This original article outlines a theoretical path and posterior critical analysis regarding two relevant matters in modern nursing: patterns of knowing in nursing and commodification contexts in contemporary health systems. The aim of our manuscript is to examine the development of basic and contextual nursing knowledge in commodified contexts. For this purpose, we outline a discussion and reflexive dialogue based on a literature search and our clinical experience. To lay the foundation for an informed discussion, we conducted a literature search (...) and selected relevant articles in English, Spanish, and Portuguese that included contents on patterns of knowing, commodification, and nursing published from 1978 to 2017. Globalization, commodification, and austerity measures seem to have negative effects on nursing. Work conditions are worsening, deteriorating nurse–patient relationships, and limiting reflection on practice. Nurses must develop knowledge to challenge and participate in institutional organization and public health policies. Development of nursing knowledge may be difficult to achieve in commodified environments. Consequently, therapeutic care relationships, healthcare services, and nurses' own health are compromised. However, by obtaining organizational, sociopolitical, and emancipatory knowledge, nurses can use strategies to adapt to or resist commodified contexts while constructing basic knowledge. (shrink)

The commodification of health care, particularly primary care, presents challenges to care and knowledge development. The purpose of this study is to examine how nurses perceive and develop their knowledge in a commodified context. A mixed‐methods study was conducted that included a closed‐question survey and in‐depth interviews with nurses in public primary care in Catalonia. There were 104 valid responses to the questionnaire and 10 in‐depth interviews. The main findings of the survey were related to workload and limited time for (...) nursing care. Six themes emerged from the in‐depth interviews: (1) limited time for nursing, (2) feelings of burnout, (3) awareness of patient and family satisfaction, (4) organizational factors that favor nurses' needs, (5) organizational factors that hinder nurses' needs, and finally (6) public administration requirements. Participants perceive excessive workload and time constraints and feel that this affects their nursing care and their physical and mental health. However, nurses purposefully use knowledge patterns to cope with the problems associated with commodification. Nurses have multidimensional, contextualized, and integrated knowledge that allows them to optimize their care based on the needs of their patients. This research examines many challenges related to nursing practice and the nursing discipline and opens the door for further research that encompasses all areas of nursing. (shrink)

Many of our daily activities are now made more convenient and efficient by virtual assistants, and the day when they can be designed to instruct us in certain skills, such as those needed to make moral judgements, is not far off. In this paper we ask to what extent it would be ethically acceptable for these so-called virtual assistants for moral enhancement to use subtle strategies, known as “nudges”, to influence our decisions. To achieve our goal, we will first characterise (...) nudges in their standard use and discuss the debate they have generated around their possible manipulative character, establishing three conditions of manipulation. Secondly, we ask whether nudges can occur in moral virtual assistants that are not manipulative. After critically analysing some proposed virtual assistants, we argue in favour of one of them, given that by pursuing an open and neutral moral enhancement, it promotes and respects the autonomy of the person as much as possible. Thirdly, we analyse how nudges could enhance the functioning of such an assistant, and evaluate them in terms of their degree of threat to the subject’s autonomy and their level of transparency. Finally, we consider the possibility of using motivational nudges, which not only help us in the formation of moral judgements but also in our moral behaviour. (shrink)

La interioridad es uno de los temas más importantes y que distinguenla filosofía agustiniana.Agustín de Hipona descubrió y se interesó por la interioridadcon la lectura de los libros platónicos, así pues, se puede leer en lasConfesiones: “amonestado por estos libros a volver a mí mismo entréen mi interior guiado por ti.”.

This article explores whether and how the biotechnologization process that the fuel-plant Jatropha curcas is undergoing might strengthen local sustainable development. It focuses on the ongoing efforts of the multi-stakeholder network Gota Verde to harness Jatropha within local small-scale production systems in Yoro, Honduras. It also looks at the genomics research on Jatropha conducted by the Dutch research institute Plant Research International, specifically addressing the ways in which that research can assists local development in Honduras. A territorial approach is applied (...) for analysis employing a three domain concept (local sustainable biotechnological development) of territory, technology and re-territorialization. The article suggests that, although the biotechnologization process (through genomics) of Jatropha within the socio-technical framework of the institute and multi-stakeholder networks is an ongoing process––and different trajectories are, therefore, still open––the process can, nevertheless, strengthen local sustainable development. (shrink)

Este artículo analiza la aplicación en la escuela de plataformas privativas de enseñanza, cuyo uso ha tenido un impulso con la pandemia de la COVID19. Google workplace for education se ha considerado una vía eficaz tanto para adaptarse a los retos de la digitalización como para afrontar situaciones ex- traordinarias. El análisis realizado revela una amenaza ligada a la intimidad de los menores. Aplicando análisis heurístico, los resultados muestran la ne- cesidad de efectivizar un principio de cautela tecnológica sobre el (...) uso de estas plataformas en la educación. Se concluye con la necesidad de profundizar en el análisis de las implicaciones para los niños y adolescentes del uso de este soft- ware y la conveniencia de aplicar herramientas libres y abiertas. (shrink)

