Intervenciones pedagógicas de los Comités de Bioética en contextos clínicos: hacia la apertura de procesos deliberativos en una Unidad de Cuidados intensivos Neonatales

Abstract

From the responsibility of the Bioethics Committees to provide training in the interior of health services, pedagogical interventions were carried out in the neonatal intensive care unit of a public hospital in Mar del Plata, Argentina. They originated in the detection of their needs and were based on the deliberative method, through playful workshops of reflection-action. They aimed to facilitate the joint reflection of the health team on the causes of fragmented and uncritical work processes for their transformation into participatory processes that favor consensual decisions. In conclusion, the need to generate deliberative spaces to share opinions and emotions and to channel the moral stress produced was evidenced. The health team was able to identify bioethical dilemmas, their impact on personal and professional individuality and their impact on patients, and could associate causality between the absence of deliberative processes and the establishment of futile treatments.