Research ethics#Vulnerable populations

{{Short description|Ethical practice in scientific research}}

{{expand Portuguese|date=January 2024|Ética na ciência}}

{{Research sidebar}}

Research ethics is a discipline within the study of applied ethics. Its scope ranges from general scientific integrity and misconduct to the treatment of human and animal subjects. The social responsibilities of scientists and researchers are not traditionally included and are less well defined.{{Cite journal |last=Douglas |first=Heather |date=2014 |title=The Moral Terrain of Science |url=http://link.springer.com/10.1007/s10670-013-9538-0 |journal=Erkenntnis |language=en |volume=79 |issue=S5 |pages=961–979 |doi=10.1007/s10670-013-9538-0 |issn=0165-0106 |s2cid=144445475}}

The discipline is most developed in medical research. Beyond the issues of falsification, fabrication, and plagiarism that arise in every scientific field, research design in human subject research and animal testing are the areas that raise ethical questions most often.

The list of historic cases includes many large-scale violations and crimes against humanity such as Nazi human experimentation and the Tuskegee syphilis experiment which led to international codes of research ethics. No approach has been universally accepted, but typically cited codes are the 1947 Nuremberg Code, the 1964 Declaration of Helsinki, and the 1978 Belmont Report.

Today, research ethics committees, such as those of the US, UK, and EU, govern and oversee the responsible conduct of research. One major goal being to reduce questionable research practices.

Research in other fields such as social sciences, information technology, biotechnology, or engineering may generate ethical concerns.{{Cite journal |last1=Stahl |first1=Bernd Carsten |last2=Timmermans |first2=Job |last3=Flick |first3=Catherine |date=2016-09-19 |title=Ethics of Emerging Information and Communication Technologies |url=http://dx.doi.org/10.1093/scipol/scw069 |journal=Science and Public Policy |pages=scw069 |doi=10.1093/scipol/scw069 |issn=0302-3427|hdl=2086/12331 |hdl-access=free }}{{Cite journal |last=Iphofen |first=Ron |date=2011 |title=Ethical Decision-Making in Social Research |url=https://link.springer.com/book/10.1057/9780230233768 |journal=SpringerLink |language=en |doi=10.1057/9780230233768|isbn=978-0-230-29634-3 }}{{Cite journal |last1=Wickson |first1=Fern |last2=Preston |first2=Christopher |last3=Binimelis |first3=Rosa |last4=Herrero |first4=Amaranta |last5=Hartley |first5=Sarah |last6=Wynberg |first6=Rachel |last7=Wynne |first7=Brian |date=2017-06-09 |title=Addressing Socio-Economic and Ethical Considerations in Biotechnology Governance: The Potential of a New Politics of Care |url=http://dx.doi.org/10.1007/s41055-017-0014-4 |journal=Food Ethics |volume=1 |issue=2 |pages=193–199 |doi=10.1007/s41055-017-0014-4 |issn=2364-6853|hdl=10871/33650 |s2cid=256465844 |hdl-access=free }}{{Cite book |last=Whitbeck |first=Caroline |url=http://dx.doi.org/10.1017/cbo9780511976339 |title=Ethics in Engineering Practice and Research |date=2011-08-15 |publisher=Cambridge University Press |doi=10.1017/cbo9780511976339 |isbn=978-0-521-89797-6}}

History

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{{See also|Unethical human experimentation|Ethics committee#History|List of medical ethics cases}}

The list of historic cases includes many large scale violations and crimes against humanity such as Nazi human experimentation and the Tuskegee syphilis experiment which led to international codes of research ethics.{{Cite journal |last1=Israel |first1=Mark |last2=Allen |first2=G. |last3=Thomson |first3=C. |date=2013 |title=The Rise and Much-Sought Demise of the Adversarial Culture in Australian Research Ethics: Australasian Ethics Network Conference 2013 |url=https://research-repository.uwa.edu.au/en/publications/the-rise-and-much-sought-demise-of-the-adversarial-culture-in-aus |journal=Proceedings of the 2013 Australasian Ethics Network Conference |volume=N/A |pages=12–27}}{{Cite book |last=Israel |first=Mark |url=https://methods.sagepub.com/book/research-ethics-and-integrity-for-social-scientists-2e |title=Research Ethics and Integrity for Social Scientists: Beyond Regulatory Compliance |date=2015 |publisher=SAGE Publications Ltd |isbn=978-1-4739-1009-6 |language=en}}{{Cite journal |last=Eaton |first=Sarah Elaine |date=2020 |title=Ethical considerations for research conducted with human participants in languages other than English |url=https://onlinelibrary.wiley.com/doi/abs/10.1002/berj.3623 |journal=British Educational Research Journal |language=en |volume=46 |issue=4 |pages=848–858 |doi=10.1002/berj.3623 |issn=0141-1926 |s2cid=216445727}} Medical ethics developed out of centuries of general malpractice and science motivated only by results. Medical ethics in turn led to today's more broad understanding in bioethics.Walter, Klein eds. The Story of Bioethics: From seminal works to contemporary explorations.

