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For over 20 years, the notion of 'management of care' has been foregrounded as key in the jurisdiction of the nursing profession, with the aim of detaching itself from the wider medical umbrella. A number of voices have advocated such centrality. These include juridical, academic and occupational perspectives. Critical stances, although peripheral, have also been voiced. These have been received, at best, with a 'polite silence' in mainstream circles.By looking at the arguments surrounding the 'management of care' circulated in these two decades, this article reports the various forms of discursive practice that participate in the political process of autonomy building. Particularly, we focus on the validity of the arguments as well as the cohesion across arguments within the knowledge system. In doing so, we evaluate its main premises and foundations, the reach of the conceptualisation and its disjointed, differing and incomplete bases. Similarly, we used an inferential technique for the reconstruction of omitted and unexpressed assertions.The article introduces an approach of the humanities that is seldom seen in healthcare. It also proposes a research agenda in regard to management of care for the upcoming decades.

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BACKGROUND:: The family interview context is permeated by numerous ethical issues which may generate conflicts and impact on organ donation process. OBJECTIVE:: This study aims to analyze the family interview process with a focus on principlist bioethics. METHOD:: This exploratory, descriptive study uses a qualitative approach. The speeches were collected using the following prompt: "Talk about the family interview for the donation of organs and tissues for transplantation, from the preparation for the interview to the decision of the family to donate or not." For the treatment of qualitative data, we chose the method of content analysis and categorical thematic analysis. PARTICIPANTS:: The study involved 18 nurses who worked in three municipal organ procurement organizations in São Paulo, Brazil, and who conducted family interviews for organ donation. ETHICAL CONSIDERATIONS:: The data were collected after approval of the study by the Research Ethics Committee of the School of Nursing of the University of São Paulo. RESULTS:: The results were classified into four categories and three subcategories. The categories are the principles adopted by principlist bioethics. DISCUSSION:: The principles of autonomy, beneficence, non-maleficence, and justice permeate the family interview and reveal their importance in the organs and tissues donation process for transplantation. CONCLUSION:: The analysis of family interviews for the donation of organs and tissues for transplantation with a focus on principlist bioethics indicates that the process involves many ethical considerations. The elucidation of these aspects contributes to the discussion, training, and improvement of professionals, whether nurses or not, who work in organ procurement organizations and can improve the curriculum of existing training programs for transplant coordinators who pursue ethics in donation and transplantation as their foundation.

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Durante los primeros 15 años del siglo XXI asistimos en Argentina a una transformación jurídica y de las prácticas profesionales. Desde la Ley 114 (1998) hasta las más recientes de Reproducción Médicamente Asistida y de Muerte Digna (2013), se trata del reflejo en el plano jurídico de un movimiento precedente en el escenario éticoclínico de las prácticas en salud. Acto clínico y acto jurídico se anudan en una relación dialéctica que es necesario conceptualizar. El objetivo del presente estudio es indagar la cuestión a partir del análisis de 6 viñetas que integran un corpus de 60 ejercicios propuestos para los exámenes de residencia y concurrencia en salud mental de CABA entre el año 2005 y 2015, viñetas relevadas por la cátedra UNESCO de Bioética y situaciones ficcionadas por el equipo de investigación UBACyT. A partir de los casos seleccionados se analizan variadas problemáticas ­el sentido profundo del acto de vivir, la diversidad lingüística, el derecho a la identidad y al conocimiento de los orígenes, el ejercicio de las capacidades diferentes-, mostrando cómo esas cuestiones pueden desplegarse en toda su potencia cuando la dimensión particular de la ley se ofrece como soporte del sujeto en situación.

During the first 15 years of this century we are witnessing in Argentina to a legal processing and professional practices. Since Law 114 (1998) to the latest Medically Assisted Reproduction and Death with Dignity laws (2013), it is the reflection on the legal level of a precedent movement in the ethical clinical practices. Clinical act and legal act are knotted in a dialectical relationship that is necessary to conceptualize. This study explores the issue from situational analysis of six vignettes originated from a corpus of 60 exercises designed by mental health residence exams of CABA between 2005 and 2015, bullets surveyed by the UNESCO Chair in Bioethics, and fictionalized situations by the UBACyT research team. From the selected cases varied issues are analyzed -the deep meaning of the act of living, the linguistic diversity, the right to identity and knowledge of the origins, the exercise of the different capacities. In all cases, showing how these issues can be deployed in full power when the particular dimension of the law is offered as the subject support situation.

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