Camilo Lopez

En los años recorridos de este siglo XXI la filosofía de la educación y la enseñanza de la filosofía, particularmente en Colombia e Iberoamérica, se han convertido en campos de acción y de profunda reflexión. Dado que ponen en discusión la relación de las filosofías con su pasado, con las instituciones y llevan necesariamente a preguntarnos por su quehacer en el presente y sus condiciones a futuro. Los debates teóricos y la confrontación de perspectivas han venido ganando fuerza, como lo evidencia la producción académica derivada de resultados de investigación, y las reflexiones realizadas por docentes de filosofía en facultades o programas de filosofía al igual que en los espacios universitarios de formación en educación. Un buen número de publicaciones de artículos de revistas y libros, así como contenidos en formatos de radio, blogs y otros posibilitados por plataformas de internet y redes sociales, dan cuenta de esta fructífera y necesaria producción intelectual en un área que es igualmente importante y necesaria para la formación y quehacer filosófico en Colombia e Iberoamérica. Además, es destacable la periódica realización de congresos internacionales, nacionales y las asociaciones que tienen a la enseñanza de la filosofía y a su relación con el discurso y la práxis educativa como nodos importantes.

Background Moral distress appears when a healthcare professional is not able to carry out actions in accordance with their professional ethical standards. The Moral Distress Scale-Revised is the most widely used to assess levels of moral distress, but it is not validated in Spanish. The aim of the study is to validate the Spanish version of the Moral Distress Scale – utilised within a sample of Spanish healthcare professionals treating COVID–19 patients. Methods The original (english) and the portuguese and french versions of the scale were translated into spanish by native or bilingual researchers and reviewed by an academic expert in ethics and moral philosophy as well as by a clinical expert. Research design: Descriptive cross-sectional study carried out using a self-reporting online survey. The data was collected between June- November 2020. A total of 661 professionals responded to the survey (N = 2873). Participants: healthcare professionals with more than two weeks of experience treating COVID–19 patients at the end of their life and working in the public sector of the Balearic Islands Health Service (Spain). Analyses included descriptive statistics, competitive confirmatory factor analysis, evidence on criterion-related validity and estimates of reliability. The study was approved by the Research Ethics Committee at the University of Balearic Islands. Results An unidimensional model in which a general factor of moral distress explained by 11 items of the Spanish version of the MDS–R scale was an adequate representation of the data: χ 2 (44) = 113.492 (p 0.001); Comparative Fit Index = 0.965; Root Mean Square Error of Approximation = 0.079[0.062,0.097]; and Standarized Root Mean-Square = 0.037. Evidence of reliability was excellent: Cronbach’s alpha = 0.886 and McDonald’s omega = 0.910. Moral distress was related to discipline, with nurses having statistically significant higher levels than physicians. Additionally, moral distress successfully predicted professional quality of life, with higher levels of moral distress being related to poorer quality of life. Conclusions The Spanish version of Moral Distress Scale–Revised can be used as a reliable and valid measurement tool for the evaluation of moral distress experienced by health professionals. This tool will be highly useful for managers and applicable to a variety of healthcare professionals and settings.