ABSTRACT
ResumenIntroducción.El objetivo de este artículo es presentar los resultados del análisis de los Trabajos Finales de Graduación (TFG), desarrollados por el estudiantado como requisito para obtener el título de Licenciatura en Enfermería, los cuales son parte del plan de estudios del Programa de Licenciatura en Enfermería de la Universidad de Costa Rica.Método.La indagatoria se ejecutó por medio de una investigación bibliográfica, documental, archivista, de la que se analizó 158 Trabajos Finales de Graduación producidos entre el 2005 y el año 2012. De las memorias e informes finales de investigación se extrajo aspectos que reflejaran implícita o explícitamente los principios de la bioética por medio de una matriz elaborada para ese fin.Resultados.A pesar de que la población objeto de estudio o intervención estuvo representada por grupos vulnerables, en un número importante de los TFG, no se documentó adecuadamente el proceso de consentimiento informado, además de que en el apartado de metodología no se evidencia con claridad la forma en que se aseguró los principios bioéticos.Conclusión.Se debe trabajar con mayor intensidad y claridad en el proceso de aprendizaje del estudiantado acerca de cuán importante son los principios bioéticos, al punto de que debe explicitarse el cómo se respetaron.
AbstractIntroduction.This arricie claims to present the results of an analysis regarding the final graduation projects made by students as a requisite for the Licentiate Degree in Nursing, as a part of the Degree Program in Nursing in the University of Costa Rica.Method.The study was carried out by means of a bibliographical and documental investigation of 158 final graduation projects, produced between the years 2005 and 2012. Characteristics which reflected implicitly or explicitly the principies of bioethics were extracted from the final reports, by means of a base by date created for this purpose.Results.It is noted that although in an important number of the final graduation projects the studied populations were vulnerable groups, the informed consent process is not adequately documented. Similarly, it is not clear the way in which the bioethics principies were ensured.Conclusión.It is concluded that there must be more intense work and clarity throughout the student's learning process, regarding the importance of respecting the principies of bioethics, showing explicitly the way in which they were respected.
Subject(s)
Bioethics/education , Nursing Evaluation Research/ethics , Academic Dissertation , Education, Nursing/ethics , Nursing , Costa RicaABSTRACT
The aim of this article is to show the importance of moral sensitivity when including persons with dementia in research. The article presents and discusses ethical challenges encountered when a total of 15 persons with dementia from two nursing homes and seven proxies were included in a qualitative study. The examples show that the ethical challenges may be unpredictable. As researchers, you participate with the informants in their daily life and in the interviews, and it is not possible to plan all that may happen during the research. A procedural proposal to an ethical committee at the beginning of a research project based on traditional research ethical principles may serve as a guideline, but it cannot solve all the ethical problems one faces during the research process. Our main argument in this article is, therefore, that moral sensitivity is required in addition to the traditional research ethical principles throughout the whole process of observing and interviewing the respondents.
Subject(s)
Ethics, Nursing , Morals , Nursing Evaluation Research/ethics , Nursing Research/ethics , Professional-Patient Relations/ethics , Activities of Daily Living , Dementia/psychology , Interviews as Topic , Nursing Homes , Practice Guidelines as TopicABSTRACT
La investigación es imprescindible para la enfermería, porque contribuye al desarrollo del conjunto de conocimientos de la profesión y mejora, por tanto, la práctica asistencial del cuidado. Pero si miramos la historia de la investigación apreciaremos que ésta no siempre ha respetado los derechos fundamentales de las personas. Este artículo empieza con una breve introducción, en la que se destaca su rol fundamental para la profesión enfermera. A continuación se efectúa un recorrido histórico para acercarnos a los problemas éticos de la misma y, finalmente, se comentan los principales criterios éticos que se deberían seguir en la investigación enfermera(AU)
Investigation is indispensable for the nursing profession because it contributes to the development of the overall set of knowledge the profession has and thereby improves the practical, clinical care given to patients. However, if we look into the history of research and investigation, we realize that investigators have not always respected persons fundamental rights. This article starts with a short introduction which highlights the role played by investigation for the nursing profession. Then the author presents a historical overview on investigation in order to provide insights into the ethical problems related to investigation, and finally the author comments on the main ethical criteria which should be followed during investigation by nurses(AU)
Subject(s)
Humans , Male , Female , Nursing Evaluation Research/ethics , Nursing Evaluation Research/methods , Nursing Research/ethics , Nursing Research/methods , Ethics Committees, Research/organization & administration , Ethics Committees, Research/trends , Ethics, Research , Nurse's Role , Codes of Ethics/legislation & jurisprudence , Informed Consent/ethics , Informed Consent/legislation & jurisprudence , Instruments for Management of Scientific Activity , Use of Scientific Information for Health Decision Making , Scientific Publication IndicatorsABSTRACT
During the past 15 years, issues regarding the ethical conduct of quality improvement activities have emerged. Recently, many have called for regulation of quality improvement studies using institutional review boards. The author reviews the history of the human rights argument within the context of a relevant, newly released study by the Hastings Center and concludes with practical application of the study's findings.