As an incapacitated patient is unable to make decisions regarding their care, physicians turn to next-of-kin when appointing a surrogate decision-maker in the absence of an advanced directive. With the increasing complexity of modern families, physicians are facing new ethical dilemmas when choosing the individual to make end-of-life decisions for their patients. Legal definitions and hierarchies are no longer adhering to the purpose of a surrogate-decision maker, which is to maintain a patient’s autonomy. Moral criteria for surrogates, which emphasize the (...) importance of making decisions that align with the patient’s desires and wishes and negate biological relationships over emotional connections, are becoming much more important. This paper explores a case study in which physicians must appoint a surrogate decision-maker for an incapacitated patient, forced to choose between a biological relationship and a strong emotional connection. (shrink)

El presente trabajo analiza el postmarxismo o populismo que colectivos autodenominados de izquierda han incorporado al debate político español procedente de Iberoamerica, desde la perspectiva del pensamiento de Rosa Luxemburg. En este artículo se plantea la hipótesis de que podría establecerse un paralelismo entre el reformismo, con el que Luxemburg calificó a la socialdemocracia alemana, y el discurso de actores políticos que asumen los postulados populistas. Se entiende que el populismo oculta la cuestión de clase en beneficio de ‘guerras culturales’. (...) Este artículo responde a esta pregunta afirmativamente y se estima que el populismo o postmarxismo es una herramienta que desatiende la cuestión de clase y hace inviable el cambio social. (shrink)

El desarrollo de internet en los últimos años ha sido espectacular. Con la explosión del internet de las cosas (IoT) el procesamiento de datos incrementa su complejidad, pero también sus beneficios. No obstante, en la última década han surgido periódicamente noticias que nos muestran una serie de efectos de esta tecnología, alejados de la visión casi mítica que siempre ha tenido y que pudiera afectar a elementos básicos de nuestra democracia. En este trabajo se señalan tres de los principales retos (...) que tienen nuestros Estados democráticos de derecho. El primero es el de los datos y la forma en qué son procesados. El segundo es el uso de la tecnología de la información para la vigilancia de la ciudadanía con el uso de instrumentos que vulneren las garantías contempladas por los derechos fundamentales. Finalmente, la manera en que internet impacta en la formación y educación cívica. Se finalizarán con unas breves conclusiones donde se contemplarán algunas propuestas. (shrink)

El libro compilado por Manuel Tizziani y Joel Sidler presenta los resultados de un proyecto de investigación sobre la difusión, edición y recepción de la Ilustración y el liberalismo en España y el Río de la Plata, un trabajo financiado por la Universidad Nacional del Litoral (Argentina). Allí se desempeñan tanto sus coordinadores y la mayoría de sus autores, como su única autora, la profesora Ana Orecchia.

Este artículo ofrece una reconstrucción crítica de la teoría rawlsiana de los bienes primarios. Tras hacer una evaluación de las críticas de B. BaíTy, W. Kymlicka y A. Sen a esta teoría rawlsiana, el autor propone que la mayor debilidad del argumento de Rawls reside en el supuesto de "normalidad" que le subyace.

Este trabajo trata sobre la escuela pública de forma integrada en la sociedad y desde una perspectiva la educación en democracia y para la democracia. Defiende un modelo educativo basado en valores democráticos que sean puestos en práctica de verdad por todos los componentes de la escuela, en especial los alumnos y los profesores. El funcionamiento jerárquico de la escuela y el paradigma hegemónico del presente, donde predominan criterios conservadores, imposibilitan este modelo. Sin embargo, hay modos de conseguir mejoras y (...) progresar en la formación de ciudadanos críticos y solidarios que puedan colaborar para transformar la sociedad.This work treats on the public school of form integrated to the society and from a perspective the education in democracy and for the democracy. There defends an educational model based on democratic values that are put into practice indeed by all the components of the school, especially the pupils and the teachers. The hierarchic functioning of the school and the hegemonic paradigm of the present, where they predominate over conservative criteria, disable this model. Nevertheless, there are manners of obtaining improvements and of progressing in the training of critical and solidary citizens who could collaborate to transform the society. (shrink)

El objetivo de este trabajo es realizar una crítica al concepto hegemónico-dominante de ciencia a través de un análisis de la construcción discursiva del paradigma de la simplificación heredado de la Modernidad. Se problematizan las exclusiones político-epistemológicas de la tradición del pensamien..

Domestic violence is an important social problem that strongly impacts the healthcare system. It is estimated that two to four million women are physically abused each year by their husbands, ex-husbands, or boyfriends. Many of these abused women enter the medical system as patients with physical injuries, somatic symptoms, or psychiatric problems. These patients represent a large proportion of women patients in a variety of clinical settings: 22–35% of women presenting to emergency departments, up to 37% of obstetric patients, and (...) over 25% of women seeking primary care. Despite the significant health implications of marital abuse, healthcare providers often fail to identify and treat this problem when signs are present. (shrink)