuestra teoría lógica, sino también la de razonar deductivamente siguiendo nuevos patrones (...) inferenciales. Es decir, consideramos que el dilema kripkeano alcanza únicamente para rechazar la posibilidad de adoptar ciertos principios lógicos, así como de razonar de acuerdo a ellos según una noción específica de “adopción”, pero no anula la posibilidad de adquirirlos mediante otros mecanismos a los que llamamos “adquisición por inmersión” y “adquisición por decodificación”. (shrink)

Karl Rahner’s thinking can be understood by looking at several of its coordinates. First, it unfolds in close connection with the fundamental dynamics of human existence. Second, it is prompted by a personal and immediate experience of God, namely, the one of the author himself. Third, it is influenced by the spirituality of Saint Ignatius of Loyola. Fourth, it aims to show the reasonableness and, therefore, the credibility of the Christian faith. Fifth, it is guided by intellectual honesty that leads (...) to facing reality without reduction or concealment. Finally, it combines philosophy and theology, more precisely, treats philosophy as a necessary moment in theology. Karl Rahner is remembered for operating the “anthropological turn” in theology. This means that, in his view, one should not reflect on God without reflecting on the human being as well. Rahner is particularly interested in examining the human’s ability to receive what comes from God’s self-revelation. It is an aspect that gives occasion to the discussion that Hans Urs von Balthasar has with him. At the heart of Rahner’s anthropology is the “transcendental experience”. It is originated by the absolute mystery that is present in human existence, precisely that mystery that Christians call God. It is such a fundamental experience that it must be taken into account when leading one’s own existence. (shrink)

Examining the theoretical and empirical status of applied ethics, this volume demonstrates how a pluralistic and democratic society can deal with ethical issues in the light of its moral conscience.

Gregorio de Nacianzo, uno de los padres capadocios, es denominado por la tradición oriental como “el Teólogo”. Sin embargo, su faceta de filósofo es menos conocida y a menudo minusvalorada. Nos proponemos presentar cuál es el modo específico de filosofía que se encuentra en los discursos de Gregorio. Comenzaremos por examinar el primero de sus discursos teológicos, donde establece las condiciones en las que el ser humano puede hablar sobre la divinidad. En segundo lugar, examinaremos su dedicación a la literatura (...) y la oratoria, para caracterizar su pensamiento como “filosofía retórica” o “retórica filosófica”. El tercer apartado nos llevará a la confrontación del Nacianceno con los nuevos arrianos de su tiempo, especialmente Aecio de Antioquía y Eunomio de Cízico. Rechaza el nominalismo de estos herejes y su abuso de los recursos de la lógica aristotélica, que denomina “tecnología”. Nuestro autor concede mayor importancia a la realidad de Dios que a las palabras que nombran lo divino. Por último, trataremos de resumir las relaciones entre razón y fe, siguiendo su conocida fórmula: “la fe es plenitud de la razón”. (shrink)

Scanlon (2008) has argued that his theory of permissibility (STP) has more explanatory power than the Doctrine of Double Effect (DDE). I believe this claim is wrong. Borrowing Michael Walzer’s method of inquiry, I will evaluate the explanatory virtue of these accounts by their understanding of actual moral intuitions originated in historical cases. Practically, I will evaluate these accounts as they explain cases of hostage crises. The main question in this context is: is it permissible that nation-states act with military (...) force in order to liberate hostages, even if those actions put the lives of the hostages at risk? The first part of this paper has an operative reconstruction of the relevant theories. In the second section, two cases of hostage crises will be considered: the Moscow theater hostage crisis of 2002, and the Jaque Operation, which occurred in Colombia in 2008. Additionally, it will be shown that DDE explains these cases better than STP. Finally, this paper offers a critical analysis of Scanlon’s account of the explanatory power of both STP and DDE. (shrink)