Modelo de toma de decisiones bioéticas en ciencias de la salud

Resumen

La importancia de la toma de decisiones éticas en ciencias de la salud ha promovido la generación de esquemas que orientan este proceso. El objetivo es proponer un modelo teórico de toma de decisiones bioéticas. Se hizo una búsqueda y revisión de la literatura en bases de datos y bibliotecas electrónicas con palabras clave, se identificaron y analizaron once modelos de toma de decisiones éticas según parámetros establecidos y se incluyeron resultados de estudios sobre el tema. Los esquemas analizados plantean una toma de decisiones basada en la razón a partir de un número variable de pasos cognitivos y, en general, aportan pocos elementos para su aplicación práctica. Se planteó el Modelo de Integración Razón Emoción para la Toma de Decisiones Bioéticas en Ciencias de la Salud. Este modelo sintetiza los pasos cognitivos para tomar decisiones adecuadas, mediante la integración de la razón y la emoción, la posibilidad de aplicación de diversos marcos éticos y la puesta en juego de la competencia ética y las habilidades de pensamiento crítico.

Biografía del autor/a

Nancy Piedad Molina Montoya, Universidad de La Salle

Optómetra, Msc. Ph.D. Docente investigadora de la Universidad de La Salle. Bogotá, Colombia.

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Biografía del autor/a

Nancy Piedad Molina Montoya, Universidad de La Salle

Optómetra, Msc. Ph.D. Docente investigadora de la Universidad de La Salle. Bogotá, Colombia.

Referencias bibliográficas

Arries, E.(2005). Virtue Ethics: an approach to moral dilemmas in nursing. Curationis. 28 (3) .p.66.

Bailey, Norman. y Heitman, Elizabeth (2002).An optometrist Guide to Clinical Ethics. St. Louis, Missouri :American Optometric Association.

Balkevicius, M.(2012). Ethical Competence: Problem Based Learning Approach in Moral Education. Lithuanian University of Educational Sciences, Department of Education Recuperado de: http://www.ramk.fi/loader.aspx?id=4dbd2726-fdbf-4a3b-91e9-b2798ff9ec0d

Beauchamp, T., Childress, J. (2009) Principles of Biomedical Ethics. New York: Oxford University Press.

Bennet-Woods, Deb. Ethics at a glance. Kantian Ethics. Regis University, 2005. Recuperado de: http://rhchp.regis.edu/HCE/EthicsAtAGlance/.

Brock, SC. (2006) Narrative Ethics. En: eLS. John Wiley & Sons(2006) Ltd, Chichester. Recuperado de: http://www.els.net

Brussino, S. (2012). La deliberación como estrategia educativa en Bioética. En Vidal, S.(Ed) La Educación en Bioética en América latina y el Caribe: experiencias realizadas y desafíos futuros. Montevideo: Programa para América Latina y el Caribe en Bioética y Ética de la Ciencia de UNESCO. Oficina Regional de Ciencia para América Latina y El Caribe.Montevideo, Uruguay. UNESCO.

Cameron, M., Schaffer, M. y Park, H.(2000) Nursing students' experience of ethical problems and use of ethical decision-making models. Nursing Ethics, 8 (5), 432-447.

Cassells, M., Jenkins, J., Lea, D., Calzone, K. y Johnson, E. (2003) An ethical assessment framework for addressing global genetic issues in clinical practice. Oncology Nursing Forum, 30 (3), 383-90.

Cerit, B. y Dinc, L. (2012) Ethical decision making and professional behavior among nurses: A correlational Study. Nursing ethics, 20 (2) 201

Center For The Advancement Of Applied Ethics At Carnegie Mellon University. 2003. Moral Pluralism. Recuperado de: http://www.andrew.cmu.edu/user/pm2n/PPGSite/discussion.htm

Choe, K., Song, E. y Kang, Y. (2013) Recognizing bioethical issues and ethical qualification in nursing students and faculty in South Korea. Nursing Ethics. 20 (2), 213-225.

