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1

Advance care planning in Spain. A short national report. Part II

100%

Seoane J.

Progress in Health Sciences

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2015

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vol. 5

|

issue 1

169-175

EN

Purpose: Ethical and legal recognition of patient autonomy and rights is a reality in Spain. Together with informed consent, advance directives and advance care planning have also played a major role in bringing about this situation. This paper aims to provide a description and critical analysis of their ethical and legal framework, concept, grounds, purpose and requirements under Spanish law, and to show that the appropriate way to understand and implement advance directives is to integrate them into the broader process of advance care planning, combining its legal, ethical and clinical dimensions.Materials and methods: Descriptions, arguments and conclusions presented in this paper are based on a review of legislation, case law and scientific bibliography. Conclusions: Spanish legal norms on advance directives represents a step forward in the consolidation of autonomy as a core of doctor-patient relationship and in the guarantee of patients, healthcare professionals and health institutions’ rights and duties. Moreover, it guides professionals and eases decision-making process in healthcare. Finally, it improves the quality, humanisation and justice of Spanish health system.

2

Advance care planning in Spain. A short national report. Part I

100%

Seoane J.

Progress in Health Sciences

|

2015

|

vol. 5

|

issue 1

162-168

EN

Purpose: Ethical and legal recognition of patient autonomy and rights is a reality in Spain. Together with informed consent, advance directives and advance care planning have also played a major role in bringing about this situation. This paper aims to provide a description and critical analysis of their ethical and legal framework, concept, grounds, purpose and requirements under Spanish law, and to show that the appropriate way to understand and implement advance directives is to integrate them into the broader process of advance care planning, combining its legal, ethical and clinical dimensions.Materials and methods: Descriptions, arguments and conclusions presented in this paper are based on a review of legislation, case law and scientific bibliography. Conclusions: Spanish legal norms on advance directives represents a step forward in the consolidation of autonomy as a core of doctor-patient relationship and in the guarantee of patients, healthcare professionals and health institutions’ rights and duties. Moreover, it guides professionals and eases decision-making process in healthcare. Finally, it improves the quality, humanisation and justice of Spanish health system.

3

Giving Moral Competence High Priority in Medical Education. New MCT-based Research Findings from the Polish Context

84%

Nowak E., Barciszewska A.-M., Lind G., Hemmerling K., Taradi S. K.

Ethics in Progress

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2021

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vol. 12

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issue 1

104-133

EN

Nowadays, healthcare and medical education is qualified by test scores and competitiveness. This article considers its quality in terms of improving the moral competence of future healthcare providers. Objectives. Examining the relevance of moral competence in medico-clinical decision-making despite the paradigm shift and discussing the up-to-date findings on healthcare students (Polish sample). Design and method. N=115 participants were surveyed with a standard Moral Competence Test to examine how their moral competence development was affected by the learning environment and further important factors. Results. The sample allowed the identification of a regress in moral competence during students’ pre-clinical curriculum, and progress during their clinical curriculum. A gender-related bias, a segmentation effect, and a pronunciation effect were noticed. Explanations. Scholarly literature usually reports a linear decrease of medical students’ C-scores resulting from, e.g., competitive trends in education. We identified such trends in terms of gender-specific competitive tactics. Religious and ethical affiliations were discussed to explain the unexpected gender bias and the related segmentation and pronunciation effects. The findings can be regarded as predictive for similar developments in educational institutions regardless of cultural contexts as the sample examined in this article represents medical education in a country facing a transition from a non-competitive to competitive tertiary education model, and between presecular and monocultural to secular and pluralist social ethics.

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2 Progress in Health Sciences

1 Ethics in Progress

2 Seoane J.

1 Barciszewska A.-M.

1 Hemmerling K.

1 Lind G.

1 Nowak E.

1 Taradi S. K.

1 2021

2 2015

Advance care planning in Spain. A short national report. Part II

Advance care planning in Spain. A short national report. Part I

Giving Moral Competence High Priority in Medical Education. New MCT-based Research Findings from the Polish Context