BackgroundImplementing the routine consultation of patient advance directives in hospital emergency departments and emergency medical services has become essential, given that advance directives constitute the frame of reference for care personalisation and respect for patients’ values and preferences related to healthcare. The aim of this study was to assess the levels and relationship of knowledge and attitudes of nursing and medical professionals towards advance directives in hospital emergency departments and emergency medical services, and to determine the correlated and predictor variables (...) of favourable attitudes towards advance directives.MethodsObservational, descriptive, and cross-sectional study. The study was conducted in the emergency department of a second-level hospital and in the emergency medical service. Data collection was performed from January 2019 to February 2020. The STROBE guidelines were followed for the preparation of the study.ResultsA total of 173 healthcare professionals responded to the questionnaire. Among them, 91.3% considered that they were not sufficiently informed about advance directives, and 74% acknowledged not having incorporated them into their usual practice. Multinomial analysis indicated a statistically significant relationship between the variable emergency medical service and having more favourable attitudes towards consulting the advance directives in their practical application (OR 2.49 [95% CI 1.06–5.88]; p = 0.037) and compliance in complex scenarios (OR 3.65 [95% CI 1.58 − 8.41]; p = 0.002). Working the afternoon and night shift was a predictor variable for obtaining a higher score with respect to attitudes in complex scenarios.ConclusionThere is an association between the level of knowledge that nursing and medical professionals have about advance directives and the scores obtained on the attitude scales at the time of practical implementation and in complex scenarios. This shows that the more knowledge professionals have, the more likely they are to consult patients' advance directives and to respect their wishes and preferences for care and/or treatment. (shrink)

Background: In Hospital Emergency Department and Emergency Medical Services professionals experience situations in which they face difficulties or barriers to know patient’s advance directives and implement them. Objectives: To analyse the barriers, facilitators, and ethical conflicts perceived by health professionals derived from the management of advance directives in emergency services. Research design, participants, and context: This is a qualitative phenomenological study conducted with purposive sampling including a population of nursing and medical professionals linked to Hospital Emergency Department and Emergency Medical (...) Services. Three focus groups were formed, totalling 24 participants. We performed an inductive-type thematic discourse analysis. Ethical considerations: This study was approved by ethical committees of Ethical Commitee of Clínic Hospital (Barcelona) and Comittee of Emergency Medical Services (Barcelona). The participants received information about the purpose of the study. Patients’ anonymity and willingness to participate in the study were guaranteed. Findings: There were four types of barriers that hindered the proper management of patients’ advance directives in Hospital Emergency Department and Emergency Medical Services: personal and professional, family members, organisational and structural, and those derived from the health system. These barriers caused ethical conflicts and hindered professionals’ decision-making. Discussion: These results are in line with those of previous studies and indicate that factors such as gender, professional category, and years of experience, in addition to professionals’ beliefs and the opinions of colleagues and family members, can also influence the professionals’ final decisions. Conclusion: The different strategies described in this study can contribute to the development of health policies and action protocols to help reduce both the barriers that hinder the correct management and implementation of advance directives and the ethical conflicts generated. (shrink)

This paper proposes a teaching alternative that can encourage the ethical reflective sensibility among students of social entrepreneurship. It does so by exploring the possibility of using religious parables as narratives that can be analysed from Ricoeur’s hermeneutics to provoke and encourage ethical discussions in social entrepreneurship courses. To illustrate this argument, the paper makes use of a parable from the New Testament as an example of a religious narrative that can be used to prompt discussions about social entrepreneurs’ ethical (...) dilemmas. The paper adds to the limited works that consider the teaching of ethics within social entrepreneurship education. It also advances studies that seek alternative strategies to teaching ethics in business contexts, making these strategies discernible for discussion within the broader business and management literature. (shrink)

