Ethical Relativism and Circumstances of Social and Cultural Contingencies on Informed Consent in the Conduct of Research: Clinical Trials in Nigeria

IF 1.3 Q3 ETHICS Asian Bioethics Review Pub Date : 2022-10-13 DOI:10.1007/s41649-022-00223-4
Sola Aluko-Arowolo, Saheed Akinmayọwa Lawal, Isaac A. Adedeji, Stephen Nwaobilor
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引用次数: 3

Abstract

There have been debates across the globe for a social and culturally sensitive ethics to meditate a catalyst of template for informed consent (IC) in the conduct of social researches and clinical trial. The study adopted ethical relativism theory to explore social and cultural contingencies on IC with descriptive research design and snowball sampling techniques with a pool of 23 participants randomly and purposively selected amongst the stakeholders including researchers. Seven lecturers and 5 medical practitioners from selected universities, 5 clergy members of different genders and denominations with 2 Imams, 1 chief and 2 traditional health practitioners completing the pool. The data were compiled separately with pseudonym to maintain the anonymity of the participants and content analysed thematically to probe awareness, understanding, patriarchy and religious dimensions on IC. The paper argued that ethics and law regulations must be strengthened to leverage on different individual values, norms and social indices. The paper concluded and suggested that researchers can avoid and resolve ethical dilemmas and maintain research regularity when ethical obligations are well understood and strictly adhered to, and to develop the Informed Consent Evaluation Feedback Tool (ICEFbT) with oversight function from Institution Review Board (IRB) in the universities and research institutes before the commencement of research and/or medical procedures.

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伦理相对主义与研究中知情同意的社会和文化偶然情况:尼日利亚的临床试验
在进行社会研究和临床试验时,全球范围内一直在争论一种对社会和文化敏感的伦理,以思考知情同意模板(IC)的催化剂。该研究采用伦理相对主义理论,通过描述性研究设计和滚雪球抽样技术,从包括研究人员在内的利益相关者中随机选择23名参与者,探讨IC的社会和文化偶然性。来自选定大学的7名讲师和5名医生、5名不同性别和教派的神职人员、2名伊玛目、1名首席执行官和2名传统卫生从业者组成了该团队。数据是用假名单独汇编的,以保持参与者的匿名性,内容按主题分析,以探究IC的意识、理解、父权制和宗教维度。论文认为,必须加强道德和法律法规,以利用不同的个人价值观、规范和社会指标。论文总结并建议,当充分理解并严格遵守伦理义务时,研究人员可以避免和解决伦理困境,保持研究的规律性,以及在研究和/或医疗程序开始之前,在大学和研究机构开发具有机构审查委员会监督职能的知情同意评估反馈工具。
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来源期刊
CiteScore
6.20
自引率
3.40%
发文量
32
期刊介绍: Asian Bioethics Review (ABR) is an international academic journal, based in Asia, providing a forum to express and exchange original ideas on all aspects of bioethics, especially those relevant to the region. Published quarterly, the journal seeks to promote collaborative research among scholars in Asia or with an interest in Asia, as well as multi-cultural and multi-disciplinary bioethical studies more generally. It will appeal to all working on bioethical issues in biomedicine, healthcare, caregiving and patient support, genetics, law and governance, health systems and policy, science studies and research. ABR provides analyses, perspectives and insights into new approaches in bioethics, recent changes in biomedical law and policy, developments in capacity building and professional training, and voices or essays from a student’s perspective. The journal includes articles, research studies, target articles, case evaluations and commentaries. It also publishes book reviews and correspondence to the editor. ABR welcomes original papers from all countries, particularly those that relate to Asia. ABR is the flagship publication of the Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore. The Centre for Biomedical Ethics is a collaborating centre on bioethics of the World Health Organization.
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