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Deception and informed consent in studies with incognito simulated standardized patients: empirical experiences and a case study from South Africa 在模拟匿名标准化患者的研究中的欺骗和知情同意:经验经验和来自南非的案例研究
IF 1.7 Q2 ETHICS Pub Date : 2023-05-22 DOI: 10.1177/17470161231174734
B. Daniels, J. Boffa, A. Kwan, S. Moyo
Simulated standardized patients (SPs) are trained individuals who pose incognito as people seeking treatment in a health care setting. With the method’s increasing use and popularity, we propose some standards to adapt the method to contextual considerations of feasibility, and we discuss current issues with the SP method and the experience of consent and ethical research in international SP studies. Since a foundational discussion of the research ethics of the method was published in 2012, a growing number of studies have implemented this method to collect data on the quality of care in a variety of settings around the world. We draw from that experience to provide empirical foundations for a popular approach to ethical approval of such studies in the United States and Canada, which has been to obtain a waiver of informed consent from the health care providers who are the subjects of the research. However, the majority of studies to date have evaluated quality of care outside the U.S., requiring additional ethical consideration when partnering with international institutions. We discuss these considerations in the context of a case study from a completed SP study in South Africa, where informed consent is constitutionally protected.
模拟标准化患者(SPs)是经过培训的个人,他们伪装成在卫生保健机构寻求治疗的人。随着该方法的使用和普及,我们提出了一些标准,以使该方法适应可行性的背景考虑,并讨论了SP方法的当前问题以及国际SP研究中同意和伦理研究的经验。自2012年发表了关于该方法研究伦理的基础讨论以来,越来越多的研究采用该方法在世界各地的各种环境中收集有关护理质量的数据。我们从这一经验中吸取经验,为美国和加拿大对此类研究的伦理批准的流行方法提供经验基础,该方法是获得作为研究对象的卫生保健提供者的知情同意豁免。然而,到目前为止,大多数研究都评估了美国以外的护理质量,在与国际机构合作时需要额外的伦理考虑。我们在南非完成的一项SP研究的案例研究中讨论了这些考虑因素,在南非,知情同意受到宪法保护。
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引用次数: 1
Systemic disruptions: decolonizing indigenous research ethics using indigenous knowledges 系统性破坏:利用本土知识去殖民化本土研究伦理
IF 1.7 Q2 ETHICS Pub Date : 2023-04-20 DOI: 10.1177/17470161231169205
C. Fournier, S. Stewart, Joshua Adams, Clayton Shirt, Esha Mahabir
Research involving and impacting Indigenous Peoples is often of little or no benefit to the communities involved and, in many cases, causes harm. Ensuring that Indigenous research is not only ethical but also of benefit to the communities involved is a long-standing problem that requires fundamental changes in higher education. To address this necessity for change, the authors of this paper, with the help of graduate and Indigenous community research assistants, undertook community consultation across their university to identify the local and national ethical needs of Indigenous researchers, communities, and Elders. This paper provides an overview of the consultation process, the themes that emerged from the consultations, and a model of the Wholistic Indigenous Research Framework that emerged.
涉及土著人民并对其产生影响的研究往往对有关社区几乎没有或根本没有好处,在许多情况下还造成伤害。确保本土研究不仅符合伦理,而且有利于相关社区,这是一个长期存在的问题,需要对高等教育进行根本改革。为了解决这种改变的必要性,本文的作者在研究生和土著社区研究助理的帮助下,在他们的大学里进行了社区咨询,以确定土著研究人员、社区和长老的地方和国家伦理需求。本文概述了磋商过程、磋商产生的主题以及由此产生的整体土著研究框架模型。
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引用次数: 1
Researchers’ reflections on ethics of care as decolonial research practice: understanding Indigenous knowledge communication systems to navigate moments of ethical tension in rural Malawi 研究人员对护理伦理作为非殖民化研究实践的反思:理解土著知识传播系统,以导航马拉维农村伦理紧张的时刻
IF 1.7 Q2 ETHICS Pub Date : 2023-04-14 DOI: 10.1177/17470161231169484
Mtisunge Isabel Kamlongera, Mkotama W Katenga-Kaunda
This article is autoethnographic, based upon the authors’ experiences and reflections upon encountered moments of ethical tension whilst conducting research in rural Malawi. Given that knowledge production, as a process, has been marred by colonial forms of power, the project was underpinned by efforts to achieve a decolonial approach to the research, including the research ethics. The authors share of their endeavours to counterbalance the challenges of power asymmetries whilst researching and working with an Indigenous community whose reality can be marginalised by the Western canon. The authors attempted to ensure that the values and customs of the researched community were respected and central to the research approach. When researchers are guided by local culture and customs, the participants are able to drive the research approach, incorporate their voice and share knowledge that is true to their context and reality. In this way, the research study is illustrative of how an ethics of care can help to facilitate decolonial research practice.