Research on individual differences in facing the COVID-19 pandemic seems to be crucial in order to design diverse and highly effective intervention strategies. This study uses a sample of 302 North American participants who were recruited through the crowdsourcing platform ProA; different profiles were established, profiling variables of interest in facing the COVID-19 outbreak. Socio-demographic and psychological (personality traits, gratitude, life purpose, and religiosity) variables were explored. These results are of interest if we want to deepen the study of individual (...) differences at both a theoretical and applied level. (shrink)

Es un placer para nosotros, flamantes nuevos editores de la sección multilingüe de la EJPAP, estrenar esta sección con el dossier monográfico “Jane Addams en español.” El monográfico ha conseguido la hazaña de poder unir por primera vez textos de las todavía pocas personas que escriben en lengua castellana y que están familiarizadas con la obra de Jane Addams (1860-1935). El desconocimiento de la vida y obra de Jane Addams entre el público hispanohablante no se debe, de ningún modo, al (...) hecho... (shrink)

El presente estudio se basa en las colecciones de los manuscritos árabes que se conservan actualmente en España. Para ello se hace un análisis de las colecciones existentes. A continuación se lleva a cabo un estudio de los catálogos e inventarios aparecidos, desde los primeros en el siglo XVI hasta la actualidad, deteniéndose en los más destacados. La segunda parte del estudio se centra en la técnica del análisis documental, que engloba los trabajos de catalogación y descripción bibliográfica. Se repasa (...) la normativa vigente, para terminar con reflexiones personales de los datos que deben aparecer en los catálogos y cómo deben aparecer. (shrink)

Summary This paper aims to bridge anthropological and cognitivist research undertaken by Gilbert Durand and Mark Johnson, who studied the phenomenon of meaning making in a similar way, although they had to use different terminology as their disciplines demanded. Durand established systematization for analyzing symbolism by taking into account the position of the body and the perceptions determining the underlying schemata of symbols. Two decades later, Mark Johnson described image schemata as gestalts having an internal structure derived from bodily perceptions. (...) Owing to these similarities, a comparison between Durand and Johnson’s theories is offered first. In the second place, I reviewed the cognitive value of the anthropological regimes of imaginaire described by Durand. During the analysis, the terminology used by these theorists (like ‘image schemata’ or ‘axiomatic schemata’) was comparatively analyzed to find common ground between their positions. In conclusion, the need for recovering theories of imagination proposed by heterodox scholars like Durand is highlighted, since they anticipate the role of images and imagination not only in language, as Johnson demonstrated, but also in the formation of anthropologically relevant symbols, which are of interest for the analysis of literature and other arts. (shrink)

Volver objeto temático la herencia de la teoría crítica es interrogar nuevamente por la capacidad de discernimiento de la praxis humana que se ejerce bajo el supuesto de que algo existente no debería ser como es, porque se han incumplido sus aspiraciones normativas o porque ellas mutan en dispositivos de control. Al mismo tiempo, la pregunta enfática por la crítica implica algo diferente al examen de los criterios de legitimidad de los distintos saberes críticos y su relación con el poder. (...) La pregunta también interpela a la propia constitución de la crítica como capacidad de discernimiento. A partir del diagnóstico del régimen poscrítico, se propone aquí un desplazamiento en la formulación del problema de la crisis de la crítica. Con este desplazamiento no se aboga por un abandono radical de la crítica, ni se defiende su función provisoria en vistas de su consumación práctica en una sociedad verdadera; tampoco al orden de la regulación normativa que permite determinar, evaluar y jerarquizar su propio desempeño. Lo que nos interesa explorar es aquello que se sustrae de la regulación normativa del juicio sobre lo adecuado y lo inadecuado. El tema de reflexión es lo que la crítica designa en su diferencia irreductible con ella misma. El presente trabajo indaga entonces esa diferencia bajo el nombre de «crítica reticente». Para ello se vale de la noción de Adorno de «lo añadido». La tesis general sostiene que la crítica reticente refiere a un «momento estético» que le impide autoconstituirse, como quería Kant, en tribunal absoluto al que todo debe someterse. (shrink)

