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ETHICS IN
NURSING
RESEARCH
www.drjayeshpatidar.blogspot.com
DEFINITION
Ethics in nursing research
can be defined as the act of moral
principles which the researcher has to
follow while conducting nursing research
to ensure the rights & welfare of
individuals, groups or community under
study. www.drjayeshpatidar.blogspot.com
IMPORTANCE OF ETHICS IN
NURSING RESEARCH
Protect the vulnerable group & other study
participants from harmful effects of the
experimental interventions.
Participants are safeguarded from exploitation
researchers.
Establish risk – benefit ratio for the study subjects
Ensure the fullest respect, dignity, privacy, disclose
of information & fair treatment for study subjects.
Build the capability of subjects to accept or reject
participation in study & to have access to informed
or written consent for participation in research
www.drjayeshpatidar.blogspot.com
ETHICAL PRINCIPLE IN NURSING
RESEARCH
1. Principle of beneficence
2. Principle of respect of human dignity
3. Principle of justice
www.drjayeshpatidar.blogspot.com
1. Principle of beneficence
Establishing the positive risk benefit ratio, where
the risk of the research should never exceed
expected benefits for people from knowledge
generated by the research activity.
A potential risk of the research study must be
carefully assessed & participants are protected
from any harmful effect of research activity.
www.drjayeshpatidar.blogspot.com
Count…
In addition to physical harm, study subjects
are also protected from expected adverse
psychological consequences caused by
research study. For example, psychological
or emotional distress caused from self-
discloser, introspection, fear of the
unknown, or interacting with a stranger.
www.drjayeshpatidar.blogspot.com
Count…
Research must be conducted by a scientifically
qualified expert to avoid undue discomfort or
distress to study participants.
Participants must be provided with maximum
physical, psychological, social & religious
comfort & undue disturbance & time utilization of
the subjects should be avoided.
www.drjayeshpatidar.blogspot.com
2. Principle of respect of human
dignity
This principle of the ethics emphasizes on the
freedom of choice, where participants have right to
accept or reject to be a part of the research study.
Participants have full right to question the researcher
for any additional information or clarification of
doubts.
Participants have right to quit from the study at any
stage of the research study.www.drjayeshpatidar.blogspot.com
Count…
A fully informed consent must be taken from the
participants. In case of the fetus, child, psychological,
neurological or physical inability to give informed consent;
this can be obtained from parents or legal guardians.
The contents of an informed consent must include the
following:
 Purpose of the research study.
 Procedural process & any intervention involved in the
study.
 Expected time & nature of participant’s involvement in the
www.drjayeshpatidar.blogspot.com
Count…
 Type of data/information to be obtained for respondents.
 Details of the potential discomfort or risk for participants
in the study.
 Details of the support available in case any harm occurs
to participants.
 Mechanism to protect privacy & anonymity of
participants.
 Contact detail to collect information & clarification about
doubt.
 Statement about voluntary participation of subjects &
right to termination without any penalty.
 Describe of the expected benefits of the research study.
www.drjayeshpatidar.blogspot.com
3. Principle of justice
This ethical principle directs the researchers to abide
by the participant’s right of fair treatment &
maintenance of privacy.
The fair & nondiscriminatory selection of the
participants such as any risk & benefits will be equally
shared by study participants. Participant’s selection
should be based on research requirement & not
convenience, gullibility or compromised position of
certain types of people.
www.drjayeshpatidar.blogspot.com
Count…
The nonprejudicial treatment of individual who decline to
participate or who withdraw from the study after agreeing to
participate.
Anonymity of participants & confidentiality of information
must be maintained.
No information collected from study participants can be used
for other than research purpose.
The vulnerable subjects such as children, pregnant women,
mentally ill patients, physically disabled, terminally ill &
institutionalized (prisoners) people, who are conveniently &
easily accessible must be protected from overuse & undue
use for research purpose.www.drjayeshpatidar.blogspot.com
www.drjayeshpatidar.blogspot.com
INTRODUCTION
 Indian Nursing Council (INC) has published the
code of Ethics for Nurses in India in year 2006.
 The code of ethics for nurses in critical for
building professionalism & accountability.
 Ethical consideration are vital in any area dealing
with human beings including nursing research
because they represent values, rights &
relationships.
 The code of Ethics for nurses in India (2006) are
as follows:
www.drjayeshpatidar.blogspot.com
1. The nurse respects the
uniqueness of an individual in
provision of care
Nurse
 Provides care for individuals without consideration
of
caste, creed, religion, culture, ethnicity, gender, soci
oeconomic & political status, personal attributes or
any other grounds.
