...is known about the career decisions qualified nurses make, although it is clear that some areas of practice are more popular than others. This qualitative descriptive study considers one common area, surgery, and explores the motivation for decisions made by Registered Nurses (RNs) to work in this area. Method. A sample of 16 RNs working within surgical areas participated in semistructured interviews, using a thematic interview schedule. Findings were analysed using the framework suggested by Morse and Field. Results. Analysis of findings indicates that all participants actively chose to work within surgery and that this was because of the pace and turnover of surgical work, personal satisfaction at the recovery of patients; the close links between this type of work; and participants’ original aims when first entering nursing and participants’ preference of surgery to other areas of nursing work. Participants actively rejected working in areas where patients were...
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...the human body functions and to develop new medicines to combat diseases. Working with human participants during a clinical trial involves a certain set of ethics as the lives of the participants are at stake. In 1999, one of the largest and most prestigious medical research facilities, Duke University Medical Center, had federal funds temporarily suspended as an investigation into the research process was conducted (Weiss, 1999). Several areas of poor ethical decisions concerning the administrative procedures conducted during human trials prompted this investigation. Morals and sound judgments are the guidelines used in every ethical decision an organization conducts. Providing ethical guidelines is difficult as the morals and the judgment of those morals differs from one person to the next and one organization to the next. Nevertheless, the federal government has established formal guidelines to prevent inappropriate conduct during human trials for the protection of those lives. A routine visit by the federal Office for Protection from Research Risks (OPRR) found several issues at Duke, mostly with the center's own Institutional Review Board who maintains the reviews on the studies to ensure they adhere to federal regulations and are ethically appropriate (Weiss, 1999). According to Duke officials, the main problem with the study was the administrative process such as poor bookkeeping but one failure noted by OPRR was the lack of post study follow-up for participants (Weiss...
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...medicines that heave cure and protected the health of millions of people. The National Institute of Health (NIH) is the federal Government’s primary agency for advancing knowledge in the biomedical and behavior sciences in order to understand and treat human disease. In the past, research process often involved many unethical practices where the research participants lacked adequate protection. To protect human research participants from undo harm, biomedical researchers must follow the four basic ethical principles on which standards of ethical research are based: autonomy, beneficence, nonmaleficence, and justice. Such ethical requirements on biomedical research are found in documents such as the Declaration of Helsinki or the Belmont Report. The four principles and Institutional Review Boards (IRBs) are the principal regulations and ethical protocols when conducted human research. In the United States, the National Institute of Health (NIH) is the primary agency responsible in enforcing ethic in human research but the IRBs falls within the authority of the Food and Drug Administration (FDA). In other countries, different names might be used, such as research ethics committees or ethics review committees. Where ever human research is conducted, either within the US regulations or internationally, it should be conducted only after an appropriate ethical reviewed has occurred. Whether ethical standards are practice according to...
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...guidelines for human subject research, in which the guidelines state that an ethical experiment is one in which “risks to subjects are minimized” by “using procedures which are consistent with sound research design and which do not unnecessarily expose subjects to risks” (Basic HHS Policy for Protection of Human Research Subjects, 1991). Milgram himself reported the emotional disturbances that his subjects experienced, explaining how the “mature” and “poised” businessman that started the experiment were “reduced to a twitching, stuttering wreck […who…] was rapidly approaching a point of nervous collapse” (Baumrind, 1964). Milgram also mentions that many of the subjects requested to stop the experiment, yet continued to go on even through “nervous laughing fits” and seizures in some cases (Baumrind, 1964). So even if two-thirds of the participants of the experiment emphasized the idea that authority figures influence obedience, many are still skeptical because the study clearly violates ethical guidelines that prohibit...
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...been the building blocks to a successful nurse-patient relationship. Currently, it has become a careful piece in the researcher-participant relationship. Privacy and confidentiality are the most important issues in research ethics. Due to our computer aged society, protection of research participant's privacy has fused a great challenge. Researchers, Institutional Review Boards (IRBs), and administrators have their hands full with all the privacy and confidentiality matters that are essential to research. As nurses, we are familiar with the health insurance portability act (HIPAA) as it relates to healthcare. Considerably, the focus of this paper is to expand our knowledge of how maintaining confidentiality and protecting privacy in the research setting has influenced the HIPAA privacy rule. Privacy is defined as freedom from damaging publicity, public scrutiny, secret surveillance, or unauthorized disclosure of one's personal data or information, as by a government, corporation, or individual (Dictionary.com, 2015, figure 3). Privacy means a person has control over the extent, timing, and circumstances of sharing themselves with others. It relates to a participant's disclosure of information to a researcher. On the other hand, confidentiality is the act of protecting participant privacy. It pertains to the treatment of information that the participant has disclosed in the trusted relationship. Challenges emerge when the need to keep information private is weighed with the...