This article presents a critical discursive analysis around the concept of menstrual health in a series of texts published in book format and in social networks in the last five years (2019-2023) by different activists and menstrual educators in Argentina. In a reading itinerary that goes from the singular to the collective, I identify the configuration of an experiential episteme that redefines the menstruating body as informational and multidimensional, which enables that, in addition to a physiological dimension, its role in (...) different social, political, cultural, environmental and economic contexts is vindicated. I place these examples in the context of the neoliberal precariousness that installs the therapeutic-managerial culture as a moral imperative, while at the same time it challenges certain subjectivities with relative privilege —white, urban, trained and educated women— to dispute and strain meanings. (shrink)

Resumo: Os escritos estéticos de Lukács durante a emigração na URSS constituem uma súmula de seu posicionamento contra o despotismo stalinista e a ortodoxia soviética. A despeito das “autocríticas protocolares”, os textos expressam a crítica interdita pelo dogmatismo e o sectarismo característicos do período e irão repercutir a preocupação do autor de que a Estética e Para uma Ontologia do Ser Social, fossem consideradas como sua contribuição à urgência da construção de um projeto de renovação e renascimento do marxismo.

Las Confesiones de San Agustín son una obra muy peculiar. Lectores e investigadores convienen en ello. No es fácil ‘definir’ ni comprender ese escrito. El presente estudio intenta una aproximación a su contenido mediante un examen de ciertos rasgos característicos de la obra que derivan de su propia singularidad. Y denunciamos también algunos impedimentos de comprensión y lectura. Confiemos en que esta mirada pueda ofrecer una guía inicial, pero orientadora, a la misma. Además, el estudio formal y temático revela una (...) dinámica interna, de su estructura misma, que va del relato autobiográfico a la reflexión , de lo narrativo al pensamiento. Este avance tendencial culmina al concluir el libro IX, donde la dimensión narrativa de la obra termina. Razón por la cual los libros X-XI alcanzan el vértice teorético de las Confesiones, con su investigación de la memoria y del tiempo. El presente estudio concluye con una breve exposición del problema agustiniano de la subjetividad o el yo, en la base de esos dos libros.t. Augustine’s Confessions is a very particular work. Readers and Scholarsagree upon it. Therefore, it’s ‘definition’ and understanding are not so easy. These paper tries to provide an approach to the contents of this difficult writing, by means of an examination of some main special traits, arising from the particular work’s kind. And we betray also some new difficulties for it’s reading and understanding. It is hoped that these brief look to the famous Augustinian writing could offer an initial but adviser guide to it. Moreover, the formal and thematic inquiry reveal an internal dynamics of it’s structure, which moves from the autobiographycal account to the reflection , from the story to the thinking. This aimed advance culminates at the end of the book IX, where the work’s narrative side concludes. That’s why the books X and XI reach the theoretical summit of the Confessions through their search for memory and time. Our paper ends with an exposition of the Augustinian inquiry on the human subiectivity, underlying both these books. (shrink)

