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Ethics in global research: Creating a toolkit to support integrity and ethical action throughout the research journey 全球研究中的伦理:创建一个工具包,以支持整个研究过程中的诚信和道德行为
IF 1.7 Q2 ETHICS Pub Date : 2021-02-27 DOI: 10.1177/1747016121997522
Corinne Reid, C. Calia, Cristóbal Guerra, L. Grant, Matilda Anderson, Khama Chibwana, Paul Kawale, Action Amos
Global challenge-led research seeks to contribute to solution-generation for complex problems. Multicultural, multidisciplinary, and multisectoral teams must be capable of operating in highly demanding contexts. This brings with it a swathe of ethical conflicts that require quick and effective solutions that respect both international conventions and cultural diversity. The objective of this article is to describe the process of creating a toolkit designed to support global researchers in navigating these ethical challenges. The process of creating the toolkit embodied the model of ethical research practice that it advocates. Specifically, at the heart of ethical decision-making is consideration of the following: Place, solutions must be relevant to the context in which they are to be used; People, those impacted by the outcomes must be partners in co-creation; Principles, ethical projects must be guided by clear values; and Precedent, the existing evidence-base should guide the project and, in turn, the project should extend the evidence-base. It is the thesis underlying the toolkit that consideration of these 4Ps provides a strong basis for understanding ethical conflicts and allows for the generation of potential solutions. This toolkit has been designed in two phases of collaborative work. More than 200 researchers participated from more than 30 countries and more than 60 different disciplines. This allowed us to develop a model for contextual, dynamic analysis of ethical conflicts in global research that is complementary to traditional codes of ethics. It emphasizes the need to consider ethical analysis as an iterative, reflective, process relevant at all stages of the research journey, including, ultimately, in evaluating the legacy of a project. The toolkit is presented as an open access website to promote universal access. A downloadable “pocket guide” version is also now available in 11 languages.
全球挑战主导的研究旨在为复杂问题的解决方案做出贡献。多文化、多学科和多部门团队必须能够在高要求的环境中运作。随之而来的是一系列伦理冲突,这些冲突需要在尊重国际公约和文化多样性的基础上迅速有效地解决。本文的目的是描述创建一个旨在支持全球研究人员应对这些伦理挑战的工具包的过程。创建工具包的过程体现了它所倡导的伦理研究实践模式。具体来说,道德决策的核心是考虑以下因素:地点,解决方案必须与使用它们的背景相关;受结果影响的人必须成为共同创造的伙伴;原则、道德项目必须以明确的价值观为指导;和先例,现有的证据基础应该指导项目,反过来,项目应该扩展证据基础。考虑这些4p为理解伦理冲突提供了坚实的基础,并允许产生潜在的解决方案,这是工具包的基础。该工具包是在协作工作的两个阶段中设计的。来自30多个国家60多个不同学科的200多名研究人员参与了这项研究。这使我们能够开发一个模型,对全球研究中的伦理冲突进行情境动态分析,这是对传统伦理准则的补充。它强调需要将伦理分析视为一个迭代的、反思的、与研究旅程的所有阶段相关的过程,包括最终评估项目的遗产。该工具包作为一个开放获取网站提供,以促进普遍获取。可下载的“袖珍指南”版本现在也有11种语言版本。
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引用次数: 6
Identifying and addressing nonrational processes in REB ethical decision-making 识别和解决REB伦理决策中的非理性过程
IF 1.7 Q2 ETHICS Pub Date : 2021-02-11 DOI: 10.1177/1747016121994011
Simon Nuttgens
Ethical decision-making is inherent to the research ethics committee (REC) deliberation process. While ethical codes, regulations, and research standards are indispensable in guiding this process, decision-making is nonetheless susceptible to nonrational factors that can undermined the quality, consistency, and perceived fairness REC decisions. In this paper I identify biases and heuristics (i.e., nonrational factors) that are known to influence the reasoning processes among the general population and various professions alike. I suggest that such factors will inevitably arise within the REC review process. To help mitigate this potential, I propose an interventive questioning process that can be used by RECs to identify and minimize the influence of the nonrational factors most likely to impact REC judgment and decision-making.
