Juan García

Background: Nurses who practice limitation of therapeutic effort become fully involved in emotionally charged situations, which can affect them significantly on an emotional and professional level. Objectives: To describe the experience of intensive care nurses practicing limitation of therapeutic effort. Method: A qualitative, phenomenological study was performed within the intensive care units of the Madrid Hospitals Health Service. Purposeful and snowball sampling methods were used, and data collection methods included semi-structured and unstructured interviews, researcher field notes, and participants’ personal letters. The Giorgi proposal for data analysis was used on the data. Ethical considerations: This study was approved by the Ethical Research Committee of the relevant hospital and by the Ethics Committee of the Rey Juan Carlos University and was guided by the ethical principles of voluntary enrollment, anonymity, privacy, and confidentiality. Results: In total, 22 nurses participated and 3 themes were identified regarding the nurses’ experiences when faced with limitation of therapeutic effort: (a) experiencing relief, (b) accepting the medical decision, and (c) implementing limitation of therapeutic effort. Conclusion: Nurses felt that, although they were burdened with the responsibility of implementing limitation of therapeutic effort, they were being left out of the final decision-making process regarding the same.

We investigate whether age profiles of ethnobiological knowledge development are consistent with predictions derived from life history theory about the timing of productivity and reproduction. Life history models predict complementary knowledge profiles developing across the lifespan for women and men as they experience changes in embodied capital and the needs of dependent offspring. We evaluate these predictions using an ethnobiological knowledge assessment tool developed for an off-grid pastoralist population known as Choyeros, from Baja California Sur, Mexico. Our results indicate that while individuals acquire knowledge of most dangerous items and edible resources by early adulthood, knowledge of plants and animals relevant to the age and sex divided labor domains and ecologies (e.g., women’s house gardens, men’s herding activities in the wilderness) continues to develop into middle adulthood but to different degrees and at different rates for men and women. As the demands of offspring on parents accumulate with age, reproductive-aged adults continue to develop their knowledge to meet their children’s needs. After controlling for vision, our analysis indicates that many post-reproductive adults show the greatest ethnobiological knowledge. These findings extend our understanding of the evolved human life history by illustrating how changes in embodied capital and the needs of dependent offspring predict the development of men’s and women’s ethnobiological knowledge across the lifespan.

Although entrepreneurial intention has been widely studied using cognitive models, we still lack entrepreneurial vocation and, therefore, lack disruptive innovations. Entrepreneurship scholars have some understanding of the reasons underlying this weakness, although there is much room for improvement in our learning concerning how to promote entrepreneurship among university students, especially in the transformed context of digital technologies. This paper focuses on the early stages of start-up, and in particular seeks to evaluate what role social and psychological factors play in the development of entrepreneurial intentions. Drawing on network theory, we consider the impact of social networks on entrepreneurial intention. Specifically, we analyze the influence of two types of social networks: face-to-face and online social networks, with the latter proving especially important in digital transformations. In addition, based on affective congruency theory, we relate affect with entrepreneurial intention. Particularly, we evaluate the influence of positive and negative dispositional affectivity on the formation of entrepreneurial intentions. Finally, since affect and emotions can also be related with social relationships, we analyze whether dispositional affectivities influence entrepreneurial intention through the mediation effect of social networks. Using structural equation modeling, we confirm the impact of both online and face-to-face social networks, as well as positive dispositional affectivity on entrepreneurial intention for 589 higher education students in Spain. However, negative dispositional affectivity is not seen to influence entrepreneurial intention. Furthermore, both face-to-face and online social networks are influenced by positive dispositional affectivity. Moreover, these two types of networks can even partially mediate the relationship between positive dispositional affectivity and entrepreneurial intention. Positive dispositional affectivity can thus influence entrepreneurial intention in two different ways: directly and indirectly through both face-to-face and online social networks. This study provides further insights and adds to the literature on affect, social networks, and entrepreneurial intention. From a broader perspective, we also contribute to the literature on disruptive innovations by explaining how the development of entrepreneurial intentions would have positive consequences for university students vis-à-vis achieving these disruptive innovations.

