ethics

Question 1

components/elements of parental consent

Answer 1

1. an informal assessment that the parent has the capacity to understand and make the decision
2. provision of information that is relevant to the decision,
3. assessment of the parent’s understanding of the situation and information presented
4. voluntary agreement of the parent with the plan.

Question 2

acronym IPASS for hand offs

Answer 2

I- illness severity
P- patient summary
A- action list
S- situational awareness and contingency plans
S- synthesis by the receiver

Question 3

This principle of research ethics is related to informed consent

Answer 3

Respect for person

Informed consent also protects autonomy

Question 4

A parent was approached by a member of the clinical team regarding enrolling their neonate to a study and is securing the informed consent.

This creates an obstacle for informed consent called:

Answer 4

Therapeutic misconception

Other situations:
1. Choice of study title
2. Financial incentive

Question 5

This is principle of research ethics affects risk-benefit consideration

Answer 5

Beneficence

Remember common rule “minimal risk”- probability of harm or discomfort anticipated is no greater than ordinarly encountered in daily life or performance of routine physical psychological exam or test
- For NICU patients- the daily life baseline is for term neonate
- benefit at least favorable as existing alternative

Question 6

This is principle of research ethics affects selection of subjects

Answer 6

Justice

Example easy availability example Tuskegee syphylis study, Nazi prisoners..

Question 7

What is the distinction of QI and research

Answer 7

1. Research: contribute to generalizable knowledge
2. QI: proven interventions to improve patient care