<?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>1886-5887</journal-id>
<journal-title><![CDATA[Revista de Bioética y Derecho]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Bioética y Derecho]]></abbrev-journal-title>
<issn>1886-5887</issn>
<publisher>
<publisher-name><![CDATA[Observatori de Bioètica i Dret - Cátedra UNESCO de Bioética]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1886-58872025000100003</article-id>
<article-id pub-id-type="doi">10.1344/rbd2025.63.45061</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La angustia moral y la sensibilidad ética en profesionales de cuidados críticos: una revisión de alcance]]></article-title>
<article-title xml:lang="ca"><![CDATA[L'angoixa moral i la sensibilitat ètica en professionals de cures critiques: una revisió d'abast]]></article-title>
<article-title xml:lang="en"><![CDATA[Moral distress and ethical sensitivity in critical care professionals: a scoping review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giraldo Valencia]]></surname>
<given-names><![CDATA[Daniela Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Alfaro]]></surname>
<given-names><![CDATA[Luis Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Corporación Universitaria Iberoamericana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Colombia Departamento de Salud Colectiva ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<numero>63</numero>
<fpage>30</fpage>
<lpage>47</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1886-58872025000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1886-58872025000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1886-58872025000100003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  Describir y sintetizar la literatura científica publicada entre 2017 y 2023 sobre las repercusiones psicológicas de la angustia moral y la sensibilidad ética en profesionales sanitarios de Unidades de Cuidados Intensivos.  Metodología:  se diseñó una revisión de alcance realizando búsquedas en las siguientes bases de datos: Medline, Scopus, Sciencedirect, Dialnet, Scielo. Se utilizaron ecuaciones de búsqueda como: "Effects of moral distress AND health personnel" y "effects of ethical sensitivity AND healthcare personnel". Se extrajo información sobre variables relacionadas con angustia moral y sensibilidad ética, se diseñó una base de datos para clasificar la información, sintetizarla y realizar un análisis hermenéutico.  Resultados:  se identificaron factores internos y externos relacionados con angustia moral y sensibilidad ética. Los factores internos fueron frustración, impotencia y enojo; los factores externos estuvieron relacionados con las políticas del hospital, la jerarquía en la UCI y la falta de comunicación. Al sufrir angustia moral y disminuir la sensibilidad ética se identificó falta de empatía y fatiga mental. Sin embargo, hay mayor desarrollo de la sensibilidad ética cuando se realizan actividades grupales para búsqueda de nuevos conocimientos y estrategias de comunicación asertiva.  Conclusión:  los profesionales sanitarios que trabajan en UCI están expuestos a sufrir angustia moral y su sensibilidad ética se pone a prueba diariamente. A raíz de la pandemia por COVID-19 los desafíos éticos experimentados se hacen más evidentes, esto ha aumentado síntomas de angustia moral como sentimientos de culpa, preocupación y pérdida de confianza. La sensibilidad ética es importante en las UCI para reconocer y comprender los problemas del personal sanitario.]]></p></abstract>
<abstract abstract-type="short" xml:lang="ca"><p><![CDATA[Resum  Objectiu:  Descriure i sintetitzar la literatura científica publicada entre 2017 i 2023 sobre les repercussions psicològiques de l'angoixa moral i la sensibilitat ètica en professionals sanitaris d'Unitats de Vigilància Intensiva.  Metodologia:  es va dissenyar una revisió d'abast realitzant cerques en les següents bases de dades: Medline, Scopus, ScienceDirect, Dialnet, Scielo. Es van utilitzar equacions de cerca com: "Effects of moral distress AND health personnel" i "effects of ethical sensitivity AND healthcare personnel". Es va extreure informació sobre variables relacionades amb angoixa moral i sensibilitat ètica, es va dissenyar una base de dades per a classificar la informació, sintetitzar-la i realitzar una anàlisi hermenèutica.  Resultats:  es van identificar factors interns i externs relacionats amb angoixa moral i sensibilitat ètica. Els factors interns van ser frustració, impotència i enuig; els factors externs van estar relacionats amb les polítiques de l'hospital, la jerarquia en l'UCI i la falta de comunicació. En sofrir angoixa moral i disminuir la sensibilitat ètica es va identificar falta d'empatia i fatiga mental. No obstant això, hi ha major desenvolupament de la sensibilitat ètica quan es realitzen activitats grupals per a cerca de nous coneixements i estratègies de comunicació assertiva.  Conclusió:  els professionals sanitaris que treballen en UCI estan exposats a sofrir angoixa moral i la seva sensibilitat ètica es posa a prova diàriament. Arran de la pandèmia per COVID-19 els desafiaments ètics experimentats es fan més evidents, això ha augmentat símptomes d'angoixa moral com a sentiments de culpa, preocupació i pèrdua de confiança. La sensibilitat ètica és important en les UCI per a reconèixer i comprendre els problemes del personal sanitari.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  To describe and synthesize the scientific literature published between 2017 and 2023 on the psychological impact of moral distress and ethical sensitivity in healthcare professionals in Intensive Care Units.  Methodology:  A Scoping Review was designed by searching the following databases: Medline, Scopus, ScienceDirect, Dialnet, Scielo. Search equations used were: "Effects of moral distress AND health personnel" and "effects of ethical sensitivity AND healthcare personnel". Information was extracted on variables related to moral distress and ethical sensitivity, a database was designed to classify the information, synthesize it and perform a hermeneutic analysis.  Results:  internal and external factors related to moral distress and ethical sensitivity were identified; internal factors were frustration, impotence and anger; external factors were hospital policies, hierarchy in the ICU and lack of communication. When suffering moral distress and decreasing ethical sensitivity, lack of empathy and mental fatigue were identified. However, there is greater development of ethical sensitivity when group activities are carried out in the search for new knowledge and assertive communication strategies.  Conclusion:  health professionals working in ICUs are exposed to suffer moral distress and their ethical sensitivity is tested daily; as a result of the COVID-19 pandemic the ethical challenges experienced become more evident, this has increased symptoms of moral distress such as feelings of guilt, worry and loss of confidence. Ethical sensitivity is important in ICUs to recognize and understand the problems of healthcare workers.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[sensibilidad ética]]></kwd>
<kwd lng="es"><![CDATA[personal sanitario]]></kwd>
<kwd lng="es"><![CDATA[angustia moral]]></kwd>
<kwd lng="es"><![CDATA[unidad de cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="ca"><![CDATA[sensibilitat ètica]]></kwd>
<kwd lng="ca"><![CDATA[personal sanitari]]></kwd>
<kwd lng="ca"><![CDATA[angoixa moral]]></kwd>
<kwd lng="ca"><![CDATA[unitat de vigilància intensiva]]></kwd>
<kwd lng="ca"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[ethical sensitivity]]></kwd>
<kwd lng="en"><![CDATA[health professions]]></kwd>
<kwd lng="en"><![CDATA[moral distress]]></kwd>
<kwd lng="en"><![CDATA[intensive care Units]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
</kwd-group>
</article-meta>
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