Ethics of Nursing Research Conducting quality research requires the researcher to perform within both ethical and legal guidelines. “Ethics is the study of right and wrong” (Houser, J., 2012, pg.50). Ethics provide the avenue for decision making and are guided by the researcher’s integrity. Legal guidelines provide direction to the researcher by specifying what is required by law to conduct research. As a nurse researcher, it is an ethical duty to advocate for patients when incompetent, unethical or illegal practices are observed. There are three basic principles to consider when evaluating the ethics of a study: 1) respect for persons, 2) beneficence, and 3) justice (Houser, J., 2012, pg. 54-56). To apply these …show more content…
57). This exchange of information should be administered at a 5th grade comprehension level. The subject should be willing to participate in the study with no reward offered for participation. The informed consent process begins with participant selection and ends with a signed document of agreement. In the case study regarding Mr. and Mrs. G, there were many questionable areas of concern regarding ethical practices and obtainment of an informed consent. As the nurse researcher, the duty to advocate for the patient is of primary concern. The first concern recognized through this case study is that of vague description of the study. As the nurse researcher, I would need to be made aware of the data collection process and the parameters upon which the research is based. Obtainment of data to be used in research must maintain patient confidentiality. Did the researchers use patient medical records, family member interviews, patient interviews or staff involvement in patient selection? Were there any HIPPA violations in the selection process? Were the subjects informed that they were being screened for participation? I would also need to assess the preliminary review of literature that is driving this particular study. What is the appropriate time to conduct a study such as this? Is the purpose of this study going to facilitate a change in patient outcomes? Awareness of the motivation for this study and the benefit that is expected to the future
In some places, we have guidelines that are known internationally and give a framework for ethical research and this help to push the ethics codes that apply to research carried out in the NHS and universities in the UK.Code of conduct or practice for health and social care professional do not specific include research but the underlying principles of professional practice would be following the same pattern with expectations for ethical research. Below are some ethics principles that support with evidence all research.
Obtaining an informed consent is a vital part of current health care. This document lists out several key pieces of information for both the patient, Provider, and the ancillary staff that also access the document during the procedure process. However, obtaining informed consent has not always been the practice norm and in research, informed consent carries different specifications.
John Caldwell Calhoun was born March 18th, 1782 in Abbeville, South Carolina. In the year 1807, John Calhoun received admission to the South Carolina bar and practiced law. The year after, he was elected into the state legislature of South Carolina, where he served for two years leading to his election to the U.S House of Representatives in the year 1810. In 1817, John Calhoun was appointed as Secretary of War by President Monroe, in which during his term, he made substantial changes to the War Department. Calhoun served two terms as Vice President: in 1825 with John Quincy and in 1829 with Andrew Jackson. In 1832 he quit his Vice President position and returned to South Carolina as a Senator, a position which he held for eleven years. In
“Be the one who nurtures and builds. Be the one who has an understanding and forgiving heart one who looks for the best in people. Leave people better than you found them.” Nursing is more than just doing assessments and giving medications; it is going beyond that to know what is right or wrong, what can and cannot be done, and what is considered harming the patients rather than doing them good. In nursing, there is a fine line between what is considered to be negligence and beneficence. According to Marquis (2017), “Ethics is the systemic study of what a person’s conduct and actions should be with regard to self, others human beings, and the environment (pg. 83), on the other hand, it does not necessarily mean that their
Nurses are faced with ethical dilemmas on a daily basis, each situation being unique and requiring the nurse to set aside their own values and beliefs in order to properly care for their patients. Situations requiring nurses to make an ethical decision are diverse and dynamic; the values set out by the College of Nurses of Ontario code of ethics remains the same. Therefore, all decision based on these vales regardless of the setting and circumstances ensure consistent solutions. The scenario involves a woman who was admitted to the NICU due to complications during her sixth month of pregnancy. The patient indicated that no extraordinary measures should be made to save her baby; she became further detached when the baby developed a bleed
Deontology is an ethical theory concerned with duties and rights. The founder of deontological ethics was a German philosopher named Immanuel Kant. Kant’s deontological perspective implies people are sensitive to moral duties that require or prohibit certain behaviors, irrespective of the consequences (Tanner, Medin, & Iliev, 2008). The main focus of deontology is duty: deontology is derived from the Greek word deon, meaning duty. A duty is morally mandated action, for instance, the duty never to lie and always to keep your word. Based on Kant, even when individuals do not want to act on duty they are ethically obligated to do so (Rich, 2008).