Scientific conduct

=Scientific integrity=

{{Excerpt|Scientific integrity}}

=Scientific misconduct=

{{Excerpt|Scientific misconduct}}

Discipline specific ethics

{{See also|Guidelines for human subject research}}

Research ethics for Human subject research and Animal testing derives, historically, from Medical ethics and, in modern times, from the much more broad field of Bioethics.

=Medical ethics=

{{Excerpt|Medical ethics}}

=Bioethics=

{{Excerpt|Bioethics}}

=Clinical research ethics=

==Study participant rights==

Participants in a clinical trial in clinical research have rights which they expect to be honored, including:{{cite journal|last=Beecher|first=Henry K.|title=Ethics and Clinical Research|journal=N Engl J Med|date=June 16, 1966|issue=24|pages=1354–1360|doi=10.1056/NEJM196606162742405|pmid=5327352|volume=274|pmc=2566401}}

==Vulnerable populations==

Study participants are entitled to some degree of autonomy in deciding their participation. One measure for safeguarding this right is the use of informed consent for clinical research.{{Cite journal|last1=Mohamadi|first1=Amin|last2=Asghari|first2=Fariba|last3=Rashidian|first3=Arash|date=2014|title=Continuing review of ethics in clinical trials: a surveillance study in Iran|journal=Journal of Medical Ethics and History of Medicine|volume=7|pages=22|pmc=4648212|pmid=26587202}} Researchers refer to populations with limited autonomy as "vulnerable populations"; these are subjects who may not be able to fairly decide for themselves whether to participate. Examples of vulnerable populations include incarcerated persons, children, prisoners, soldiers, people under detention, migrants, persons exhibiting insanity or any other condition that precludes their autonomy, and to a lesser extent, any population for which there is reason to believe that the research study could seem particularly or unfairly persuasive or misleading. Ethical problems particularly encumber using children in clinical trials.

Society

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Consequences for the environment, for society and for future generations must be considered.

Governance

{{Excerpt|Ethics committee}}

  • In the United Kingdom, the National Research Ethics Service is the responsible quango that forms Research Ethic Committees.
  • In the United States, the Institutional review board is the relevant ethics committee.
  • In Canada, there are different committees for different agencies. The committees are the Research Ethics Board (REB){{cite web|url=https://www.canada.ca/en/health-canada/services/science-research/science-advice-decision-making/research-ethics-board.html|title=Research Ethics Board: Overview of the Health Canada and Public Health Agency of Canada REB|website=canada.ca|date=28 September 2004 |publisher=Government of Canada}} as well as two others that split their committee duties between conduct (PRCR) and ethics committee (PRE).{{cite web|url=https://rcr.ethics.gc.ca/eng/about_us-propos_de_nous.html|title=Panel on Responsible Conduct of Research|author=Secretariat on Responsible Conduct of Research|date=5 February 2016 |publisher=Canadian Government}}
  • The European Union only sets the guidelines for its member's ethics committees.
  • Large international organizations like the WHO have their own ethics committees.

In Canada, mandatory research ethics training is required for students, professors and others who work in research.{{Citation |last1=Stockley |first1=Denise |title=The Course on Research Ethics (CORE): Implications for SoTL |date=2022 |url=http://dx.doi.org/10.1007/978-3-031-11810-4_1 |work=Ethics and the Scholarship of Teaching and Learning |pages=1–11 |access-date=2024-01-07 |place=Cham |publisher=Springer International Publishing |isbn=978-3-031-11809-8 |last2=Wright |first2=Madison|doi=10.1007/978-3-031-11810-4_1 }}{{Citation |last=Khaliq |first=Yasmin |title=Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans |date=November 2002 |url=http://dx.doi.org/10.3109/9780824706081.150 |encyclopedia=Encyclopedia of Clinical Pharmacy |pages=876–882 |access-date=2024-01-07 |publisher=Informa Healthcare |doi=10.3109/9780824706081.150 |isbn=0-8247-0608-0}} The US first legislated institutional review boards procedures in the 1974 National Research Act.

Criticism

Published in Social Sciences & Medicine (2009) several authors suggested that research ethics in a medical context is dominated by principlism.Shaw SE, Petchey RP, Chapman J, Abbott S (2009). "A double-edged sword? Health research and research governance in UK primary care." Social Science & Medicine, 68: 912-918

See also

References

Sources

  • {{Cite journal |last=Laine |first=Heidi |title=Open science and codes of conduct on research integrity |journal=Informaatiotutkimus |volume=37 |issue=4 |date=31 December 2018 |issn=1797-9129 |doi=10.23978/inf.77414 |url=https://journal.fi/inf/article/view/77414 |access-date=2021-11-11|doi-access=free }}

Further reading

  • {{cite book|last=Speid|first=Lorna|title=Clinical trials : what patients and healthy volunteers need to know|year=2010|publisher=Oxford University Press|location=Oxford |isbn=978-0-19-973416-0|url-access=registration|url=https://archive.org/details/clinicaltrialswh00lorn}}
  • The Oxford Textbook of Clinical Research Ethics, Ezekiel Emanuel, Christine Grady, Robert Crouch, Reidar Lie, Franklin Miller, David Wendler, Oxford University Press, 2008