(F) Research Ethics Flashcards
(32 cards)
A state of optimal physical, mental, and social well-being and the ability to function at the individual level.
Health
- Refers to the development of knowledge to understand health challenges and mount an improved response to them.
Research in relation to Health
ESEARCH IN RELATION TO HEALTH
Full spectrum of research in five generic
areas of activity, except:
A. Measuring the problem.
B. Understanding its effect/s
C. Elaborating solutions
D. Translating the solutions or evidence into policy, practice and products
E. Evaluating the effectiveness of solutions
B. dapat causes
- Seeks to understand the impact of processes, policies, actions, or events originating in any sector on the well-being of individuals and communities; and
- To assist in developing interventions that will help prevent or mitigate their negative impact, and in so doing, contribute to the achievement of health equity and better health for all.
Health research
Those outside of the description for health research, but where the research procedures and outcomes can affect the well-being of the participants and the community.
HEALTH-RELATED RESEARCH
HARM IN RESEARCH
- probability of harm
- pain, discomfort, illness, injury, death, disability, side effects, withholding treatment ex. Tuskegee and Nazi
- anxiety, fright, embarrassment, shame, guilt, self doubt, feeling betrayed ex. Tuskegee, Nazi, Milgram, Tearoom, Havasupai, Wakefield
- Includes loss of job, uncovered expenses, lost time, ex. Tuskegee, Nazi, Milgram, Tearoom, Havasupai
- loss of privacy, breach of confidentiality, damaged
standing in the community or family ex. Tearoom, Havasupai, and Wakefield experiments
- risk
- physical
- psychological
- economic
- social
- an activity, a performance of a behavior.
- involves asking questions, obtaining answers to generate knowledge.
- There are right ways and wrong ways in conducting research activities
Research
- Moral principles that govern a person’s behavior or the conducting of an activity (Oxford languages)
- Involves systematizing, defending, and recommending concepts of right and wrong behavior (Internet Encyclopedia of Philosophy)
Ethics
WHAT RESEARCH IS NOW…
- Knowledge generation (research) is ———–
- Generating knowledge involves ———–
- There are ———– in conducting
research activities - We need a ———– way of telling right ways from wrong ways of doing research (ethics)
- Good
- Harm
- right and wrong ways
- systematic
- In Tagalog it is known as “pakinabang”
- Doing good for the benefit of others to:
- Work towards a desired outcome
- Prevent or remove harm
- To improve the situation
- Usually directed to the participants and the community
- BENEFITS: direct, indirect, intentional, unintentional, actual, potential; physical, psychological, social, economic, spiritual
Beneficence
Beneficence
TOF.
1. Research involves harm, or at least the risk of it, to participants.
2. To outweigh the harm, participants should benefit by excluding theirselves from the research
3. If there is no direct benefit to the participants, the community should at least benefit
4. You CANNOT make a study that do not have beneficence
- T
- F (joining)
- T
- T
MAXIMIZING BENEFIT (BENEFICENCE)
- Research should have social value; results should be potentially useful. Potential use should be explicit in significance of the study; Research should be technically sound; bad science may result to bad ethics
- Information about the outcome; Access to best proven interventions; Reimbursements and tokens
- Anchored in goals and research agenda of the
discipline, community, nation; Direct or indirect benefits should include sustained healthcare, improved local structures, capacity building
- Motive
- Participants should become better by joining the study
- Community condition should be improved
- Embodies the principle “PRIMUM NON NOCERE” which
means “first, do no harm” - Do not harm, do not put participants at risk of harm
- Risk must be minimized, must be reasonable
- INDEPENDENT of consent
- Usually directed to participants, community, and researchers
Non maleficence
Non maleficence
TOF.
2. Participants are optional in research
1. In and of itself, research already involves harm or at least the risk of it
1. Do not add to the risk of harm that is already present
2. Participants can be worse off by joining the research
- F (needed)
- T
- T
- F (cannot)
MINIMIZING HARM (Non-Maleficence)
TOF. Sound scientific protocol.
- ○ Some protocols, if it is not scientifically sound, then it is already unethical.
- Exhaustive background of harms involved.
- Minimum participants, but adequate to arrive at a useful conclusion
- Safeguards, correction, and compensation for complications, adverse events, injuries, any harmful events
- Allow for participant withdrawal at any point in the research
True all
MINIMIZING HARM (Non-Maleficence)
Backups are required if the team are still group of
students who conducts the research—so that we can
have someone read the results. Therefore, you must
have RMTs with you.
Appropriate, qualified research team
Enumerate MINIMIZING HARM
- Sound scientific protocol
- Appropriate, qualified research team
- Peer review, ethics review, community participation
- Manage conflict of interest
WHAT AN INFORMED CONSENT IS NOT
TOF.
1. A self-administered document
2. They should not be asked to sign on that day even if they don’t understand it.
3. only basis that makes research ethically acceptable
4. one-size-fits all process
5. Given verbally
- T
- F (give them time ot study it all night)
- T
- T
- T
COMPONENTS OF FREE AND INFORMED CONSENT
TOF.
1. Adolescents (minor) cannot decide by themselves.
2. 18-year-old person with mental disability or psychological issues, and bedridden patients as they are considered to have the competence to make a proper decision
- T
- F
COMPONENTS OF FREE AND INFORMED CONSENT
- proceeding from free will, produced by an act of choice
- complete, correct, relevant; all that a reasonable person needs or wants to decide
- expression of permission
- term used for an agreement made by an individual who is not yet competent to give a full consent
- Freedom and voluntariness
- Information on the research
- Consent
- Assent
- Being fair to research participants
- Giving to, or not depriving, others their due
- Not exploiting the vulnerable
- Not excluding, without good reason, those who may
benefit from participation - Usually directed to participants, community, and researchers
Justice
Justice
TOF.
- Benefits and burdens should be distributed fairly
- If they are needed to be hospitalized, the researcher
should provide for that.
both true
JUSTICE IN RESEARCH
TOF.
- Practicing all the other principles—beneficence, non maleficence, respect, is a form of justice
- Reduce inequalities or at least do not increase
- Fair recruitment, sampling, assignments
- Do not include those who may benefit from the results
- Benefit sharing
- T
- T
- T
- F
- T
- benefiting the participants and the society
- not allowing harm to happen and minimizing or removing harm
- respecting the rights of participants, honoring the choices and decisions of participants, and protecting those with diminished autonomy
- being fair to everyone concerned, and providing or not depriving others of their due
- Beneficence
- Non-maleficence
- Respect
- Justice