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...Internal Review Board For The Protection Of Human Subjects In Research North Carolina Central University INSTITUTIONAL REVIEW BOARD FOR THE PROTECTION OF HUMAN SUBJECTS IN RESEARCH Request for Review of Research Involving Human Subjects COVER SHEET | | (For Staff Use Only) | | |1. School/Department/Unit:NCCU/Psychology |REQUEST #____________ |Today's Date February 3, 2005 | 2. Name of Principal Investigator (PI) ______________________________________________ Name of Faculty Advisor (FA), if PI is a student__Dr. Les Brinson _________________________________ Telephone Number (PI): 919*530*4526_ Mailing Address (PI): PO Box 19408 Durham, NC 27707 Telephone Number (FA):919*530*5166 Mailing Address(FA): Taylor Ed. Rm 217A Durham, NC 27707 3. PROJECT TITLE: ____________Organizational Communication and Its Relationship With Job Performance and Job Satisfaction _________ 4. PROJECT TYPE: __N__ (Select one: N = New; AR = Annual Renewal; PC = Protocol Change) This is a : _SP__ (Select one: SP = SPECIFIC PROJECT or GP = GRANT PROJECT PROPOSAL) If Grant Project Proposal, list agency and address to which project is being submitted: __________________________________________________________________________________________ ...
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...without the disease. For participating in the study, the men were given free medical care, meals, and free burial insurance. They were never told they had syphilis, nor were they ever treated for it. According to the Centers for Disease Control, the men were told they were being treated for "bad blood", a local term for various illnesses that include syphilis, anemia, and fatigue. The 40-year study was controversial for reasons related to ethical standards; primarily because researchers knowingly failed to treat patients appropriately after the 1940s validation of penicillin as an effective cure for the disease they were studying. Revelation of study failures by a whistle blower led to major changes in U.S. law and regulation on the protection of participants in clinical studies. Now studies require informed consent (with exceptions possible for U.S. Federal agencies which can be kept secret by Executive Order), communication of diagnosis, and accurate reporting of test results. By 1947, penicillin had become the standard treatment for syphilis. Choices available to the doctors involved in the study might have included treating all syphilitic subjects and closing the study, or splitting off a control group for testing with penicillin. Instead, the Tuskegee scientists continued the study...
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...[pic] Data protection and privacy ethical guidelines This document was produced on September the 18th 2009 The version of this document is: 5 Experts Working Group on data protection and privacy Chaired by: Caroline Gans-Combe Special thanks to the Panel Members: Andrew Bottomley, Duarte Carvalho-Oliveira, Costas A. Charitidis, Eva Del Hoyo-Barbolla, Anne Demoisy, Anna Giovanetti, Walter Hannak, James Houghton, David Morton, François Moutou , Jane Lamprill, Antony Lebeau, David Townend, and Mary Sharp. - Very special thanks to the Ethics Team : Isidoros Karatzas, Mihalis Kritikos, Yamina Cheikh, Paulette Matkovic Ramirez, Marie Cocquyt, Marco Michelini, Stefan de Vos and François Hirsch General disclaimer: this document examines the major concepts of data protection and privacy from the point of view of research ethics. It aims at raising awareness about these concepts in the scientific community and at assisting applicants while preparing to submit their project proposals. It does not seek to discuss these concepts in-depth but provides a general overview of their main parameters and some basic suggestions regarding their handling for the purposes of the European Commission's Ethical Review procedure. This document represents an effort to reflect on the experience gained during the operation of the Ethics Review mechanism and to provide some practical guidance, thus it will be regularly updated. The document contains three sections: ...
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...Human Subjects Research (HSR) Series CITI Program’s HSR series consists of modules from two basic tracks, Biomedical (Biomed) and Social-Behavioral-Educational (SBE), and a set of Additional Modules of Interest. Organizations may group these modules to form a basic Biomed or SBE course, or a course that combines the two tracks. The Additional Modules of Interest should be used in any course variation, if relevant. The basic Biomed modules have three corresponding sets of refresher modules and the basic SBE modules have two corresponding sets of refresher modules. These refresher modules are intended to provide learners with a review of what was covered in the basic level modules. It is generally recommended that organizations select refresher module requirements that reflect their selections for the basic course(s). Refresher courses should be taken in a cycle at an interval specified by your organization (for example, Refresher Stage 1: 3 years after completion of basic course; Refresher Stage 2: 6 years after completion of basic course). Three additional standalone courses are available: Institutional/Signatory Official: Human Subject Research, and IRB Chair. The Institutional/Signatory Official: Human Subject Research course provides a general introduction to the roles and responsibilities of the institutional official at an organization holding a Federalwide Assurance (FWA). The IRB Administration course offers members of an Institutional Review Board’s (IRB)...
