Ethics of feelings, capacity building, historical memory, and reconciliation: the fragility of health personnel in the Colombian armed conflict
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Objective: to analyze the way in which feelings and the recovery of collective memory make it possible to reduce the social and political fragility of the members of the Medical Mission, making new ways of participation feasible, through the development of deliberative capacities from a bioethical perspective. Methodology: exploratory study with qualitative approach, which considers the subjectivity and intersubjectivity of the participants. With heterogeneous sources of information: focus groups, semi-structured interviews and field primers, a framework of relevant factors was constituted, which allowed processing the information, through conceptual relationships and categorizations, for its subsequent triangulation. Results: the feelings with the greatest ethical impact in Mission Medical: uncertainty, insecurity at work, anxiety due to acts of violence, sadness, fear, fear, and impotence; produce emotional effects related to the principle of maleficence. Resilience has prevented them from carrying out collective memory exercises, due to denial and fear of remembering the most significant events, which has prevented them from accessing Restorative Justice mechanisms. The absence of capacities to face the situation compromises individual autonomy, occupational health and generates unresolved legal shortcomings. Conclusions: collective feelings in the public sphere of health personnel prevail over individual feelings based on experiences, which affect the capacity for deliberation, this implies promoting exercises of historical memory on the facts of the conflict, through the development of capacities that strengthen the legitimate defense of their autonomy and the development of a beneficial professional exercise, in the face of borderline situations of confrontation.
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(c) Gloria Omaira Bautista Espinel, Dianne Sofia Gonzalez, Sonia Díaz-Monsalve, Ana María Bermúdez, 2023
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Dianne Sofía González Escobar, Universidad Francisco de Paula Santander
Enfermera magíster en Educación de Adultos, Magister en Enfermería, especialista en Práctica Pedagógica Universitaria; especialista en Docencia Universitaria; directora del Programa de Enfermería de la Universidad Francisco de Paula Santander Cúcuta (Norte de Santander, Colombia). Editora en Jefe Revista Ciencia y Cuidado. Tel: + 3165379171. Dirección: Avenida Gran Colombia No. 12E-96 Barrio Colsag, San José de Cúcuta – Colombia. Orcid: https://orcid.org/0000-0002-8760-1743 Correo: diannegonzales@ufps.edu.co
Sonia Díaz Monsalve, Albert-Ludwigs-Universität Freiburg: Freiburg im Breisgau, Baden-Württemberg, DE
Enfermera. Doctora en Salud Publica Universidad de Liverpool. England. Coordinator Centre Medicine and Society MSc Global Urban Health Coordinator University of Freiburg Bismarckallee, 22 D- 79098 Germany Tel: + 761 203 67382 Orcid: https://orcid.org/0000-0002-2308-525X email: sonia.diaz.monsalve@mail.medizin.uni-freiburg.de https://www.zmg.uni-freiburg.de/
Ana María Bermúdez Bautista, E.S.E. HOSPITAL UNIVERSITARIO ERASMO MEOZ - ACTISALUD
Abogada. Especialista Universidad Externado de Colombia. Asesora del Jurídica ESE Hospital Universitario Erasmo Meoz- Investigadora en temas de conflictividad y Justicia Transicional relacionado con el personal de Salud, en Norte de Santander