伦理决策是研究伦理委员会(REC)审议过程所固有的。虽然伦理准则、法规和研究标准在指导这一过程中不可或缺,但决策仍然容易受到非理性因素的影响,这些因素可能会破坏REC决策的质量、一致性和可感知的公平性。在本文中,我确定了偏见和启发式(即非理性因素),这些因素已知会影响一般人群和各种职业的推理过程。我认为,这些因素将不可避免地出现在检讨REC的过程中。为了帮助减轻这种可能性,我提出了一种可被REC用来识别和最小化最有可能影响REC判断和决策的非理性因素影响的干预性提问过程。
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引用次数: 0
Ethical approval: none sought. How discourse analysts report ethical issues around publicly available online data 伦理认可:无人寻求。话语分析师如何报告围绕公开在线数据的道德问题
IF 1.7 Q2 ETHICS Pub Date : 2021-01-19 DOI: 10.1177/1747016120988767
Wyke J P Stommel, Lynn de Rijk
Although ethical guidelines for doing Internet research are available, most prominently those of the Association of Internet Researchers (www.aoir.org), ethical decision-making for research on publicly available, naturally-occurring data remains a major challenge. As researchers might also turn to others to inform their decisions, this article reviews recent research papers on publicly available, online data. Research involving forums such as Facebook pages, Twitter, YouTube, news comments, blogs, etc. is examined to see how authors report ethical considerations and how they quote these data. We included 132 articles published in discourse analysis-oriented journals between January 2017 and February 2020. Roughly one third of the articles (85 out of 132) did not discuss ethical issues, mostly claiming the data were publicly available. Quotations nevertheless tended to be anonymized, although retrievability of posts was generally not taken into account. In those articles in which ethical concerns were reported, related decisions appeared to vary substantially. In most cases it was argued that informed consent was not required. Similarly, approval from research ethics committees was mostly regarded unnecessary. Other ethical issues like consideration of users’ expectations and intentions, freedom of choice, possible harm, sensitive topics, and vulnerable groups were rarely discussed in the articles. We argue for increased attention to ethical issues and legal aspects in discourse analytic articles involving online data beyond mentioning general concerns. Instead, we argue for more involvement of users/participants in ethical decision-making, for consideration of retrievability of posts and for a role for journal editors.
虽然互联网研究的伦理准则是可用的,最突出的是互联网研究协会(www.aoir.org),但对公开可用的、自然发生的数据进行研究的伦理决策仍然是一个主要挑战。由于研究人员可能也会向他人寻求信息来做出决定,本文回顾了最近关于公开可用的在线数据的研究论文。研究涉及论坛,如Facebook页面、Twitter、YouTube、新闻评论、博客等,以查看作者如何报告伦理考虑以及他们如何引用这些数据。我们纳入了2017年1月至2020年2月期间发表在话语分析导向期刊上的132篇文章。大约三分之一的文章(132篇中的85篇)没有讨论伦理问题,大多数声称数据是公开的。然而,报价往往是匿名的,虽然一般没有考虑到员额的可检索性。在那些涉及伦理问题的文章中,有关的决定似乎差别很大。在大多数情况下,有人认为不需要知情同意。同样,研究伦理委员会的批准也被认为是不必要的。其他伦理问题,如考虑用户的期望和意图、选择的自由、可能的伤害、敏感话题和弱势群体,在文章中很少被讨论。我们主张在涉及在线数据的话语分析文章中增加对伦理问题和法律方面的关注,而不是提及一般问题。相反,我们主张让用户/参与者更多地参与伦理决策,考虑文章的可检索性,以及期刊编辑的角色。
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引用次数: 27
Unethical governance: capacity legislation and the exclusion of people diagnosed with dementias from research 不道德的治理:能力立法和将诊断为痴呆症的人排除在研究之外
IF 1.7 Q2 ETHICS Pub Date : 2020-12-17 DOI: 10.1177/1747016120982023
J. Fletcher
This paper considers the potential for the Mental Capacity Act (MCA) of England and Wales to incentivise the exclusion of people with dementia from research. The MCA is intended to standardise and safeguard the inclusion of people with cognitive impairments in research. This entails various procedural requirements, which in pressurised research contexts can lead researchers to exclude people with dementia as a means of simplifying bureaucratic constraints. I consider the risks of an ‘unethical ethics’, wherein procedural ethics indirectly causes the exclusion of people with dementia from research, undermining historic successes toward increased inclusivity. I suggest several solutions, including enhanced sensitivity to impairments and shifting the burden of proof from justifying inclusion to justifying exclusion. The paper responds to the ‘ethics creep’ tradition in procedural ethics, and critical appraisals of capacity legislation in dementia research. This approach recognises that institutional research ethics is itself a major ethical concern and can unwittingly beget unethical practices. Dementia researchers must be alert to such unethical ethics.
