conferencia de Mark Risjord

conferencia de Mark Risjord

16/04/2012

Como parte de las actividades propuestas por la Cátedra de Ética de las Profesiones de la Universidad de Granada, el miércoles 18 de Abril de 2012, a las 17 hs, en el Aula Magna. Facultad de Medicina. Universidad de Granada el Dr. Mark Risjord dictará una Conferencia acerca de la autonomía del paciente y los cuidados sanitarios.

Este es un tema de candente actualidad, en un momento en el que se están revisando las bases conceptuales sobre las que se asientan los sistemas sanitarios.

El Dr. Mark Rijsord es sin duda uno de los referentes a nivel internacional en este tema, como queda atestiguado por su intenso trabajo y sus numerosas aportaciones en este campo.

(http://userwww.service.emory.edu/~mrisjor) .

Nursing and Human Freedom: Reflections on Autonomy and Health Care Relationships Mark Risjord Professor Philosophy Department, Emory College of Arts and Sciences and the Nell Hodgson Woodruff School of Nursing

The value of patient autonomy is integral to nursing, and it is manifested in a number of different ways. Nurses were early opponents of medical paternalism. Some theorists elevate freedom and existential choice to a central value of the discipline. This conception of autonomy takes the actions of an unconstrained agent as a paradigm of free action. While this understanding of autonomy is familiar in biomedical ethics, there is another idea of autonomy embedded nursing’s theoretical and research literature. Nursing research and practice often highlights the value of restoring the patient’s capacities. Nursing aims to help the patient recover the physical and mental capacity to act on their choices. These nursing authors are less concerned with the patient’s freedom from coercion and more concerned with how much the patient is free to do. The difference between these two conceptions of patient autonomy is akin to the difference between “negative” and “positive” freedom in political philosophy. Negative freedom is freedom from coercion or constraint, while positive freedom is the capacity to actualize choice. This essay will show how positive freedom is presupposed by some nurse theorists and in empirical nursing research. In nursing practice, the value of autonomy includes the physical and social conditions that make choices available. While there are differences between positive and negative freedom, this essay will argue that there are not two concepts of autonomy. Rather, attention to positive freedom lets us develop a richer conception of autonomy.