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ETHICS
refers to the rules of conduct recognized in certain associations or departments of human life ( Simpson, 2004). these are moral principles that govern a person’s behavior.
RESEARCH ETHICS
refers to the rules of conduct recognized in certain associations or departments of human life ( Simpson, 2004)
Research Ethics
concerned with the responsibility of the researchers to be honest and respectful to all individuals who are involved in research study the conduct of research should NOT inflict harm on researcher as well as research subjects
Ethical guidelines
developed consistent with the rules and norms of human behavior based on Christian Morality and Ethics.
The Universal Declaration of Human Rights
no one shall be subjected to torture or to cruel, inhuman or degrading treatment or punishment.
NUREMBERG CODE
was developed in 1949 borne out of the Nuremberg trials. done primarily due to sadistic treatment of subjects by Nazi experimenters. rules were formulated to guide investigators in their conduct of research
NUREMBERG CODE
1949
DECLARATION OF HELSINKI
adopted by the World Medical Association in 1964 main contribution was the introduction of the distinction between therapeutic and non therapeutic research.
DECLARATION OF HELSINKI
1964
CIOMS GUIDELINES ( Council for International Organization in Medical Science)
formally known as the International Ethical Guidelines for Biomedical Research Involving Human Subjects it is a set of 21 ethical principles and guidelines regarding human experimentation created in 1933 it address the issues on informed consent, external review, recruitment of participants
CIOMS GUIDELINES
1933
CIOMS GUIDELINES
a set of 21 principles
BELMONT REPORT
July 12, 1974, National Research Act was signed into law thereby creating the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research
BELMONT REPORT
July 12, 1974
National Research Act
was signed into law thereby creating the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research
BELMONT REPORT CONSIDERATIONS
boundaries between biomedical & behavioral research assessment of risk benefit criteria for the respondents guidelines in selection of human subjects informed consent
CODE OF ETHICS FOR NURSES
the code served as the standard for nurses’ performance worldwide since it was first adopted in 1953
CODE OF ETHICS FOR NURSES
1953
INFORMED CONSENT
participants must be fully informed about the nature of research, its purpose and potential risks and benefits. must have the power of free choice to voluntary consent or decline in case of children, an assent form should be obtained.
BENEFICENCE AND NONMALEFICENCE
this means “to do good” and “to do no harm”
Beneficence and non maleficence
CONSIDERATIONS: freedom from any physical & psychological harm freedom from exploitation
RESPECT FOR HUMAN DIGNITY
rights of all involved in the study must be protected and respected. it includes: right to self-determination right to full disclosure right to remain anonymous or right to confidentiality of personal information
JUSTICE AND FAIRNESS
participants deserve fair and equitable treatment before, during, and after the study period. CONSIDERATIONS: right to fair treatment anonymity and confidentiality right to intellectual property
Nazi Experiments
~ World War II (1939–1945), Nazi doctors and scientists conducted inhumane medical experiments in Germany.
~ 23 Nazi physicians and administrators were indicted at the Nuremberg Doctors’ Trial (1946–1947, Germany)
~focused on survival, military advantage, and racial ideologies, immense suffering, permanent injuries, and death
~ Led to the creation of the Nuremberg Code (1949), the basis of modern medical ethics and human research protections
Tuskegee syphilis study
notorious and unethical medical experiment conducted by
the U.S. Public Health Service between 1932–1972
~Involved 600 Black men (399 with syphilis, 201 without) from Macon County, Alabama.
Henderson Act (1943)
requiring syphilis treatment
Monster study
a speech experiment conducted in 1939 at the University of Iowa
It involved 22 orphan children, divided into groups receiving either positive or negative speech therapy
NAZI EXPERIMENTS
1946–1947
23
Nazi physicians and administrators
TUSKEGEE STUDY
600 Black men (399 with syphilis, 201 without)
TUSKEGEE STUDY
1932–1972
MONSTER STUDY
1939