<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0124-8146</journal-id>
<journal-title><![CDATA[Investigaciones Andina]]></journal-title>
<abbrev-journal-title><![CDATA[Investig. andina]]></abbrev-journal-title>
<issn>0124-8146</issn>
<publisher>
<publisher-name><![CDATA[Fundación Universitaria del Área Andina - FUNANDI]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0124-81462018000200027</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[LA DELIBERACIÓN EN LA TOMA DE DECISIONES BIOÉTICO-CLÍNICAS SEGÚN DIEGO GRACIA]]></article-title>
<article-title xml:lang="en"><![CDATA[THE DELIBERATION IN BIOETHICAL CLINICAL DECISIONS MAKING ACCORDING TO DIEGO GRACIA]]></article-title>
<article-title xml:lang="pt"><![CDATA[A DELIBERAÇÃO EM TOMADA DE DECISÃO EM BIOÉTICA CLÍNICA DE ACORDO COM DIEGO GRACIA]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Parra Pineda]]></surname>
<given-names><![CDATA[Mario Orlando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá D.C]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>20</volume>
<numero>37</numero>
<fpage>27</fpage>
<lpage>40</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0124-81462018000200027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0124-81462018000200027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0124-81462018000200027&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción. El objetivo de este artículo de reflexión es estudiar el método deliberativo para la toma de decisiones en bioética clínica expuesto por Diego Gracia, una de las voces más reconocidas en el campo de la bioética española. En este artículo se analizan los siguientes aspectos de su propuesta: la fundamentación bioética, la deliberación, el proyecto humano, el acto moral, el método de toma de decisiones, las dificultades para la deliberación y las críticas al método.  Métodos. La fundamentación epistemológica de esta investigación es interpretativa, el enfoque cualitativo, el diseño analítico y la técnica de investigación utilizada es el análisis documental. Las categorías de análisis de este estudio son: fundamentación bioética, deliberación, proyecto humano, acto moral, método de toma de decisiones, dificultades para la deliberación y críticas al método.  Resultados. Los aportes más importantes de esta propuesta son: la valoración de la historia clínica como el elemento básico para el estudio y el análisis del caso clínico; el reconocimiento de la deliberación prudente como el eje fundamental para el estudio de las situaciones problemas; el estudio que se hace de las dificultades intrínsecas y extrínsecas que pueden dificultar o entorpecer el proceso deliberativo; y que la metodología propuesta es clara y sencilla para la identificación y elección de los problemas morales a estudio y de los cursos de acción para su resolución.  Discusión. Es de reconocer la obra de Diego Gracia como una de las contribuciones más importantes realizadas al estudio de los métodos de toma de decisiones en bioética clínica en lengua española, la cual se constituye como una herramienta útil en la construcción y enriquecimiento del conocimiento en este campo para los profesionales de la salud y los comités bioéticos clínicos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction. The objective of this reflection article is to study the deliberative method for decision making in clinical bioethics presented by Diego Gracia, one of the most recognized voices in the field of Spanish bioethics. In this article the following aspects of his proposal will be analyzed: the bioethical fundamentals, deliberation, human project, moral act, the decision-making method, the difficulties for the deliberation and criticism of this method.  Methods. The epistemological foundation of this research is interpretive, the qualitative approach, the analytical design and the research technique used in the documentary analysis. The categories of analysis of this study were: bioethical foundation, deliberation, human project, moral act, method of decision making, difficulties for deliberation and criticism of this method.  Results. The most important contributions of this proposal are: a) the evaluation of the clinical history as the main subject for the clinical case study and analysis; b) the recognition of prudent deliberation as the main axis for the study of problematic situations; c) the study that is made of the intrinsic and extrinsic difficulties that can make difficult or obstruct the deliberative process; and d) the proposed methodology is clear and simple to identify and select moral problems to study and courses of action for their resolution.  Discussion. It is to recognize the work of Diego Gracia as one of the most important contributions made to the study of decision-making methods in clinical bioethics in Spanish, which is a useful tool in the construction and enrichment of knowledge in this field for health professionals and clinical bioethics committees.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução. O objetivo deste artigo de reflexão é estudar o método deliberativo de tomada de decisão em bioética clínica exposto por Diego Gracia, uma das vozes mais reconhecidas no campo da bioética espanhola. Neste artigo serão analisados os seguintes aspectos da proposta acima referida: fundamentos bioéticos, deliberação, projeto humano, o ato moral, o método de tomada de decisão, dificuldades para a deliberação e crítica ao método.  Métodos. O fundamento epistemológico desta pesquisa é interpretativo, a abordagem é qualitativa, o desenho é analítico e a técnica de pesquisa utilizada na análise é documental. As categorias de análise deste estudo foram: fundamentação bioética, deliberação, projeto humano, ato moral, método de tomada de decisão, dificuldades de deliberação e crítica a esse método.  Resultados. As contribuições mais importantes desta proposta são: a) a avaliação da história clínica como elemento básico para o estudo e análise do caso clínico; b) o reconhecimento da deliberação prudente como eixo fundamental para o estudo de situações-problema; c) o estudo que é feito das dificuldades intrínsecas e extrínsecas que podem dificultar ou obstruir o processo deliberativo; d) a metodologia proposta é clara e simples para a identificação e eleição dos problemas morais a serem estudados e os cursos de ação para sua resolução.  Discussão. O trabalho de Diego Gracia deve ser reconhecido como uma das contribuições mais importantes ao estudo dos métodos de tomada de decisão em bioética clínica em língua espanhola e constitui uma ferramenta útil na construção e enriquecimento de conhecimento neste campo para profissionais de saúde e comitês de bioética clínica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[bioética]]></kwd>
<kwd lng="es"><![CDATA[toma de decisiones clínicas]]></kwd>
<kwd lng="es"><![CDATA[educación]]></kwd>
<kwd lng="en"><![CDATA[bioethics]]></kwd>
<kwd lng="en"><![CDATA[clinical decision-making]]></kwd>
<kwd lng="en"><![CDATA[education]]></kwd>
<kwd lng="pt"><![CDATA[bioética]]></kwd>
<kwd lng="pt"><![CDATA[tomada de decisão clínica]]></kwd>
<kwd lng="pt"><![CDATA[educação]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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