这篇文章是基于作者在马拉维农村进行研究时遇到的伦理紧张时刻的经历和反思的自我民族志。鉴于知识生产作为一个过程已经被殖民形式的权力所破坏,该项目的基础是努力实现非殖民的研究方法,包括研究伦理。作者分享了他们在研究和与土著社区合作的同时,为平衡权力不对称的挑战所做的努力,土著社区的现实可能被西方经典边缘化。作者试图确保研究群体的价值观和习俗得到尊重,并成为研究方法的核心。当研究人员受到当地文化和习俗的指导时,参与者能够推动研究方法,纳入他们的声音,并分享符合其背景和现实的知识。通过这种方式,这项研究说明了护理伦理如何有助于促进非殖民化研究实践。
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引用次数: 1
Research Responsibility Agreement: a tool to support ethical research 研究责任协议:支持伦理研究的工具
IF 1.7 Q2 ETHICS Pub Date : 2023-04-07 DOI: 10.1177/17470161231166600
M. Murdock, Stephanie Erickson
When engaging in community-based research, it is important to consider ethical research practices throughout the project. While current research practices require many investigators to obtain approval from an ethics review board before starting a project, more is required to ensure that ethical principles are applied once the investigations begin and after the investigations are complete. In response to this concern, as expressed by workers at a feminist non-profit during a community placement, we developed a tool to foster both greater ethical and feminist research practice in community-based research. Using feminist theories, methodologies, and concepts such as epistemic justice, epistemic trust, and coauthorship, a tool was developed to support researchers and other collaborators in building relationships of reciprocity. This tool, called the Research Responsibility Agreement (RRA) invites all members of a research project to explicitly reflect on their role in the research, their relationships with other collaborators, their responsibility to contributing meaningfully in the project, and their plans to remain accountable to one another. In doing so, the RRA adds to existing tools that support ethical research by sharing explicit reflections from all collaborators on how to prevent harm and by asking them to reflect on ethical practices beyond the initial stages of the project. The RRA also encourages greater engagement from researchers and collaborators toward building meaningful relationships with each other, and with participants, to work together in advancing social change. As a practical tool that promotes reflection, that builds relationships, and that holds all parties accountable to ethical and feminist research practices, the RRA has the potential to generate impactful change in community-based research projects and beyond. While the RRA is tailored to community-based research, it can be applied widely to any research project and has the potential to revolutionize how research relationships are built across disciplines.