本文考虑了英格兰和威尔士《精神能力法案》(MCA)的潜力,以鼓励将痴呆症患者排除在研究之外。《认知障碍法案》旨在规范和保障认知障碍患者参与研究。这需要各种程序要求,在压力很大的研究背景下,这可能导致研究人员将痴呆症患者排除在外,作为简化官僚约束的一种手段。我考虑了“不道德伦理”的风险,其中程序伦理间接导致痴呆症患者被排除在研究之外,破坏了增加包容性的历史性成功。我提出了几个解决方案,包括提高对损害的敏感性,将举证责任从证明纳入的合理性转移到证明排除的合理性。本文回应了程序伦理学中的“伦理蠕变”传统,并对痴呆症研究中的能力立法进行了批判性评价。这种方法认识到,机构研究伦理本身就是一个主要的伦理问题,可能在不知不觉中引发不道德的做法。痴呆症研究人员必须警惕这种不道德的伦理。
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引用次数: 14
Community-based health care providers as research participant recruitment gatekeepers: ethical and legal issues in a real-world case example 社区卫生保健提供者作为研究参与者招募看门人:现实世界案例中的道德和法律问题
IF 1.7 Q2 ETHICS Pub Date : 2020-12-10 DOI: 10.1177/1747016120980560
Karen L. Celedonia, Michael W. Valenti, Marcelo Corrales Compagnucci, M. Lowery Wilson
Community-based mental health care providers (CBMHCPs) are increasingly contacted by external researchers for research study recruitment. Unfortunately, many do not possess the resources or personnel with the skills required to successfully evaluate research proposals for risks. Providing access to clients and client health information can result in harmful personal and legal consequences if the proper safeguards do not exist. This article discusses the legal requirements and practical implications for CBMHCPs when acting as gatekeepers. A case study from a large CBMHCP is presented as an illustration of steps that can be taken to protect clients and avoid risk. Additional recommendations for establishing protective safeguards and research evaluation protocols are discussed.
外部研究人员越来越多地联系以社区为基础的精神卫生保健提供者(CBMHCPs)进行研究招募。不幸的是,许多国家不具备成功评估研究提案风险所需的资源或技能人员。如果没有适当的保障措施,提供接触客户和客户健康信息的机会可能导致有害的个人和法律后果。本文讨论了CBMHCPs作为看门人时的法律要求和实际含义。本文提出了一个大型CBMHCP的案例研究,以说明可以采取哪些步骤来保护客户并避免风险。讨论了关于建立保护性保障措施和研究评价规程的其他建议。
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引用次数: 2
Ethical and practical considerations in HIV drug trial closure: perspectives of research staff in Uganda 艾滋病毒药物试验结束的伦理和实际考虑:乌干达研究人员的观点
IF 1.7 Q2 ETHICS Pub Date : 2020-11-16 DOI: 10.1177/17470161211030971
Sylivia Nalubega, Karen Cox, H. Mugerwa, C. Evans
There is a gap in evidence regarding how research trial closure processes are managed to ensure continuity of HIV care for HIV positive participants following trial closure within low income settings. This research aimed to establish how research staff in Uganda understood and practised post-trial care for HIV positive trial participants. A grounded theory study was conducted using in-depth individual interviews and focus group discussions with 22 research staff from three different trials in Uganda. The results indicated that researchers engaged in three main activities to support trial participants, including: (i) preparing for post-trial care, which included instituting trial closure guidelines, planning necessary resources, and informing trial participants about post-trial care; (ii) facilitating participants during trial exit by engaging in psychological and practical support activities and (iii) providing follow up care and support for participants after trial exit, to respond to the needs of trial participants which often arose after trial exit. This study established a need for a holistic approach to post-trial-care of HIV positive trial participants in Uganda, and the need to engage multiple stakeholders including ethics authorities.
