<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1695-6141</journal-id>
<journal-title><![CDATA[Enfermería Global]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm. glob.]]></abbrev-journal-title>
<issn>1695-6141</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Murcia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1695-61412023000300019</article-id>
<article-id pub-id-type="doi">10.6018/eglobal.554661</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Perspectiva bioética de la adecuación del esfuerzo terapéutico en pacientes adultos terminales. Revisión sistemática]]></article-title>
<article-title xml:lang="en"><![CDATA[Bioethical perspective of the limitation of therapeutic effort in adult terminal patients. Systematic review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Pérez]]></surname>
<given-names><![CDATA[Cindia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanchez-Garcia]]></surname>
<given-names><![CDATA[Ana Belen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="Ab"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Capilla]]></surname>
<given-names><![CDATA[Diego José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="Ab"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de las Islas Baleares Facultad de Enfermería ]]></institution>
<addr-line><![CDATA[Mallorca Islas Baleares]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Murcia  ]]></institution>
<addr-line><![CDATA[Murcia ]]></addr-line>
<country>España</country>
</aff>
<aff id="A2b">
<institution><![CDATA[,Hospital General Universitario Reina Sofía  ]]></institution>
<addr-line><![CDATA[Murcia ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Murcia Facultad de Filosofía ]]></institution>
<addr-line><![CDATA[Murcia ]]></addr-line>
<country>España</country>
</aff>
<aff id="A3b">
<institution><![CDATA[,Servicio Murciano de Salud  ]]></institution>
<addr-line><![CDATA[Murcia ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>22</volume>
<numero>71</numero>
<fpage>586</fpage>
<lpage>619</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1695-61412023000300019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1695-61412023000300019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1695-61412023000300019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN:  Introducción: Ante la capacidad de mantenimiento de las funciones vitales de forma artificial, surgen nuevas preocupaciones éticas en los profesionales sanitarios en relación con la muerte. Se cuestiona desde la ética si el equipo asistencial debe hacer siempre todo lo necesario y posible para impedir la muerte de un paciente.  Objetivo: Analizar los aspectos bioéticos de la limitación del esfuerzo terapéutico en pacientes en el final de la vida, fomentar la reflexión y contribuir a mejorar los cuidados en el final de la vida.  Método: Se realizó una revisión narrativa e integradora de la literatura científica mediante la búsqueda de publicaciones en metabuscadores y bases de datos de PubMed, SciELO y la revista de Nursing Ethics. Se identificaron 6.325 estudios publicados a partir de 2018 y se incluyeron un total de 9 artículos.  Resultados/Discusión: Se describen las dificultades que presentan los profesionales en relación a la toma de decisiones en el final de la vida, la necesidad de mejorar la formación en ética y en aspectos relacionados con pacientes que se encuentran en sus últimos días, los cuidados paliativos y la limitación del esfuerzo terapéutico. Solo una minoría de los estudios están enfocados en enfermería.  Conclusiones: Las decisiones del profesional están influenciadas por valores, emociones, creencias y experiencias, que unidas a la dificultad que existe en ocasiones para esTablecer un diagnóstico clínico certero, dificulta las decisiones de limitación de esfuerzo terapéutico. Se hace necesario mejorar la formación en ética y conocimiento de los procesos de final de la vida por parte de los profesionales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT:  Introduction: Faced with the ability to maintenance vital functions artificially, new ethical concerns arise among health professionals regarding death. It is been questioned from ethics if the care team should always do everything necessary and possible to prevent the death of a patient.  Objective: to analyze the bioethical aspects of limiting therapeutic effort in end-of-life patients, encourage reflection and contribute to improving end-of-life care.  Method: a narrative and integrative review of the scientific literature was performed by searching for publications in meta-search engines and databases of PubMed, SciELO and the journal of Nursing Ethics. A total of 6,325 studies published since 2018 were identified and a total of 9 articles were included.  Results/Discussion: Issues presented by professionals regarding making-decisions at the end of life, the need to improve training in ethics and aspects related to patients in their last days, palliative care and the limitation of therapeutic effort are described. Only a minority of studies are focused on nursing.  Conclusions: professional's decisions are influenced by values, emotions, beliefs and experiences, which, together with the difficulty that sometimes exists to establish an accurate clinical diagnosis, makes it difficult to limit therapeutic effort. It is therefore necessary to improve training in ethics and knowledge about end-of-life processes from professionals.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Final de la vida]]></kwd>
<kwd lng="es"><![CDATA[adecuación del esfuerzo terapéutico]]></kwd>
<kwd lng="es"><![CDATA[bioética]]></kwd>
<kwd lng="es"><![CDATA[cuidados paliativos]]></kwd>
<kwd lng="es"><![CDATA[toma de decisiones]]></kwd>
<kwd lng="es"><![CDATA[paciente terminal]]></kwd>
<kwd lng="en"><![CDATA[end of life]]></kwd>
<kwd lng="en"><![CDATA[limitation of therapeutic effort]]></kwd>
<kwd lng="en"><![CDATA[bioethical]]></kwd>
<kwd lng="en"><![CDATA[palliative care]]></kwd>
<kwd lng="en"><![CDATA[decision making]]></kwd>
<kwd lng="en"><![CDATA[terminal patient]]></kwd>
</kwd-group>
</article-meta>
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