<?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>1657-4702</journal-id>
<journal-title><![CDATA[Revista Latinoamericana de Bioética]]></journal-title>
<abbrev-journal-title><![CDATA[rev.latinoam.bioet.]]></abbrev-journal-title>
<issn>1657-4702</issn>
<publisher>
<publisher-name><![CDATA[Universidad Militar Nueva Granada]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1657-47022024000100117</article-id>
<article-id pub-id-type="doi">10.18359/rlbi.6725</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Espiritualidad y relación médico-paciente: un estudio de caso en médicos del Ecuador desde la ética narrativa]]></article-title>
<article-title xml:lang="en"><![CDATA[Spirituality and the Doctor-Patient Relationship: a Case Study in Ecuadorian Doctors from Narrative Ethics]]></article-title>
<article-title xml:lang="pt"><![CDATA[Espiritualidade e relação médico-paciente: um estudo de caso em médicos do Equador a partir da ética narrativa]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vélez Vargas]]></surname>
<given-names><![CDATA[Paola Juliet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castellanos Rodríguez]]></surname>
<given-names><![CDATA[Silvia Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Católica del Ecuador Facultad de Medicina Riverao Preto Universidad de Sao Paulo]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Asociación Latinoamericana para el Desarrollo Alternativo, ALDEA  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>117</fpage>
<lpage>134</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1657-47022024000100117&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1657-47022024000100117&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1657-47022024000100117&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  Por medio de la bioética narrativa, este artículo presenta y discute los resultados del análisis del discurso de médicos ecuatorianos de atención de cuidados paliativos, con la finalidad de entender el papel de la espiritualidad en la relación médico-paciente y sus impactos en el abordaje de problemas éticos.  Metodología:  Se utiliza una metodología cualitativa, privilegiando entrevistas semiestructuradas realizadas a 20 médicos, 13 mujeres y 7 hombres, entre 28 y 69 años. La selección de los participantes se realizó mediante el método de bola de nieve hasta obtener la saturación de la información. Las entrevistas se analizaron con ayuda del sistema informático Atlas Ti.  Resultados:  Del análisis de las entrevistas emergieron 5 categorías: abordaje de espiritualidad, espiritualidad, muerte, ética y relación médico-paciente. Estas categorías analizadas mediante redes de asociación revelan los vínculos que tienen para los entrevistados la ética y espiritualidad.  Discusión y conclusiones:  El presente estudio devela la importancia de la espiritualidad en el ámbito de la salud, siempre y cuando se dé en el marco del respeto y la empatía. No hacerlo representa una omisión generadora de sufrimiento espiritual para los pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Through narrative bioethics, this article presents and discusses the results of an analysis of the discourse of Ecuadorian palliative care physicians, aiming to understand the role of spirituality in the doctor-patient relationship and its impact on addressing ethical issues.  Methodology:  A qualitative methodology was employed, utilizing semi-structured interviews with twenty physicians (13 women and 7 men), aged between 28 and 69. Participants were selected using the snowball method until data saturation was achieved. The interviews were analyzed with the aid of the Altas Ti software.  Results:  Five categories emerged from the analysis: approach to spirituality, spirituality, death, ethics, and doctor-patient relationship. These categories analyzed through association networks, reveal the connections between ethics and spirituality as perceived by the interviewees.  Discussion and conclusions:  The study highlights the importance of spirituality in the health field, provided it occurs within a framework of respect and empathy. Neglecting this aspect can lead spiritual suffering for patients.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  Por meio da bioética narrativa, este artigo apresenta e discute os resultados da análise do discurso de médicos equatorianos de atenção de cuidados paliativos, com a finalidade de entender o papel da espiritualidade na relação médico-paciente e seus impactos na abordagem de problemas éticos.  Metodologia:  Se utiliza uma metodologia qualitativa, privilegiando entrevistas semiestruturadas realizadas a 20 médicos, 13 mulheres e 7 homens, entre 28 e 69 anos. A seleção dos participantes se realizou mediante o método de bola de neve até obter a saturação da informação. As entrevistas se analisaram com ajuda do sistema informático Atlas Ti.  Resultados:  Da análise das entrevistas emergiram 5 categorias: abordagem de espiritualidade, espiritualidade, morte, ética e relação médico-paciente. Estas categorias analisadas mediante redes de associação revelam os vínculos que têm para os entrevistados a ética e espiritualidade.  Discussão e conclusões:  O presente estudo revela a importância da espiritualidade no âmbito da saúde, sempre e quando se dê no marco do respeito e da empatia. Não fazê-lo representa uma omissão geradora de sofrimento espiritual para os pacientes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[espiritualidad]]></kwd>
<kwd lng="es"><![CDATA[relación médico-paciente]]></kwd>
<kwd lng="es"><![CDATA[bioética]]></kwd>
<kwd lng="es"><![CDATA[cuidados paliativos]]></kwd>
<kwd lng="en"><![CDATA[Spirituality]]></kwd>
<kwd lng="en"><![CDATA[Medical Patient Relationship]]></kwd>
<kwd lng="en"><![CDATA[Bioethics]]></kwd>
<kwd lng="en"><![CDATA[Palliative Care]]></kwd>
<kwd lng="pt"><![CDATA[espiritualidade]]></kwd>
<kwd lng="pt"><![CDATA[relação médico-paciente]]></kwd>
<kwd lng="pt"><![CDATA[bioética]]></kwd>
<kwd lng="pt"><![CDATA[cuidados paliativos]]></kwd>
</kwd-group>
</article-meta>
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