Ethical Issues in healthcare research Flashcards

1
Q

How do you approach making it easier for patients to tell you private and intimate details in the practice setting

A

Allow ample amount of time
ensure patient is in a private area

guarantee patient confidentiality anonymity in paper

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2
Q

What barriers exist to gaining a full and frank insight into thoughts and feelings of the patients where you work?

A

Interviewer Bias

The presence of other people and inability to provide privacy

Issues of time

Use of professional language

Power relationships

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3
Q

Why is ethical approval needed?

A

To ensure the protection of both the Researcher and the participants

To assess adherence to ethical standards

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4
Q

Define the ethical principle of beneficence?

A

Principle of conveying benefit (to do good)

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5
Q

Define the ethical principle of non-maleficence?

A

principle of protecting individuals (to do no harm)

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6
Q

Define the ethical principle of autonomy?

A

the right to self-determination, respect, dignity and informed consent

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7
Q

Define the ethical principle of justice?

A

the right to fair treament and to privacy and confidentiality which uphold fairness

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8
Q

List examples of beneficent acts

A

care

compassion

empathy

sympathy

altruism

kindness

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9
Q

What training must the reaseacher have before udertaking ethical research?

A

the reseaercher must be trained and qualified in the particular research method

Must have GCP (either CTIMPS or Non-CTIMPS training a.k.a Good Clinical Practice

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10
Q

What is CTIMPS and Non-CITIMPS?

A

Both are training pathways within the NHS GCP training scheme.

CTIMPS (clinical trials an investigation of medical product) which usually for RCTs, quantitative research investigating treaments drugs etc.

Non-CTIMPS

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11
Q

What is CTIMPS and Non-CITIMPS?

A

Both are training pathways within the NHS GCP training scheme.

CTIMPS (clinical trials an investigation of medical product) which usually for RCTs, quantitative research investigating treaments drugs etc.

Non-CTIMPS usualy for qualittatitive studies or basic quantitative studies involving surveys

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12
Q

What code of ethics must a researcher adhere to?

A

nuremberg code

decleration of helsinski

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13
Q

What are the nuremberg code’s ethical guideline for research?

A

Voluntary consent is essential

The results of any experiment must be for the greater good of society

Human experiments should be based on previous animal experimentation

Experiments should be conducted by avoiding physical/mental suffering and injury

No experiments should be conducted if it is believed to cause death/disability

The risks should never exceed the benefits

Adequate facilities should be used to protect subjects

Experiments should be conducted only by qualified scientists

Subjects should be able to end their participation at any time

The scientist in charge must be prepared to terminate the experiment when injury, disability, or death is likely to occur

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14
Q

How many ethical considerations are there in the nuremberg code?

A

10

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15
Q

What is the nuremberg code?

A

a series of principles for researches to protect human subjects from enduring cruelty harm etc

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16
Q

What is the nuremberg code?

A

a series of principles for researches to protect human subjects from enduring cruelty harm suffering etc

17
Q

List 6 groups which may be counted as vulnerable in terms of ethical research?

A

young children

elderly

mentally incapacitated patients

psychiatric patients
mentally ill patients

terminally ill patients

learning disables

embryo and foetuses

18
Q

Can researchers give their own practical guidance or help id the participants ask for it

A

No this against code of ethics.

Researcher should instead prepare a list of bodies or organisation in case the participant is in need of it during the study.

19
Q

What is the decleration of hesinski?

A

a series of ethical principles for researchers to adhere to for medical research involving human subjects, identifiable human material and data

20
Q

When was the decleration of hesinski last reviewed?

A

last reviewed in 2013

21
Q

What is a research participant?

A

individuals who volunteer or are volunteered to take part in research

22
Q

What is agency?

A

agency is a form of participation which also gives the participants an active decision making role. partcipants have a moure autonomous role.

23
Q

How many factors make up Hart’s ladder of partcipation?

A

8

24
Q

What factor in Hart’s Ladder of partcipation gives participants the most agency?

A

partcipant-initiated shared decisions with researcher

25
Q

Which factor in Hart’ ladder of participation gives participants the least agency?

A

Manipulation

26
Q

What is privacy in ethical research?

A

retales to preventing undue intrusion into participants personal lives

27
Q

What is confidentiality in ethical research?

A

relates to protection of the partcipants identity and personal details when collecting storing and disseinating data.

28
Q

What is a PIS?

A

Participatin ifromation sheets

29
Q

What is dissemination of research?

A

process of spreading research findings to wider audience