Alumnos con discapacidad: modelo de inclusión de la Universidad Federal de San Carlos Resumen: El objetivo fue describir cómo funciona el programa de inclusión para alumnos con discapacidad en la Universidad Federal de San Carlos, en Brasil. Es una investigación cualitativa con análisis del discurso de cuatro entrevistas semiestructuradas con alumnos con discapacidad, investigadores especialistas y gestores. Los principales resultados muestran que no es suficiente trabajar sobre los ejes de atención a estos estudiantes sino se analizan y evalúan las funciones (...) de los actores involucrados en el proceso de inclusión. Es necesaria una estructura que promueva cambios culturales en la comunidad universitaria, de otro modo, las barreras actitudinales siguen siendo uno de los principales límites para estos alumnos. Palabras clave: Educación Superior; Discapacidad; Educación Especial; Educación Inclusiva. Alunos com deficiência: modelo de inclusão na Universidade Federal de São Carlos Resumo: O objetivo desta pesquisa foi descrever o funcionamento do programa de inclusão para alunos com deficiência na Universidade Federal de São Carlos, Brasil. Trata-se de uma pesquisa qualitativa com base na análise do discurso de quatro entrevistas semiestruturadas com alunos com deficiência, pesquisadores especializados e gestores. Os resultados centrais mostram que não é suficiente trabalhar sobre os eixos principais de atenção a estes alunos, que deve-se analisar e avaliar as funções dos atores envolvidos no processo de inclusão, e é preciso uma estrutura que motive uma mudança cultural na comunidade universitária, caso contrário, as barreiras atitudinais continuam sendo limites principais para estes alunos. Palavras-chave: Ensino Superior; Deficiência; Educação Especial; Educação Inclusiva. Students with disabilities: inclusion model of Federal University of São Carlos Abstract: The objective of the study is to describe the inclusion program for students with disability in the Federal University of São Carlos, in Brazil. A qualitative study based on discourse analysis of four semi-structured interviews with students with disability, specialist researchers, and managers. The main results shows that is not enough to focus on the principal subjects of inclusive education, instead, it’s necessary to analyze responsibilities of every actor involved in the inclusion process, motivation based structure is needed towards a cultural change. Otherwise, attitudinal barriers of the university community continue to be one of the principal limits for these students. Key words: Higher Education; Disability; Especial Education; Inclusive Education. Data de registro: 04/03/2020 Data de aceite: 28/08/2020. (shrink)

Resumen Proponer una ontología de lo político implica preguntarse por la relación que se establece entre ontología e historia. Si ambos términos se presentan como opuestos y excluyentes entre sí, entonces tendríamos que aceptar la posibilidad de que lo político pueda concebirse con plena autonomía de un contexto histórico determinado. Aquí, por el contrario, se trata de pensar una ontología de lo político que mantenga con la historia una relación distinta o, en otras palabras, una ontología política materialista. Para abordar (...) esta problemática partimos de la obra de Nicos Poulantzas, para dar cuenta con ella de las dificultades que enfrentaba un marxismo en crisis a la hora de pensar la autonomía de la política. El posmarxismo enfrenta estos dilemas y elabora algunas respuestas sobre la relación entre ontología e historia. Para exponer lo que muchos de estos desarrollos comparten, recurrimos a la interpretación de Oliver Marchart sobre lo que él denomina el pensamiento político posfundacional (Cf. Lefort, Badiou, Laclau, Rancière). Luego recurrimos a los postulados de Gilles Deleuze, porque con ellos podemos desplazar de otra forma la tradicional antinomia entre ontología e historia. Entonces, asumiendo que el Ser de lo político es un ser que siempre se dice de la diferencia, nos abocamos a analizar críticamente las teorizaciones de Ernesto Laclau sobre la política y su forma hegemónica. Finalmente, la relación que propone Benjamín Arditi entre espectro y populismo permite pensar nuevas relaciones entre la ontología y la historia, lo político y la diferencia, dinamizando los conceptos. (shrink)

In recent years, several studies have advocated the need to expand the concept of patient autonomy beyond the capacity to deliberate and make decisions regarding a specific medical intervention or treatment (decision-making or decisional autonomy). Arguing along the same lines, this paper proposes a multidimensional concept of patient autonomy (decisional, executive, functional, informative and narrative) and argues that determining the specific aspect of autonomy affected is the first step towards protecting or promoting (and respecting) patient autonomy. These different manifestations of (...) autonomy are not mutually dependent; there may be patients who have problems in one dimension, while at the same time being fully autonomous in others. Nevertheless, a close interaction has been observed between the various dimensions and indeed, a phenomenological analysis shows that damage to or a reduction in one aspect of people’s capacity for self-government generally affects other aspects of their autonomy, which in turn disrupts their identity and the way in which they see themselves and are seen by others. In this paper, I shall examine some of these interactions and show how they may lie at the heart of the problem of poor treatment adherence (where adherence is defined as being the extent to which a patient’s behavior over time coincides with the recommendations made by and agreed with their health professional). One example given is that of psoriasis, a chronic skin disease with a very poor adherence record. In Spain, it is calculated that 85% of patients diagnosed with mild to moderate psoriasis fail to comply properly with their treatment, and figures from other parts of the world are similar. Although there are many possible causes for non-adherence among psoriasis patients, assessing their decisional, executive and narrative capacities and taking appropriate action based on the results may help increase adherence rates. (shrink)

