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Ethics
Application of moral principles to prevent harming or wronging others, to promote the good, to be respectful, and to be fair
Ethical approaches
Deontological
Consequentalist
Relational
Indigenous
Deontological approaches
Uses rule to establish right from wrong, attributed to Immanuel Kant
Consequentialist approaches
Judges what is right by what the consequences are
Relational approaches
A decision-making model that outlines four core principles:
Mutual respect
Relational engagement
Bringing knowledge back to life
Creating environment
Indigenous approaches
Indigenous ethics resonate with the values of honour, trust, honesty, and humility; they reflect commitment to the collective and embody a respectful relationship with the land
What’s important
Ethical thinking comes from a perspective
Ethical thinking is not universal or singular
Ethical approaches prioritise certain things and deprioritise certain things
Ethical thinking is ‘alive’ - we’re not ‘there’ yet, at the end point of ethics
History of Ethics
The Nuremburg Code (1947)
The Universal Declaration of Human Rights (1948)
The Declaration of Helsinki (1964)
The Belmont Report (1979)
The Nuremburg Code (1947) - History
Trial of Nazi medical professionals
Medical experimentation on concentration camp victims
Not legally binding but internationally recognised
The Nuremburg Code (1947) - Clauses
Voluntary consent is essential
Experiments should not be random or unnecessary
Animal experimentation should precede
Avoid all unnecessary physical and mental suffering
No death or disabling injury should occur
Risk should never exceed humanitarian importance
Adequate facilities to prevent injury and death
Conducted only by scientifically qualified persons
Subjects at a liberty to end experiment
Scientist must be prepared to terminate the experiment
The Universal Declaration of Human Rights (1948) - History
Milestone document in the history of human rights
UN General Assembly strive to promote respect for these rights and freedoms
The Declaration of Helsinki (1964) - History
Most recent review and adoption in 2024
Not legally binding in international law
Formation of independent committees to review research protocols
Determination of therapeutic or scientific benefit
Removal of sexist language
Establishment of vulnerable populations
Requirement to keep patient informed about health
Declaration of Helsinki (2024) - Revision
Interdisciplinary nature of modern research
Scientific integrity (zero tolerance on research misconduct)
Vulnerability and inclusion (promote fair and responsible inclusion of vulnerable populations)
Participant engagement (engagement with research populations before, during, and after studies)
Public health emergencies (ethical principles fully upheld during public health emerencies)
Bata and biobanking (informed consent for the collection, processing and storage of biological materials)
Helsinki - Vulnerable populations
Medical resear