在从事基于社区的研究时,在整个项目中考虑伦理研究实践是很重要的。虽然目前的研究实践要求许多研究人员在开始一个项目之前获得伦理审查委员会的批准,但在调查开始和调查完成后,需要更多的伦理原则得到应用。作为对这一问题的回应,正如女权主义非营利组织的工作人员在社区实习期间所表达的那样,我们开发了一个工具,以促进社区研究中更大的伦理和女权主义研究实践。利用女权主义理论、方法和概念,如认知正义、认知信任和合著,开发了一个工具来支持研究人员和其他合作者建立互惠关系。这个工具,被称为研究责任协议(RRA),邀请研究项目的所有成员明确地反映他们在研究中的角色,他们与其他合作者的关系,他们在项目中做出有意义贡献的责任,以及他们对彼此负责的计划。通过这样做,RRA增加了现有的支持伦理研究的工具,通过分享所有合作者对如何防止伤害的明确反思,并要求他们在项目的初始阶段之后反思伦理实践。RRA还鼓励研究人员和合作者更多地参与其中,彼此之间以及与参与者之间建立有意义的关系,共同努力推动社会变革。作为一种促进反思、建立关系、使各方对伦理和女权主义研究实践负责的实用工具,RRA有可能在以社区为基础的研究项目及其他领域产生有影响力的变化。虽然RRA是为基于社区的研究量身定制的,但它可以广泛应用于任何研究项目,并有可能彻底改变跨学科研究关系的建立方式。
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引用次数: 1
Cannabis, research ethics, and a duty of care 大麻,研究伦理,和照顾义务
IF 1.7 Q2 ETHICS Pub Date : 2023-04-07 DOI: 10.1177/17470161231164530
J. Wheeldon, J. Heidt
Despite growing evidence to the contrary, researchers continue to posit causal links between cannabis, crime, psychosis, and violence. These spurious connections are rooted in history and fueled decades of structural limitations that shaped how researchers studied cannabis. Until recently, research in this area was explicitly funded to link cannabis use and harm and ignore any potential benefits. Post-prohibition cannabis research has failed to replicate the dire findings of the past. This article outlines how the history of controlling cannabis research has led to various harms, injustices, and ethical complications. We compare commonly cited research from both the prohibition and post-prohibition eras and argue that many popular claims about the dangers of cannabis are the result of ethical lapses by researchers, journals, and funders. We propose researchers in this area adopt a duty of care in cannabis research going forward. This would oblige individual researchers to establish robust research designs, employ careful analytic strategies, and acknowledge limitations in more detail. This duty involves the institutional recognition by funders, journals, and others that cannabis research has been deliberately misconstrued to criminalize, stigmatize, and pathologize.
尽管有越来越多的相反证据,但研究人员仍然认为大麻与犯罪、精神病和暴力之间存在因果关系。这些虚假的联系根植于历史,并助长了几十年来的结构性限制,这些限制影响了研究人员研究大麻的方式。直到最近,这一领域的研究都是明确地将大麻的使用与危害联系起来,而忽略了任何潜在的好处。禁令后的大麻研究未能复制过去的可怕结果。这篇文章概述了控制大麻研究的历史是如何导致各种危害、不公正和伦理并发症的。我们比较了禁酒令时期和后禁酒令时期经常被引用的研究,认为许多关于大麻危害的流行说法是研究人员、期刊和资助者道德失误的结果。我们建议这一领域的研究人员在未来的大麻研究中采取注意义务。这将迫使个别研究人员建立健全的研究设计,采用仔细的分析策略,并在更多细节上承认局限性。这一责任包括资助者、期刊和其他机构认识到大麻研究被故意误解为犯罪、污名化和病态化。
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引用次数: 1
Disclosing and Managing Non-Financial Conflicts of Interest in Scientific Publications. 科学出版物中非财务利益冲突的披露与管理。
IF 2.1 Q2 ETHICS Pub Date : 2023-04-01 Epub Date: 2023-01-12 DOI: 10.1177/17470161221148387
David B Resnik

In the last decade, there has been increased recognition of the importance of disclosing and managing non-financial conflicts of interests to safeguard the objectivity, integrity, and trustworthiness of scientific research. While funding agencies and academic institutions have had policies for addressing non-financial interests in grant peer review and research oversight since the 1990s, scientific journals have been only recently begun to develop such policies. An impediment to the formulation of effective journal policies is that non-financial interests can be difficult to recognize and define. Journals can overcome this problem by providing guidance concerning the types of non-financial interests that should be disclosed, including direct research interests, direct professional interests, expert testimony, involvement in litigation, holding a leadership position in a non-governmental organization, providing technical or scientific advice to a non-governmental organization, and personal or professional relationships. The guidance should apply to authors, editors, and reviewers.