 Individualizes the care considering the
beliefs, values & cultural sensitivities.
 Develops & promotes trustful relationship with
individual’s
 Recognizes uniqueness of response of individuals
to interventions & adapts accordingly.
www.drjayeshpatidar.blogspot.com
2. The nurse respects the rights of individuals as
partners in care & helps in making informed choices
Nurse
 Appropriate individual’s rights to make decisions
about their care & therefore gives adequate &
accurate information for enabling them to make
informed choices.
 Respects the decisions made by individual (s)
regarding their care
 Protect public from misinformation &
misinterpretation.
 Advocates special provisions to protect vulnerable
individual/groups.
www.drjayeshpatidar.blogspot.com
3. The nurse respects individuals’ rights to privacy,
maintains confidentiality & shares information
judiciously
Nurse
 Respects the individual’s rights to privacy of their
personal information
 Maintains confidentiality of privileged information
except in life threatening situations & uses discretion in
sharing information.
 Takes informed consent & maintains anonymity when
information is required for quality
assurance/academic/legal reasons.
 Limits the access to all personal records written &
computerized to authorized persons only.
www.drjayeshpatidar.blogspot.com
4.The nurse maintains competence in
order to render quality nursing
care
Nurse
 Nursing care must be provided only by a
registered nurse.
 Nurse strives to maintain quality nursing care &
upholds the standards of care.
 Nurse values continuing education, initiates &
utilizes all opportunities for self development.
 Nurse values research as a means of
development of nursing profession & participates
in nursing research adhering to ethical principles.
www.drjayeshpatidar.blogspot.com
5. The nurse is obliged to practice within the framework
of ethical, professional & legal boundaries
Nurse
 Adheres to code of ethics & code of
professional conduct for nurses in India
developed by India Nursing Council.
 Familiarizes with relevant laws & practices in
accordance with the law of the state
www.drjayeshpatidar.blogspot.com
6. The nurse is obliged to work
harmoniously with members of the
health team
Nurse
 Appreciates the team’s efforts in rendering
care.
 Cooperates, coordinates & collaborates with
members of the health team to meet the needs
of people.
www.drjayeshpatidar.blogspot.com
7. The nurse commits to reciprocate the trust
invested in nursing profession by the
society
Nurse
 Demonstrates personal etiquettes in all
dealings.
 Demonstrates professional attributes in all
dealings.
www.drjayeshpatidar.blogspot.com
www.drjayeshpatidar.blogspot.com

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Ethics in nursing research

  • 2. DEFINITION Ethics in nursing research can be defined as the act of moral principles which the researcher has to follow while conducting nursing research to ensure the rights & welfare of individuals, groups or community under study. www.drjayeshpatidar.blogspot.com
  • 3. IMPORTANCE OF ETHICS IN NURSING RESEARCH Protect the vulnerable group & other study participants from harmful effects of the experimental interventions. Participants are safeguarded from exploitation researchers. Establish risk – benefit ratio for the study subjects Ensure the fullest respect, dignity, privacy, disclose of information & fair treatment for study subjects. Build the capability of subjects to accept or reject participation in study & to have access to informed or written consent for participation in research www.drjayeshpatidar.blogspot.com
  • 4. ETHICAL PRINCIPLE IN NURSING RESEARCH 1. Principle of beneficence 2. Principle of respect of human dignity 3. Principle of justice www.drjayeshpatidar.blogspot.com
  • 5. 1. Principle of beneficence Establishing the positive risk benefit ratio, where the risk of the research should never exceed expected benefits for people from knowledge generated by the research activity. A potential risk of the research study must be carefully assessed & participants are protected from any harmful effect of research activity. www.drjayeshpatidar.blogspot.com
  • 6. Count… In addition to physical harm, study subjects are also protected from expected adverse psychological consequences caused by research study. For example, psychological or emotional distress caused from self- discloser, introspection, fear of the unknown, or interacting with a stranger. www.drjayeshpatidar.blogspot.com
  • 7. Count… Research must be conducted by a scientifically qualified expert to avoid undue discomfort or distress to study participants. Participants must be provided with maximum physical, psychological, social & religious comfort & undue disturbance & time utilization of the subjects should be avoided. www.drjayeshpatidar.blogspot.com
  • 8. 2. Principle of respect of human dignity This principle of the ethics emphasizes on the freedom of choice, where participants have right to accept or reject to be a part of the research study. Participants have full right to question the researcher for any additional information or clarification of doubts. Participants have right to quit from the study at any stage of the research study.www.drjayeshpatidar.blogspot.com