Background: The first wave of the COVID-19 pandemic caused a shortage of qualified nurses in Spain. As a result, the government authorized the hiring of senior students. Objectives: To explore the ethical dilemmas and ethical conflicts experienced by final-year nursing students who worked during the first outbreak of the COVID-19 pandemic in Spain. Research design: A qualitative exploratory study was conducted using purposive sampling. Semi-structured interviews were carried out using a question guide. Interviews took place via a private video chat room platform. A thematic, inductive analysis was performed of the information gathered. Participants and research context: Eighteen nursing students were recruited from two universities of Madrid, aged between 18 and 65 years old, enrolled in the fourth year of nursing studies and who were hired under a relief contract for health professionals during the pandemic. Ethical considerations: The present study was carried out in accordance with the Declaration of Helsinki, and the study was approved by the Local Ethics Committee of Universidad Rey Juan Carlos. Results: Three specific themes emerged: (a) coping with patient triage, (b) difficulties in providing end-of-life care, and (c) coping with patient death. Nursing students participated in the process of patient selection for resource allocation and ICU bed occupancy. They were shown how to care for patients who were not admitted to the ICU, in their last moments and were faced with the difficulties of applying end-of-life care. Finally, the nursing students were confronted with the death of their patients, in overwhelming numbers and under adverse conditions. Conclusions: These findings can help shed light on the ethical dilemmas and ethical conflicts faced by novice nursing students, incorporated into the workforce during the COVID-19 pandemic. Moreover, it was described that students may normalize the death due to the exhaustion and overwhelmed routine.

The main objective of this study is to analyse the relationship between peer school victimization and some risk and protection factors and to compare the differences by role in victimization with those of non-involved bystanders. Our participants were 1,264 secondary students (M = 14.41, SD = 1.43) who participated voluntarily, although an informed consent was requested. A logistic regression model (LR) was used in order to identify the victim’s potential risks and protective factors related to non-involved bystanders. A multiple LR and a forward stepwise LR (Wald) were used. The results showed the variables related to the victim profile were: individual features (to be male, to be at the first cycle of compulsory Secondary Education and a few challenging behaviours), school environments (i.e. school adjustment), family environment (parental styles like authoritarianism) and social environment (i.e. friends who occasionally show a positive attitude towards drug consumption and easy access to drugs, access to drugs perceived as easy, rejection by peers or lack of social acceptance and social maladjustment). The results of the study will allow tackling prevention and intervention actions in schools, families and social environment in order to improve coexistence at school and to assist the victimized students in the classroom.

The dual career allows elite athletes to attain their maximum competitive and academic performance, but the COVID-19 pandemic hindered their development and changed their perception of the importance given to the sporting and educational environment. For this reason, the aim of the present study was to determine the differences in the motivations and perceived barriers, the importance given to academic qualifications, and the perception of the dual career from a multifactorial perspective, of elite athletes according to sex, type of sport practiced, job performance, time of sports career, type of athlete, and type of scholarship received. A total of 100 student-athletes participated in the research study by completing the “Perceptions of dual career student-athletes” questionnaire. The results showed that athletes from individual modalities and those who did not receive any scholarships described more barriers. In addition, women studied more because they enjoyed it ; athletes from individual modalities studied to work later ; athletes who do not work perceived a greater influence between study and sports performance ; at the beginning and at the best stage of their sports career, a greater influence of academics on performance was perceived ; and athletes who considered themselves professionals, and athletes who did not receive any scholarships, reported that the conciliation between sports and academic life was difficult. The results obtained point to the importance of dual career scholarships for student-athletes, as well as the need for the programs implemented for these athletes to consider sex, sport modality or type of scholarship granted.

El programa del Papa Francisco es la reforma de la Iglesia en salida misionera. Una Iglesia en salida se descentra, porque se centra en Cristo por la conversión, y en el ser humano por la misión. Dado que el discípulo com- parte la vida con la Persona, y la misión de Jesús, la conversión a Él lleva a parti- cipar de su misión. Esta es la figura del discípulo misionero. Solo si se está cen- trado en Dios es posible ir hacia las peri- ferias del mundo. Hoy preferimos una Iglesia accidentada, herida y manchada por salir a la calle, antes que una Iglesia enferma por la comodidad de aferrarse a las propias seguridades, una Iglesia que salga a las periferias, más que una temerosa de equivocarse y sometida a estructuras anquilosantes.