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...TOPIC #4: Human Experimentation PRO: Prisoners should be allowed to participate in human research CON: Prisoners should not be allowed to participate in human research History and definitions Dating back to 1965, seventy-five prisoners at Holmesburg prison in Pennsylvania were purposely exposed to a poisonous agent. This study was conducted to determine the effects of dioxin, a potentially harmful substance. Dermatologist Dr. Albert Kligman, exposed prisoners to a dosage 468 times greater than the required dosage for the experiment. All evidence has been destroyed; however, participants are still experiencing dermatologic issues. As a result of research and experiments like these conducted in prisons, the Department of Health, Education and Welfare terminated the use of prisoners as subjects. Shortly after, the federal government passed strict guidelines limiting the scope of experimentation among prisoners. These guidelines passed, codified at Title 45 of the Code of Federal Regulations, in 1978. Although prisoner research has been outlawed decades ago, it is far from over (Reiter, 2009). Certain guidelines are in place to protect human subjects in research. “The Common Rule” provides for the proposed research to be reviewed by the institutional review board (IRB) in addition to requiring informed consent. A review body, known as the Institutional review board (IRB) was established to protect the natural rights and welfare of persons subjected to scientific research...
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...benefits flowed primarily to the researchers. This caused exploitation of unwilling participants who after passing away was taken advantage of (Ryan, Brady, Cooke, Height, Jonsen, Lebacqz, Louisell, 1979). 3. Compare and contrast the two. One can argue the results of the Hela cells made great break throughs in finding cures and devel-oping vaccines for diseases. The Tuskegee experiement was unnecessary because a cure was already proven to be effective. This is a major flaw of the Tuskegee experiement because it did not contribute to science, instread it exploited human rights. However, it cannot be disregarded that many human lives were affected in the syphilis research and the family of Henrietta had no knowledge of the HeLa cells un-til 25...
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...prisoners, who also were subjected to biochemical research ranging from testing diet drinks and simple detergents to studies involving dioxin and chemical warfare agents.3 From 1962 to 1966, for example, 33 pharmaceutical companies tested 153 experimental drugs at Holmesburg Prison in Philadelphia, including a Retin-A (tretinoin) study in which researchers did not seek informed consent and prisoners were not adequately treated for pain.4 By the mid-1970s, biomedical research in prisons sharply declined as knowledge of the exploitation of prisoners began to emerge and the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research was formed.5 Federal regulations to protect human subjects of research were established in 1974 and modified and codified in 1981.6 The regulations were revised in 1991 as the Federal Policy for the Protection of Human...
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...Tuskegee Syphilis Study Dr. Joseph Costa, D.H.Sc, PA-C Health Policy and Management MPH 525 Jessie McCarty April 2013 Table of Contents Chapter Page 1. Tuskegee Syphilis Study 2 2. Tuskegee Basics 3 3. What Went Wrong? 4 Informed Consent 4 Vulnerable Populations 4 Medical Profession Pursued 5 4. Personal Opinion 7 5. Basics of Research 8 Informed Consent 8 Individual Autonomy 9 Beneficence 9 6. Current Policies 11 Policies 11 Exceptions 11 7. Problems with Waving Consent 13 Flexibility 13 Vulnerable Populations 13 Ethical Dilemmas 14 8. Conclusion 16 Chapter 1 Tuskegee Syphilis Study Throughout the years, numerous research studies have taken place. In the United States, on a daily basis thousands of research studies are being conducted. Some of these studies will greatly influence science, while others will make little impact. Historically, some studies have been remembered not for the results, but for ethical dilemmas surrounding the study. The Tuskegee syphilis study is a prime example of a study which made many people aware of the ethical problems surrounding research. The Tuskegee syphilis study made the government begin to analyze how research was performed in the country, and the study opened many eyes to what changes needed to be made. Analyzing the Tuskegee syphilis study allows for one to understand what went wrong with the study and how this study lead to great changes in the world...
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...violations could be recognized. Before a study or research could be conducted, all participants should be informed on the purpose of the research, what procedures are involved, benefits of the research and any risks related to the research. In psychology, one of the professional codes of ethics is that all participants must consent to the research and must be debriefed. In the Guatemala study, female commercial sex workers were injected with diseases such as gonorrhea, chancroid, and syphilis without their prior knowledge and consent. Secondly, the soldiers and prison inmates were infected with the disease by having sex with the infected sex workers without knowledge of them being infected or being participants in a research. Additionally, when the researchers found out that the soldiers were infected by the female commercial sex workers, they changed their approach by infecting them with gonorrhea through inoculations into the urethra, skin injections of chancroid and syphilis and also exposing the foreskin of the penis to other infectious material. This is again was done without their consent, hence they were decepted. Another code of ethics is the protection of the client’s welfare. Human participants should not be infected or injected, or put in any harm. Researchers must ensure that participants taking part in a research must be protected from physical and mental harm. For example, participants should not be exposed to risks greater than or additional to those experienced...
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...PHS resulting in nine million dollars being given to the participants as settlement. The Tuskegee Syphilis Study raised many ethical questions regarding medical research. Is it ok to involve human subjects in medical research? What should be the level of information that should be provided to subjects of the study? Considering the uncertainty of research outcomes, what is the level of risk that the researcher should allow the subjects to take? Is the researcher at liberty to choose one group over the other when administering treatment? Following the public outcry over the Tuskegee Syphilis Study, the United States congress established a commission which submitted its report called as the Belmont Report in 1979. The Belmont report laid out principles which are considered as ground-rules for modern day medical research. The Federal Government established the Office for Human Research Protections (OHRP). The OHRP ensures the rights of human subjects involved in research in the United...
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