在过去十年中,人们越来越认识到披露和管理非财务利益冲突对于维护科学研究的客观性、完整性和可信度的重要性。虽然资助机构和学术机构自20世纪90年代以来已经制定了解决资助同行评审和研究监督中的非经济利益的政策,但科学期刊直到最近才开始制定此类政策。制定有效期刊政策的一个障碍是,非财务利益可能难以识别和界定。期刊可以通过提供关于应披露的非经济利益类型的指导来克服这一问题,这些利益包括直接的研究利益、直接的专业利益、专家证词、参与诉讼、在非政府组织担任领导职务、向非政府组织提供技术或科学咨询以及个人或专业关系。该指南应该适用于作者、编辑和审稿人。
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引用次数: 0
Clarifying our policy on requiring ethics approval in submitted manuscripts 澄清我们要求在提交的稿件中获得伦理认可的政策
IF 1.7 Q2 ETHICS Pub Date : 2023-03-31 DOI: 10.1177/17470161231161402
K. Chatfield, E. Dove
Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). Clarifying our policy on requiring ethics approval in submitted manuscripts
知识共享非商业性CC BY-NC:本文在知识共享署名-非商业4.0许可(https://creativecommons.org/licenses/by-nc/4.0/)的条款下发布,该许可允许非商业用途,复制和分发作品,无需进一步许可,前提是原始作品的署名与SAGE和开放获取页面(https://us.sagepub.com/en-us/nam/open-access-at-sage)上指定的一致。澄清我们要求在提交的稿件中获得伦理认可的政策
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引用次数: 0
VIRT2UE: A European train-the-trainer programme for teaching research integrity VIRT2UE:欧洲教学研究诚信培训计划
IF 1.7 Q2 ETHICS Pub Date : 2023-03-23 DOI: 10.1177/17470161231161267
Natalie Evans, Armin Schmolmueller, M. Stolper, Giulia Inguaggiato, Astrid Hooghiemstra, Ružica Tokalić, D. Pizzolato, Nicole Foeger, A. Marušić, Marc van Hoof, D. Lanzerath, B. Molewijk, K. Dierickx, Guy Widdershoven on
Universities and other research institutions are increasingly providing additional training in research integrity to improve the quality and reliability of research. Various training courses have been developed, with diverse learning goals and content. Despite the importance of training that focuses on moral character and professional virtues, there remains a lack of training that adopts a virtue ethics approach. To address this, we, a European Commission-funded consortium, have designed a train-the-trainer programme for research integrity. The programme is based on (1) virtue ethics, (2) the ethos of science, (3) learning by doing and (4) learner-centred teaching. The blended learning programme combines e-learning modules with participatory group sessions. Trainers are taught how to guide researchers through a series of structured exercises for fostering reflection on scientific virtues, and how to promote understanding and application of the European Code of Conduct for Research Integrity. Trainers are provided with adaptable tools and resources that can be used and combined in different ways. The programme implementation began in Spring 2020 and 470 trainers have participated to date. When trainers were asked to grade – between 0 (very bad) and 10 (excellent) – the e-learning modules and the participatory exercises, 60% scored a grade 8 or higher (median = 8, IQR = 2) for the e-learning modules, whereas 80% scored a grade 8 or higher (median = 9, IQR = 1) for the participatory exercises. A majority felt that the training helped them as a trainer to learn about ways to organise and teach a research integrity course (82%) and would recommend the interactive exercises to others (92%). Trainers have educated over 3300 researchers in Europe using our virtue-based approach. The VIRT2UE train-the-trainer programme fosters research integrity by providing trainers with exercises and tools which enable them to stimulate the development of good researchers across Europe.