Ethics is a strongly culturally linked area of philosophy interrelated with what is considered acceptable human conduct. There are two branches of ethics; medical ethics and bioethics. The moral conduct and principles which govern practices of medical and health professionals falls under medical ethics, whereas in biomedicine and the health sciences theorised developments in the study of social and moral issues is considered bioethics(1). There are two philosophical principles within the conduction of health care research these are deontology and utilitarianism. Deontology is an approach to ethics that focuses on the rightness or wrongness of actions themselves, as opposed to the rightness or wrongness of the consequences of those actions (2). Utilitarianism states that the most benefit
The sequencing of the human genome has a new approach to health care in regards to promotion, maintenance, and treatment. Genetic research is defined as a new approach to a better understanding of the genetic components of common diseases: Cancer, diabetes, stroke, and creating new gene-based technologies for screening, prevention, diagnosis, and treatment of both rare and common diseases. Nurses are a main aspect within the first line of care, and therefore will contribute fully in genetic-based and genomic-based practice activities such as collecting family history, obtaining informed consent for genetic testing, and administering gene-based therapies. Lea, D, (January 31, 2008). My paper is based on an article Genomics in the public
Professional nurses encounter a variety of legal ethical and bioethical issues on a daily basis. For this reason, it is essential that all nurses are aware of current state and national legislation, acts and guidelines and the implications of these for nursing practices as well as legal processes, principles of open disclosure and the role of a coroner in the health sector. In this way, nurses can adhere to the overarching guidelines for practice as well as working within the code of conduct, competency standards and scope of practice. This paper will provide an overview of legal and ethical parameters of professional nursing practice.
The topics that will be discussed in this paper will be the ethical decisions that have to be made by Dr. F and the RN in regards to disclosing information to Dr. J. Also, according to the NANDA nursing diagnosis for ethical consideration, Dr. F and the RN also have to consider if Mrs. Z has some knowledge deficits in regards to her prognosis and if due to her culture, she feels powerlessness towards her diagnosis. Ethical theories are important to justifying and relating situations in nursing. In this paper, there will be discussions relating ethical theories to nursing, as well as, ethical decision making models that will relate to the delivery of healthcare.
This concept is taken from module 1 of block 6 entitled “Ethical Issues in Nursing Practice”.
Nurses support and enable individuals, families and groups to maintain, restore or improve their health status. Nurse also care for and comfort when deterioration of health has become irreversible. A traditional ideal of nursing is caring and nurturing of human beings regardless of race, religion, status, age, gender, diagnosis, or any other grounds.
Research ethics review is vital to the advancement of ethically sound research. Before individuals can be enrolled in a clinical study, the research must be approved by a research ethics board (REB), an independent committee composed of medical and scientific experts, ethicists, researchers and healthcare professionals, as well as non-scientific members such as legal and privacy experts and members representing the community. The REB’s role is to ensure that the proposed research adequately protects the rights, safety and well-being of the research participants.
There are five principles to ethical nursing. The first principle, nonmaleficence, or do no harm, it is directly tied to a nurse's duty to protect the patient's safety. This principle dictates that we do not cause injury to our patients. A way that harm can occur to patients is through communication failures. These failures can be intentional or as a result of electronic or human error. Failing to convey accurate information, giving wrong messages, and breaking down of equipment, can cause harm to patients. Some of these communication problems may certainly occur whether a patient is at a neighborhood clinic or 500 miles away, but distance and high reliance on electronic technology make close examination of communication and ethical
A group of researchers sought to get a closer look at how clinical trials were carried out by talking to nurses who were working with drug trials. While participants in this study were all located in the United States, their experiences are pertinent when considering the ethical concerns involved in all clinical trials. The nurses who participated voiced a variety of concerns while they were working with clinical trials. They reported that despite consent being voluntary, and patients being told that they could discontinue a study at any time, there were some conflicts between this and the actual practice. Nurses who lost subjects in the study were often penalized and reprimanded, seemingly encouraged to sacrifice the patient's rights and desires in order to keep them in the trial. They also talked about how higher ups, who might be in charge of funding or the legalities, are often out of touch with what is actually ideal in the practical sense, rather than the bottom line. One nurse gave the example of how legally, one official might want the consent form to be three pages long, another might want it cut down considerably, and the nurse, who is actually performing the study, wants a consent form which is both thorough as to protect the patient, but concise and clear enough to be easily understood by the patient. Furthermore, nurses might be asked about their own opinions by their patients, which leaves them in a difficult situation where they could be using their authority to pressure someone into a study. All of these are difficult things to balance, and very valid concerns brought forward by individals with hands on knowledge of these trials. (DeBruin, Fisher & Liaschenko,