关于如何管理研究试验结束过程以确保在低收入环境中试验结束后艾滋病毒阳性参与者的艾滋病毒护理的连续性,证据存在差距。这项研究旨在确定乌干达的研究人员如何理解和实践艾滋病毒阳性试验参与者的试验后护理。通过与来自乌干达三个不同试验的22名研究人员进行深入的个人访谈和焦点小组讨论,开展了一项有根据的理论研究。结果表明,研究人员主要从事三项活动来支持试验参与者,包括:(1)为试验后护理做准备,包括制定试验结束指南,规划必要的资源,并向试验参与者告知试验后护理;(ii)通过参与心理和实际支持活动,为试验退出期间的参与者提供便利;(iii)为试验退出后的参与者提供后续关怀和支持,以回应试验退出后经常出现的试验参与者的需求。这项研究确定了对乌干达艾滋病毒阳性试验参与者的试验后护理采取整体方法的必要性,以及让包括伦理当局在内的多个利益攸关方参与的必要性。
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引用次数: 0
Publish or be ethical? Publishing pressure and scientific misconduct in research 出版还是道德?出版压力和科研不端行为
IF 1.7 Q2 ETHICS Pub Date : 2020-11-04 DOI: 10.1177/1747016120980562
M. Paruzel-Czachura, Lidia Baran, Zbigniew Spendel
The paper reports two studies exploring the relationship between scholars’ self-reported publication pressure and their self-reported scientific misconduct in research. In Study 1 the participants (N = 423) were scholars representing various disciplines from one big university in Poland. In Study 2 the participants (N = 31) were exclusively members of the management, such as dean, director, etc. from the same university. In Study 1 the most common reported form of scientific misconduct was honorary authorship. The majority of researchers (71%) reported that they had not violated ethical standards in the past; 3% admitted to scientific misconduct; 51% reported being were aware of colleagues’ scientific misconduct. A small positive correlation between perceived publication pressure and intention to engage in scientific misconduct in the future was found. In Study 2 more than half of the management (52%) reported being aware of researchers’ dishonest practices, the most frequent one of these being honorary authorship. As many as 71% of the participants report observing publication pressure in their subordinates. The primary conclusions are: (1) most scholars are convinced of their morality and predict that they will behave morally in the future; (2) scientific misconduct, particularly minor offenses such as honorary authorship, is frequently observed both by researchers (particularly in their colleagues) and by their managers; (3) researchers experiencing publication pressure report a willingness to engage in scientific misconduct in the future.
本文报道了两项研究,探讨了学者自我报告的发表压力与自我报告的科研不端行为之间的关系。在研究1中,参与者(N = 423)是来自波兰一所大型大学的代表不同学科的学者。在研究2中,参与者(N = 31)都是来自同一所大学的管理人员,如院长、主任等。在研究1中,最常见的科学不端行为是名誉作者。大多数研究人员(71%)报告说他们过去没有违反道德标准;3%的人承认有科学不端行为;51%的人表示他们知道同事的科学不端行为。研究发现,感知到的出版压力与未来从事科学不端行为的意图之间存在微小的正相关关系。在研究2中,超过一半的管理层(52%)报告说他们知道研究人员的不诚实行为,其中最常见的是荣誉作者。多达71%的参与者报告说他们的下属有发表压力。研究的主要结论是:(1)大多数学者对自己的道德行为有信心,并预测自己未来的道德行为;(2)科研不端行为,尤其是名誉作者这样的小过失,经常被研究人员(尤其是他们的同事)和他们的管理者发现;(3)面临出版压力的研究人员报告了未来从事科学不端行为的意愿。
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引用次数: 16
Moral injury and the need to carry out ethically responsible research 道德伤害和开展伦理责任研究的必要性
IF 1.7 Q2 ETHICS Pub Date : 2020-11-02 DOI: 10.1177/1747016120969743
V. Williamson, D. Murphy, C. Castro, E. Vermetten, R. Jetly, N. Greenberg
The need for research to advance scientific understanding must be balanced with ensuring the rights and wellbeing of participants are safeguarded, with some research topics posing more ethical quandaries for researchers than others. Moral injury is one such topic. Exposure to potentially morally injurious experiences can lead to significant distress, including post-traumatic stress disorder (PTSD), depression, and selfinjury. In this article, we discuss how the rapid expansion of research in the field of moral injury could threaten the wellbeing, dignity and integrity of participants. We also examine key guidance for carrying out ethically responsible research with participants’ rights to self-determination, confidentiality, non-maleficence and beneficence discussed in relation to the study of moral injury. We describe how investigations of moral injury are likely to pose several challenges for researchers including managing disclosures of potentially illegal acts, the risk of harm that repeated questioning about guilt and shame may pose to participant wellbeing in longitudinal studies, as well as the possible negative impact of exposure to vicarious trauma on researchers themselves. Finally, we offer several practical recommendations that researchers, research ethics committees and other regulatory bodies can take to protect participant rights, maximise the potential benefits of research outputs and ensure the field continues to expand in an ethically responsible way.
