(F) Research Ethics Flashcards

(32 cards)

1
Q

A state of optimal physical, mental, and social well-being and the ability to function at the individual level.

A

Health

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2
Q
  • Refers to the development of knowledge to understand health challenges and mount an improved response to them.
A

Research in relation to Health

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3
Q

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

A

B. dapat causes

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4
Q
  • 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.
A

Health research

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5
Q

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.

A

HEALTH-RELATED RESEARCH

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6
Q

HARM IN RESEARCH

  1. probability of harm
  2. pain, discomfort, illness, injury, death, disability, side effects, withholding treatment ex. Tuskegee and Nazi
  3. anxiety, fright, embarrassment, shame, guilt, self doubt, feeling betrayed ex. Tuskegee, Nazi, Milgram, Tearoom, Havasupai, Wakefield
  4. Includes loss of job, uncovered expenses, lost time, ex. Tuskegee, Nazi, Milgram, Tearoom, Havasupai
  5. loss of privacy, breach of confidentiality, damaged
    standing in the community or family ex. Tearoom, Havasupai, and Wakefield experiments
A
  1. risk
  2. physical
  3. psychological
  4. economic
  5. social
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7
Q
  • 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
A

Research

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8
Q
  • 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)
A

Ethics

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9
Q

WHAT RESEARCH IS NOW…

  1. Knowledge generation (research) is ———–
  2. Generating knowledge involves ———–
  3. There are ———– in conducting
    research activities
  4. We need a ———– way of telling right ways from wrong ways of doing research (ethics)
A
  1. Good
  2. Harm
  3. right and wrong ways
  4. systematic
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10
Q
  • 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
A

Beneficence

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11
Q

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

A
  1. T
  2. F (joining)
  3. T
  4. T
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12
Q

MAXIMIZING BENEFIT (BENEFICENCE)

  1. 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
  2. Information about the outcome; Access to best proven interventions; Reimbursements and tokens
  3. Anchored in goals and research agenda of the
    discipline, community, nation; Direct or indirect benefits should include sustained healthcare, improved local structures, capacity building
A
  1. Motive
  2. Participants should become better by joining the study
  3. Community condition should be improved
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13
Q
  • 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
A

Non maleficence

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14
Q

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

A
  1. F (needed)
  2. T
  3. T
  4. F (cannot)
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15
Q

MINIMIZING HARM (Non-Maleficence)

TOF. Sound scientific protocol.

  1. ○ Some protocols, if it is not scientifically sound, then it is already unethical.
  2. Exhaustive background of harms involved.
  3. Minimum participants, but adequate to arrive at a useful conclusion
  4. Safeguards, correction, and compensation for complications, adverse events, injuries, any harmful events
  5. Allow for participant withdrawal at any point in the research
A

True all

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16
Q

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.

A

Appropriate, qualified research team

17
Q

Enumerate MINIMIZING HARM

A
  1. Sound scientific protocol
  2. Appropriate, qualified research team
  3. Peer review, ethics review, community participation
  4. Manage conflict of interest
18
Q

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

A
  1. T
  2. F (give them time ot study it all night)
  3. T
  4. T
  5. T
19
Q

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

20
Q

COMPONENTS OF FREE AND INFORMED CONSENT

  1. proceeding from free will, produced by an act of choice
  2. complete, correct, relevant; all that a reasonable person needs or wants to decide
  3. expression of permission
  4. term used for an agreement made by an individual who is not yet competent to give a full consent
A
  1. Freedom and voluntariness
  2. Information on the research
  3. Consent
  4. Assent
21
Q
  • 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
22
Q

Justice

TOF.

  1. Benefits and burdens should be distributed fairly
  2. If they are needed to be hospitalized, the researcher
    should provide for that.
23
Q

JUSTICE IN RESEARCH

TOF.

  1. Practicing all the other principles—beneficence, non maleficence, respect, is a form of justice
  2. Reduce inequalities or at least do not increase
  3. Fair recruitment, sampling, assignments
  4. Do not include those who may benefit from the results
  5. Benefit sharing
24
Q
  1. benefiting the participants and the society
  2. not allowing harm to happen and minimizing or removing harm
  3. respecting the rights of participants, honoring the choices and decisions of participants, and protecting those with diminished autonomy
  4. being fair to everyone concerned, and providing or not depriving others of their due
A
  1. Beneficence
  2. Non-maleficence
  3. Respect
  4. Justice
25
* Duly-designated body that reviews and approves research protocols, and monitors the conduct of research among humans * Essential component of a human protection system in research
RESEARCH ETHICS COMMITTEES (REC)
26
* The research protocol must be submitted for consideration, guidance, and approval of the concerned research ethics committee before the study begins * The committee must take into consideration the laws and regulations of the country or countries in which the research is to be performed, as well as applicable international norms and standards.
Declaration of Helsinki Provision 23
27
The use of animals for research shall comply with the?
Animal Welfare Act of 1998 (RA 8485) ## Footnote its Implementing Rules and Regulations through the Department of Agriculture AO No. 40 series of 1998, and the Code of Practice for the Care and Use of Laboratory Animals in the Philippines, 2nd edition, 2002 developed by the Philippine Association for Laboratory Animal Science (PALAS).
28
Research involving biological and hazardous materials, including those that involve genetic modification and manipulation of microorganisms and animal and plant tissue cells, must be reviewed, and approved by a biosafety committee, the?
National Committee of Biosafety of the Philippines (NCBP)
29
What organization identified seven categories that meet DURC which is also known as the Biosecurity Risk Category
National Science Advisory Board for Biosecurity (NSABB)
30
Biosecurity Risk Category | familiarize
the Biosecurity Risk Category: 1. Enhances the harmful consequences of a biological agent or toxin. 2. Disrupts the immunity or the effectiveness of immunization without clinical and/or agricultural justification. 3. Confers to a biological agent or toxin, resistance to clinically and/or agriculturally useful prophylactic or therapeutic interventions against that agent or toxin or facilitates their ability to evade detection methodologies. 4. Increases the stability, transmissibility, or the ability to disseminate a biological agent or toxin. 5. Alters the host range or tropism of a biological agent or toxin. 6. Enhances the susceptibility of a host population. 7. Generates a novel pathogenic agent or toxin or reconstitutes an eradicated or extinct biological agent.
31
# EXPERTISE THRESHOLD Levels of risk based on the knowledge and experience of the researcher 1. The researchers that conducted the study were in the graduate level. 2. The researchers that conducted the study have year-long specialized experience 3. Students, and those that require low-level technology
2 3 1
32
Levels of risk based on the technologies used in the laboratory. 1. Water bath, Stove or any equipment that may be used for boiling 2. Evolis Twin Plus System, microplate processor, and Sysmex for CBC. 3. Process highly infectious specimens 4. Autoclave, incubator, culture, and sensitivity and biosafety cabinet.
1. 1 2. 3 3. 2 and 3 4. 2