Christensen, J. (1997) Teaching Tutorial. Assisting the learning of ethics. Optometric Education. The Journal of the Association of Schools and Colleges of Optometry, 22 (4),120-124

DeSimone, B.(2016). Curriculum Design to Promote the Ethical Decision-Making Competence of Accelerated Bachelor’s Degree Nursing Students SAGE Open. January-March,1–10.https://doi.org/10.1177/2158244016632285 2016:

Epstein, S. 2008. Intuition from the perspective of cognitive-experiential self-theory. En H. Plessner, C Betsch & T. Betsch (Eds.), Intuition in judgment and decisionmaking: 23-37. New York: Laurence Earlbaum Associates/Taylor & Francis Group.

Gracia, D. (2009). UD2 Método de la Bioética. Recuperado de: http://cvb.ehu.es/open_course_ware/castellano/salud/bioetica/content/ud2_metodo_ocw_09.pdf

Gracia, D. (sf) La deliberación Moral. EL papel de las metodologías de ética clínica. Recuperado de: http://www.eutanasia.ws/hemeroteca/t385.pdf

Garret, B. (2005) Student nurses’ perceptions of clinical decision-making in the final year of adult nursing studies. Nurse Education in Practice. 5 (5), 30-39

Gibson, C. (1993) .Underpinnings of ethical reasoning in nursing. Journal of Advanced Nursing, 18 (12),2003-2007.

Greipp, Mary (1992) Greipp's model of ethical decision making. Journal of Advanced Nursing, 17 (6), 734-738.

Grundstein-Amado, R. (1991). An integrative model of Clinical-ethical decision making. Theoretical Medicine and bioethics, 12 (2),157-170.

Grundstein-Amado, R. (1992) Differences in ethical decision-making processes among nurses and doctors. Journal Of Advanced Nursing. 17 (2), 129-137.

House, J., Theyyunni, N., Barnosky, A., Fuhrel-Forbis, A., Seeyave, D., Ambs, D., Fisher, J. y Santen, S.(2015) Understanding ethical dilemmas in the emergency department: views from medical students essays. The Journal of Emergency Medicine,48 (4), 492–498.

Heuer, S. (2008) A case study method for teaching bioethics. Thesis Master Degree.University Iowa State, Iowa.

Josephson Institute of Ethics. (1999) The Seven-Step Path To Better Decisions Recuperado de:Http://Josephsoninstitute.Org/Med-4sevensteppath/

Mcgonigle, D.,Mastrian, K., y Farcus, N.(SF): Ethical Challenges in Healthcare Informatics. Recuperado de : http://www.personal.psu.edu/dxm12/n458/index.htm

Millman, A. Critical Thinking Attitudes: A Framework for the Issues. En: Narvaez, D. (2010) Moral Complexity: The Fatal Attraction of Truthiness and the Importance of Mature Moral Functioning. Perspectives on Psychological Science, 5 (2),163-181

Molina Montoya, N. (2016, junio 10). Formación bioética en ciencias de la salud. Ciencia Y Tecnología Para La Salud Visual Y Ocular, 14(1), 117-132. https://doi.org/10.19052/sv.3544

Molina Montoya, N. (2016, septiembre 5). Problemas bioéticos percibidos por los estudiantes que desarrollan su práctica en la Clínica de Optometría de la Universidad de La Salle. Ciencia Y Tecnología Para La Salud Visual Y Ocular, 14(2), 53-60. https://doi.org/10.19052/sv.3837

Molina M, N. (2017) Toma de decisiones bioéticas en Optometría Clínica. Bogotá: Ediciones Unisalle,

Narvaez, D. (2010) Moral Complexity: The Fatal Attraction of Truthiness and the Importance of Mature Moral Functioning. Perspectives on Psychological Science, 5 (2),163-181

Nora, Carlise Rigon Dalla, Deodato, Sérgio, Vieira, Margarida Maria da Silva, & Zoboli, Elma Lourdes Campos Pavone. (2016). Elements and strategies for ethical decision-making in nursing. Texto & Contexto - Enfermagem, 25(2), e4500014. Epub July 07, 2016.https://dx.doi.org/10.1590/0104-07072016004500014

Paul, R. (2000) Critical thinking, moral integrity and citizenchip: teaching for intelectual virtues. En: Axtell, G. (2000) (Ed). Knowledge, Belief, and Character: Readings in Virtue Epistemology. Boston: Rowman & Littlefield Publishers.