Subject(s)
Nursing Evaluation Research/ethics , Peer Review, Research , Quality Assurance, Health Care/ethics , Research Subjects , Beneficence , Ethics Committees, Research , Humans , United StatesSubject(s)
Accidental Falls/prevention & control , Nursing Evaluation Research/standards , Randomized Controlled Trials as Topic/standards , Research Design/standards , Accident Prevention/methods , Accidental Falls/statistics & numerical data , Aged , Geriatric Assessment , Humans , Nursing Assessment/ethics , Nursing Assessment/standards , Nursing Evaluation Research/ethics , Randomized Controlled Trials as Topic/ethics , Randomized Controlled Trials as Topic/nursing , Risk Reduction BehaviorABSTRACT
Difficulty obtaining a sample is not justification for failure to study a hard-to-enroll population, particularly a vulnerable population such as pregnant adolescents. Recruitment of a representative, adequate sample of pregnant adolescents for a recent instrument development study provided multiple challenges. Although carefully developed, the sampling plan required several modifications to achieve the sample (n=145). Those challenges and the ensuing modifications to the sampling plan are discussed in relation to (a) access/institutional concerns, (b) the human subject's protection considerations, and (c) developmental/personal concerns of the pregnant adolescents. Recommendations for sampling strategies for future research are offered.
Subject(s)
Minors/psychology , Nursing Evaluation Research/organization & administration , Patient Selection , Pregnancy in Adolescence/psychology , Pregnant Women/psychology , Adaptation, Psychological , Adolescent , Adolescent Development , Female , Human Experimentation/ethics , Human Experimentation/legislation & jurisprudence , Humans , Minors/legislation & jurisprudence , Nebraska , Nursing Evaluation Research/ethics , Patient Selection/ethics , Pregnancy , Pregnancy in Adolescence/ethics , Prenatal Care , Reproducibility of Results , Research Design/legislation & jurisprudence , Research Personnel/psychology , Researcher-Subject Relations/ethics , Researcher-Subject Relations/psychology , Sampling Studies , Surveys and Questionnaires/standards , Vulnerable Populations/legislation & jurisprudence , Vulnerable Populations/psychologyABSTRACT
Research governance strategies, as currently operated are potentially limiting the conduct of research, especially multi-centre studies. The authors provide an overview of the current research governance framework in the UK and, using the example of one study as an illustrative case, describe and discuss a research team's experience of gaining research governance approval for a multi-centre study.
Subject(s)
Decision Making, Organizational , Ethics Committees, Research/organization & administration , Nursing Evaluation Research/organization & administration , Data Collection , England , Guidelines as Topic , Health Services Needs and Demand , Hotlines/standards , Humans , Multicenter Studies as Topic/ethics , Multicenter Studies as Topic/standards , Nursing Evaluation Research/ethics , Organizational Innovation , Peer Review, Research , Planning Techniques , Primary Health Care , Research Design/standards , State Medicine , Time FactorsABSTRACT
Graham Williamson and Sue Prosser discuss the ethical dimensions of action research, informed by their experiences of participation in an action research project in the workplace.