This paper discusses the characterization of a pluralistic theory about science developed by the Mexican philosopher Leon Olivé. This theory allows explaining the diversity of philosophical positions about science and knowledge. In this aspect, pluralism lies on the basis of the recognition of otherness and difference, which enables it to be the foundation of a multicultural society with a diversity of knowledge and cosmovisions in a country like Mexico. At this point, epistemological pluralism as a philosophical position cannot take place without any limit or halt construction insulation or extreme skepticism, which may fall if excessive relativism holds. Therefore, the possibility of dialogic interaction represents, in this sense, the brake to extreme relativism, for the exchange of cultures, and different forms of knowledge lay a wealth of construction and reconstruction fruitful criticism of an independent reality, yet dependent on our conceptual schema.

Se presenta una lectura existencial de la terapia de aceptación y compromiso (ATC) desde la filosofía de Ortega. El trabajo se divide en cuatro partes. En la primera parte se realiza una presentación de la terapia de aceptación y compromiso. En la segunda parte se desarrollan algunas ideas fundamentales de la filosofía de Ortega que sirven al proyecto de defender una lectura existencial de ACT. En la tercera parte se abordan las afinidades temáticas y sustantivas entre ambos enfoques. Se presta especial interés al estudio de la afinidad valores/compromiso en ACT y la ética de Ortega. Se concluye con un resumen de las principales conclusiones y se anticipan las tareas pendientes a abordar en el futuro.

La Caritas del pre-sente y del futuro tiene el desafío de poner en el centro de su acti-vidad la “primacía de Dios”. Esta primacía redescubre el orden que existe, en relación estrechísima, entre fe, servicio, liturgia y evange-lización. El ejercicio de la caridad cristiana tiene como objetivo que los pobres salgan de su pobreza. La Caritas del futuro deberá visibi-lizar el rostro de los que sufren la cultura del descarte. Caritas está especializada en la acción caritativa-social, pero no releva de ese deber al resto de la comunidad

Resumen: El propósito de este artículo es exponer la tesis levinasiana de la inevitabilidad de lo dicho, teniendo como trasfondo algunas cuestiones epistemológicas que suscita. Para esto, se comienza presentando la contraposición que establece Levinas entre verdad del desvelamiento y verdad del testimonio, destacando sus diferencias más radicales. Posteriormente, teniendo la subjetividad como hilo conductor, se reconstruye el camino que relacionaría ambos tipos de verdad, mostrando cómo la tesis de la inevitabilidad de lo dicho adquiere relevancia en las discusiones epistemológicas. Finalmente, se concluye sugiriendo algunos aportes de esta reflexión para las consideraciones acerca de una racionalidad renovada.: This paper discusses the Levinasian thesis of the inevitability of the Said, having as its background certain epistemological issues arising from that thesis. I begin by showing the contraposition between truth of disclosure and truth of testimony, as Levinas defines them, and point out the most radical differences between the two. I then reconstruct, with subjectivity as the connecting thread, a way of relating both kinds of truth, showing how the thesis on the inevitability of the Said is relevant to epistemological discussions. I conclude by suggesting some considerations with regard to a renewed rationality.

Se realiza en este artículo un viraje desde el Lacan de sus comienzos psiquiátricos, en 1927, hasta el Lacan de función y campo del lenguaje, donde se considera que comienza su enseñanza en 1953. Es uno de los períodos de Lacan importantes pero quizás menos conocido. Primeramente hablamos de sus andanzas en la psiquiatría, donde tendrá como principal maestro a Gaëtan de Clérembault a quien reconocerá como el único maestro, aunque presentará también la influencia de Jaspers y,poco todavía, de Freud. A partir de 1936, con su escrito «Más allá del principio de realidad» comienza el período imaginario de Lacan donde va a incorporar la fenomenología y el psicoanálisis freudiano cada vez con más solidez e importancia. Finalmente, Lacan comienza no solo a incorporar a Freud, sino la concepción sobre el lenguaje de Heidegger, aunque todavía no como siginificante. Será en 1953, con «Función y campo de la palabra» donde comienza su gran entrada en lo simbólico, abandonando su fase imaginaria, dando entrada a su noción de significante y rompiendo finalmente con la fenomenología y con Jaspers, e integrando completamente a Freud, con el llamado retorno al fundador del psicoanálisis.