Park, EJ. (2012) An integrated ethical decision-making model for nurses. Nursing Ethics, 19(1),139-159.

PLUS: The decision Making Process (Sf) Recuperado de: https://www.ethics.org/newsite/research/free-toolkit/decision-making-model

Sanchez-Sweatman, L. (1999). The development of nursing cases for ethics research: a Methodologic Inquiry. Thesis Master Degree. Departmenty of Nursing Science.University of Toronto. Toronto.

Schmidt, L.(2008) Método de Interpretación y Análisis Holístico de Casos bioéticos. Acta Bioethica, 14 (1), 39-46

Shapiro, J. y Miller, R. (1994) How medical students think about ethical issues. Academic Medicine, 69 (7), 591-593.

Sinclair, JM.(2013) New Zealand nursing students’ experiences of ethical issues in clinical practice: A descriptive study. Tesis de Maestría. Taradale: Eastern Institute of Technology New Zealand.

Souza, Dayse Neri de, & Souza, Francislê Neri de. (2014). Nursing Teaching Strategies by Encouraging Students’ Questioning, Argumentation and Explanation. Revista da Escola de Enfermagem da USP, 48(spe2), 155-163. Epub December 00, 2014.https://dx.doi.org/10.1590/S0080-623420140000800023

Tsai, TC. y Harasym, P.(2010) A medical ethical reasoning model and its contributions to medical education. Medical Education, 44 (9),864-873.

Tanner, C. (2006) Thinking like a nurse: a research-based model of clinical judgment in nursing. Journal of Nursing Education, 45 (6),204-211.

The IDEA (2008) Ethical Decision-Making Framework .Toronto Central Community Care Access Centre Community Ethics Toolkit Recuperado de: http://www.trilliumhealthcentre.org/about/documents/TrilliumIDEA_EthicalDecisionMakingFramework.pdf

Thomasma, D. 2003 Theories of medical ethics: The philosophical structure. En: Military Ethics Volume 1. Recuperado de: http://www.cs.amedd.army.mil/borden/Portlet.aspx?ID=106cb6b1-3327-47f3-a350-b2fb57beb928 marzo de 2014 p 37

Thompson, J.(1985) Bioethical decisión making for nurses.Norwalk, CT: Apleton-Century-Crofts.

Tong, R. y Williams, N.(sf) Feminist Ethics. Stanford Encyclopedia of philosophy. Recuperado de: http://plato.stanford.edu/entries/feminism-ethics/

Toren, O. y Warner, N. (2010) Applying an ethical decision-making tool to a nurse management dilemma. Nursing Ethics, 17 (3),393-402

Weizenbluth, J., Sokolowski, M. y Gordon, M. (2008) The Power of Stories: Narrative Ethics in Long-Term Care. Annals of Long term care. 2,16 (9), s.p.

Wueste, D. (2005) Philosophical yet user-friendly framework for ethical decision making in critical care nursing. Dimensions Of Critical Care Nursing, 24 (2), 70-9.

Zhong, Chen-Bo (2011). The Ethical Dangers of Deliberative Decision Making Administrative Science Quarterly, 56, 1–25

Zollo, L., Pellegrini, M.M. & Ciappei, (2017) What Sparks Ethical Decision Making? The Interplay Between from the Scholastic Doctrine Moral Intuition and Moral Reasoning: Lessons C. Journal of Bussiness Ethics145: 681. https://doi.org/10.1007/s10551-016-3221-8

Cómo citar
Molina Montoya, N. P. (2018). Modelo de toma de decisiones bioéticas en ciencias de la salud. Revista Latinoamericana De Bioética, 19(36-1), 135–150. https://doi.org/10.18359/rlbi.3598
Publicado
2018-12-19

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