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  • Bioética y Veracidad

    Lolas Stepke,Fernando (Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile, 2020-10-01)
  • Bioética y veracidad. Cuando la palabra del médico puede llegar a profundizar el desvalimiento del paciente

    Rilova Salazar,Felipe Arturo (Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile, 2020-10-01)
    Resumen Las reflexiones en este artículo consideran el modo en que el médico general puede interpretar y aplicar la regla referida al derecho del paciente a conocer la verdad, con base en sus esquemas de asimilación y comprensión, estrechamente emparentados con la filosofía implícita en el modelo teórico de la medicina contemporánea. Se considera la necesidad de que la regla que prescribe el “derecho del paciente a conocer la verdad” se adecue al grado de desvalimiento de cada caso, con el fin de no convertir a este derecho en una obligación que contradiga el principio de responsabilidad que señala la corriente bioética personalista. Se hace referencia a la “fobia al médico” -iatrofobia- como expresión del daño psíquico específico que resulta de una inapropiada aplicación de la “veracidad”, y, en orden a una práxis que ha dejado de ser “asistencial” (derivada del latín “assistere”: estar al lado de) para convertirse en estrictamente terapéutica, se hace referencia al desafío de desenvolverse por fuera de las férreas matrices positivistas en las que el modelo médico actual persiste instalado, señalando los obstáculos que seguramente han de sortear los comités de bioética, a la hora de instar al cumplimiento responsable de la regla de veracidad.
  • Utilitarian and common-sense morality discussions in intercultural nursing practice

    Hanssen, Ingrid; Alpers, Lise-Merete (SAGE Publications, 2010-03)
    Two areas of ethical conflict in intercultural nursing — who needs single rooms more, and how far should nurses go to comply with ethnic minority patients’ wishes? — are discussed from a utilitarian and common-sense morality point of view. These theories may mirror nurses’ way of thinking better than principled ethics, and both philosophies play a significant role in shaping nurses’ decision making. Questions concerning room allocation, noisy behaviour, and demands that nurses are unprepared or unequipped for may be hard to cope with owing to physical restrictions and other patients’ needs. Unsolvable problems may cause stress and a bad conscience as no solution is ‘right’ for all the patients concerned. Nurses experience a moral state of disequilibrium, which occurs when they feel responsible for the outcomes of their actions in situations that have no clear-cut solution.
  • Teaching Ethics in Religious or Cultural Conflict Situations: a Personal Perspective

    Benari, Gili (SAGE Publications, 2009-07)
    This article portrays the unique aspects of ethics education in a multicultural, multireligious and conflict-based atmosphere among Jewish and Arab nursing students in Jerusalem, Israel. It discusses the principles and the methods used for rising above this tension and dealing with this complicated situation, based on Yoder's `bridging' method. An example is used of Jewish and Arab students together implementing two projects in 2008, when the faculty decided to co-operate with communities in East Jerusalem, the Arab side of the city. The students took it upon themselves to chaperon the teachers who came to watch them at work, translate, and facilitate interaction with a guarded and suspicious community. This approach could also be relevant to less extreme conditions in any inter-religious environment when trying to produce graduates with a strong ethical awareness.
  • Managing Values and Ethics in an International Bank

    van Nimwegen, Ton; Soeters, Joseph; Van Luijk, Henk (Sage Publications, 2004-04)
    Multinational companies face serious problems when personnel in their national subsidiaries are not acting in accordance with basic principles of ‘proper behavior’ and moral standards. In this article a description is given of the way in which an internationally operating bank has formulated four company values, in order to implement basic standards in their organization on a worldwide scale. These values (integrity, respect, teamwork and professionalism) have subsequently been diffused among the bank’s subsidiaries by means of a rollout program. This article focuses on this rollout program and the way it has been received in the national subsidiaries of the bank. Data from a comparative survey in 19 countries help to understand the dynamics of this process of formulating, diffusion and reception. The article closes with some points of discussion.

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