大学和其他研究机构越来越多地提供研究诚信方面的额外培训,以提高研究的质量和可靠性。开发了各种培训课程,学习目标和内容多种多样。尽管注重道德品质和职业道德的培训很重要,但仍然缺乏采用美德伦理方法的培训。为了解决这个问题,我们——一个由欧盟委员会(European commission)资助的财团——设计了一个研究诚信培训计划。该计划基于(1)美德伦理,(2)科学精神,(3)边做边学,(4)以学习者为中心的教学。混合式学习计划将电子学习模块与参与式小组会议相结合。培训人员被教导如何通过一系列结构化的练习来指导研究人员,以促进对科学美德的反思,以及如何促进对《欧洲研究诚信行为准则》的理解和应用。为培训人员提供了适应性强的工具和资源,可以以不同的方式使用和组合。该方案于2020年春季开始实施,迄今已有470名培训师参与。当培训师被要求对电子学习模块和参与性练习进行评分时——在0(非常差)到10(优秀)之间——60%的培训师在电子学习模块上得分为8或更高(中位数= 8,IQR = 2),而80%的培训师在参与性练习上得分为8或更高(中位数= 9,IQR = 1)。大多数人认为,培训帮助他们作为培训师学习如何组织和教授研究诚信课程(82%),并将互动练习推荐给其他人(92%)。培训师已经用我们基于虚拟的方法培训了欧洲3300多名研究人员。VIRT2UE培训培训师计划通过为培训师提供练习和工具来促进研究诚信,使他们能够刺激整个欧洲优秀研究人员的发展。
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引用次数: 4
The Harraseeket Conference – Revisiting systems for ethics oversight of research with human participants Harraseeket会议-重新审视人类参与研究的伦理监督系统
IF 1.7 Q2 ETHICS Pub Date : 2023-03-23 DOI: 10.1177/17470161231157053
S. Rosenfeld, G. Shaler, Ross Hickey
The current system of ethical oversight in the United States is based on Institutional Review Board (IRB) review. The system was established in response to well-known and egregious mistreatment of subjects in both biomedical and social and behavioral research. In the decades since the research regulations were enacted, reaction to the burden of IRB oversight has led the system to focus on compliance and limit its active oversight disproportionately to studies that could present the risk of physical harm. At the same time, the characteristics of the research enterprise have changed and methodologies now present novel risks that were not envisioned in the regulations. We convened a group of IRB professionals, academic leaders, and others to discuss limitations of the current system, how that system could be changed to recognize evolving risks and an increasing focus on participant and community voice, and how it could better serve the needs of researchers and support the societal project of science as a public good. Recommendations included a call to reexamine the academic incentive structure, to develop a system to support consideration of ethical principles from the time of study design, and to explicitly provide different ethical support and oversight for high-risk interventional trials and lower risk biomedical and social behavioral research.
美国目前的伦理监督体系是基于机构审查委员会(IRB)的审查。该系统的建立是为了应对生物医学、社会和行为研究中对受试者的众所周知的、令人震惊的虐待。自研究条例颁布以来的几十年里,对IRB监督负担的反应导致该系统将重点放在合规上,并将其积极监督不成比例地限制在可能带来身体伤害风险的研究上。与此同时,研究企业的特点发生了变化,方法现在呈现出法规中没有预见到的新风险。我们召集了一组IRB专业人员、学术领袖和其他人来讨论当前系统的局限性,如何改变该系统以识别不断变化的风险,并日益关注参与者和社区的声音,以及它如何更好地满足研究人员的需求,并支持作为公共产品的科学社会项目。建议包括呼吁重新审视学术激励结构,建立一套从研究设计开始就考虑伦理原则的系统,并明确为高风险的干预性试验和低风险的生物医学和社会行为研究提供不同的伦理支持和监督。
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引用次数: 2
Correction Statement: Conflict of Interest Statements 更正声明:利益冲突声明
IF 1.7 Q2 ETHICS Pub Date : 2023-02-25 DOI: 10.1177/17470161231159498
Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). Correction Statement: Conflict of Interest Statements
知识共享非商业性CC BY-NC:本文在知识共享署名-非商业4.0许可(https://creativecommons.org/licenses/by-nc/4.0/)的条款下发布,该许可允许非商业用途,复制和分发作品,无需进一步许可,前提是原始作品的署名与SAGE和开放获取页面(https://us.sagepub.com/en-us/nam/open-access-at-sage)上指定的一致。更正声明:利益冲突声明
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引用次数: 0
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