促进科学理解的研究需要必须与确保参与者的权利和福祉得到保障相平衡,因为一些研究课题给研究人员带来了比其他课题更多的伦理困境。道德伤害就是这样一个话题。暴露在潜在的道德伤害经历中会导致严重的痛苦,包括创伤后应激障碍(PTSD)、抑郁和自残。在这篇文章中,我们讨论了道德伤害领域研究的快速扩张如何威胁到参与者的福祉、尊严和诚信。我们还研究了开展道德责任研究的关键指导方针,参与者的自决权、保密性、非恶意和善行权与道德伤害研究有关。我们描述了道德伤害的调查如何可能给研究人员带来一些挑战,包括管理潜在非法行为的披露,在纵向研究中反复询问内疚和羞耻可能对参与者健康造成的伤害风险,以及暴露于替代创伤对研究人员本身可能产生的负面影响。最后,我们提供了一些实用的建议,研究人员、研究伦理委员会和其他监管机构可以采取这些建议来保护参与者的权利,最大化研究产出的潜在利益,并确保该领域以一种道德上负责任的方式继续发展。
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引用次数: 8
Understanding and attitudes of the Jordanian public about clinical research ethics 约旦公众对临床研究伦理的理解和态度
IF 1.7 Q2 ETHICS Pub Date : 2020-10-21 DOI: 10.1177/1747016120966779
M. Ababneh, S. Al‐Azzam, K. Alzoubi, Abeer M. Rababa’h, S. A. Al Demour
In Jordan, research ethics committees exist in most health settings. However, little is known about Jordanian public views regarding the ethics of clinical research. This study aimed to evaluate Jordanian public understanding and attitudes about ethics in clinical research. A questionnaire was used to collect information that included demographics, public knowledge, and attitudes towards ethics in clinical research. It was administered via face-to-face interviews in two major cities in Jordan from 1st June to 15th August 2017. Of the 2315 respondents, 2.33% were found to have poor knowledge, 22.16% had fair knowledge, and 75.51% had good knowledge of ethics in clinical research. Furthermore, 75.81% of respondents had positive attitudes towards ethics in research. However, only 45.23% reported that they trust clinical researchers in Jordan. Even though a large majority of respondents were aware of key features of research ethics, efforts are needed to address negative perceptions and knowledge deficits.
在约旦,大多数卫生机构都设有研究伦理委员会。然而,人们对约旦公众对临床研究伦理的看法知之甚少。本研究旨在评估约旦公众对临床研究伦理的理解和态度。使用问卷收集信息,包括人口统计、公众知识和对临床研究伦理的态度。调查于2017年6月1日至8月15日在约旦两个主要城市通过面对面访谈进行。在2315名受访者中,2.33%的人对临床研究伦理学知识了解不充分,22.16%的人对临床研究伦理学知识了解一般,75.51%的人对临床研究伦理学知识了解较好。此外,75.81%的受访者对研究伦理持积极态度。然而,只有45.23%的受访者表示他们信任约旦的临床研究人员。尽管绝大多数受访者都知道研究伦理的关键特征,但仍需要努力解决负面看法和知识缺陷。
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引用次数: 0
Online educational research with middle adolescent populations: Ethical considerations and recommendations 青少年群体的在线教育研究:伦理考虑和建议
IF 1.7 Q2 ETHICS Pub Date : 2020-10-08 DOI: 10.1177/1747016120963160
Erin Mackenzie, Nathan Berger, K. Holmes, M. Walker
Adolescent populations have become increasingly accessible through online data collection methods. Online surveys are advantageous in recruiting adolescent participants and can be designed for adolescents to provide informed consent without the requirement of parental consent. This study sampled 338 Australian adolescents to participate in a low risk online survey on adolescents’ experiences and perceptions of their learning in science classes, without parental consent. Adolescents were recruited through Facebook and Instagram advertising. In order to judge potential participants’ capacity to consent, two multiple-choice questions about the consent process were required to be answered correctly prior to accessing the survey. This simple strategy effectively determined whether middle adolescents had the capacity to provide informed consent to participate in low risk online educational research.
通过在线数据收集方法,青少年人口越来越容易获得。在线调查在招募青少年参与者方面是有利的,并且可以设计为青少年提供知情同意,而无需父母同意。本研究在没有父母同意的情况下,对338名澳大利亚青少年进行了一项低风险在线调查,调查内容是关于青少年在科学课上的学习经历和看法。青少年是通过Facebook和Instagram广告招募的。为了判断潜在参与者的同意能力,在进入调查之前,需要正确回答两个关于同意过程的多项选择题。这个简单的策略有效地决定了中年青少年是否有能力提供知情同意来参与低风险的在线教育研究。
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引用次数: 4
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Research Ethics
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