The use in psychology of crowdsourcing platforms as a method of data collection has been increasing in popularity because of its relative ease and versatility. Our goal is to adapt the Gratitude Questionnaire–20 Items to the English language by using data collected through a crowdsourcing platform. The G20 is a comprehensive instrument that takes in consideration the different basic processes of gratitude and assesses the construct’s cognitive, evaluative, emotional, and behavioral processes. We test the psychometric properties of the English version (...) of the G20 with a Prolific user sample. We assess the adequacy of the G20 for the crowdsourcing population in its English version. A description of the characteristics of the participants is conducted. Reliability analyses reveal an optimal internal consistency of the adapted scale. The results are discussed from a cross-cultural vision of gratitude. We conclude that the Gratitude Questionnaire–20 Items, adapted to English with an American sample, is a psychometrically strong instrument to measure gratitude using crowdsourcing platforms for data collection and, therefore, a reference and useful tool in future research. (shrink)

As critical research has revealed, climate change scepticism and inaction are not about science but ideas, and specifically the ideas that conform our worldview. Drawing on key theoretical approaches to climate change denial from the social sciences and humanities, this paper discusses the ideological dimension and, more especially, the anthropocentric denial underlying our failure to respond to climate change. We argue that the speciesist anthropocentrism inherent in the current dominant ethics is what prevents humanity from reacting to the main human-induced (...) drivers of global warming. Encouraged to do so by current mainstream ethics, humans overpopulate the planet, grow at the expense of other species, and indulge in cruel, unhealthy and unsustainable practices. We counterpose this ethics against the egalitarian, non-speciesist approach of the animal ethics movement, positing that it represents the next radical reflexive movement and could be used to break the climate deadlock. Animal ethics allows links with inegalitarianism and privilege that may help address climate contrarianism and climate inaction much more effectively. (shrink)

Dewey and the Task before Us: The Making of the Democratic Experience This book review could also be entitled “John Dewey: Old and New,” recalling a distant resemblance to one of the most well known books of Dewey, Individualism Old and New (1930). But in this case the subject pursued under this title would be the development in the reception of John Dewey’s work in the past century. This is a genuine hermeneutical reflection on the significance of one of the (...) most important American intellect... (shrink)

El presente artículo busca señalar que cantantes como Bob Marley, Bunny Wailer y Peter Tosh han ejercido una especie de educación tribal que le ha permitido a la comunidad rastafari informarse de las pautas de comportamiento social y moral que han llegado a considerarse como emblemáticas de su sistema de valores. Para lograr nuestro propósito se citarán y glosarán un conjunto de canciones de ese género musical que a lo largo de décadas ha pregonado la naturaleza divina de Haile Selassie, (...) la idea del regreso al África, la importancia histórica y política de Marcus Garvey, el carácter sacramental del consumo de la marihuana y el valor simbólico de los dreadlocks. (shrink)

The pandemic has exposed the costs of job and income losses. Emergency cash transfers can mitigate the worst immediate effects on people who lack access to safety nets. This research note provides estimates for a potential Temporary Basic Income for poor and near-poor people across 132 developing countries, as well as the minimum cost of income support sufficient to mitigate the pandemic-induced poverty increase. The total monthly cost of the TBI ranges 0.27–0.63% of developing countries’ combined GDP, depending on the (...) choice: top-ups on each country’s average incomes up to a vulnerability threshold; transfers based on each country’s median standard of living; or uniform transfers. This note argues that some form of TBI is within reach and can inform a larger conversation about how to build comprehensive social protection systems that make the poor and near-poor more resilient to economic downturns in the future. (shrink)