  • 9. Count… A fully informed consent must be taken from the participants. In case of the fetus, child, psychological, neurological or physical inability to give informed consent; this can be obtained from parents or legal guardians. The contents of an informed consent must include the following:  Purpose of the research study.  Procedural process & any intervention involved in the study.  Expected time & nature of participant’s involvement in the www.drjayeshpatidar.blogspot.com
  • 10. Count…  Type of data/information to be obtained for respondents.  Details of the potential discomfort or risk for participants in the study.  Details of the support available in case any harm occurs to participants.  Mechanism to protect privacy & anonymity of participants.  Contact detail to collect information & clarification about doubt.  Statement about voluntary participation of subjects & right to termination without any penalty.  Describe of the expected benefits of the research study. www.drjayeshpatidar.blogspot.com
  • 11. 3. Principle of justice This ethical principle directs the researchers to abide by the participant’s right of fair treatment & maintenance of privacy. The fair & nondiscriminatory selection of the participants such as any risk & benefits will be equally shared by study participants. Participant’s selection should be based on research requirement & not convenience, gullibility or compromised position of certain types of people. www.drjayeshpatidar.blogspot.com
  • 12. Count… The nonprejudicial treatment of individual who decline to participate or who withdraw from the study after agreeing to participate. Anonymity of participants & confidentiality of information must be maintained. No information collected from study participants can be used for other than research purpose. The vulnerable subjects such as children, pregnant women, mentally ill patients, physically disabled, terminally ill & institutionalized (prisoners) people, who are conveniently & easily accessible must be protected from overuse & undue use for research purpose.www.drjayeshpatidar.blogspot.com
  • 14. INTRODUCTION  Indian Nursing Council (INC) has published the code of Ethics for Nurses in India in year 2006.  The code of ethics for nurses in critical for building professionalism & accountability.  Ethical consideration are vital in any area dealing with human beings including nursing research because they represent values, rights & relationships.  The code of Ethics for nurses in India (2006) are as follows: www.drjayeshpatidar.blogspot.com
  • 15. 1. The nurse respects the uniqueness of an individual in provision of care Nurse  Provides care for individuals without consideration of caste, creed, religion, culture, ethnicity, gender, soci oeconomic & political status, personal attributes or any other grounds.  Individualizes the care considering the beliefs, values & cultural sensitivities.  Develops & promotes trustful relationship with individual’s  Recognizes uniqueness of response of individuals to interventions & adapts accordingly. www.drjayeshpatidar.blogspot.com
  • 16. 2. The nurse respects the rights of individuals as partners in care & helps in making informed choices Nurse  Appropriate individual’s rights to make decisions about their care & therefore gives adequate & accurate information for enabling them to make informed choices.  Respects the decisions made by individual (s) regarding their care  Protect public from misinformation & misinterpretation.  Advocates special provisions to protect vulnerable individual/groups. www.drjayeshpatidar.blogspot.com
  • 17. 3. The nurse respects individuals’ rights to privacy, maintains confidentiality & shares information judiciously Nurse  Respects the individual’s rights to privacy of their personal information  Maintains confidentiality of privileged information except in life threatening situations & uses discretion in sharing information.  Takes informed consent & maintains anonymity when information is required for quality assurance/academic/legal reasons.  Limits the access to all personal records written & computerized to authorized persons only. www.drjayeshpatidar.blogspot.com
  • 18. 4.The nurse maintains competence in order to render quality nursing care Nurse  Nursing care must be provided only by a registered nurse.  Nurse strives to maintain quality nursing care & upholds the standards of care.  Nurse values continuing education, initiates & utilizes all opportunities for self development.  Nurse values research as a means of development of nursing profession & participates in nursing research adhering to ethical principles. www.drjayeshpatidar.blogspot.com
  • 19. 5. The nurse is obliged to practice within the framework of ethical, professional & legal boundaries Nurse  Adheres to code of ethics & code of professional conduct for nurses in India developed by India Nursing Council.  Familiarizes with relevant laws & practices in accordance with the law of the state www.drjayeshpatidar.blogspot.com
  • 20. 6. The nurse is obliged to work harmoniously with members of the health team Nurse  Appreciates the team’s efforts in rendering care.  Cooperates, coordinates & collaborates with members of the health team to meet the needs of people. www.drjayeshpatidar.blogspot.com
  • 21. 7. The nurse commits to reciprocate the trust invested in nursing profession by the society Nurse  Demonstrates personal etiquettes in all dealings.  Demonstrates professional attributes in all dealings. www.drjayeshpatidar.blogspot.com