Ethical considerations in the recruitment of research subjects from hospitalized, cardiovascular patient populations.

Ethical considerations in the recruitment of research subjects from hospitalized, cardiovascular patient populations.
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从住院心血管患者群体招募研究对象时的伦理考虑。

DOI:
10.1097/00005082-200501000-00011
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发表时间:
2005
期刊:
The Journal of cardiovascular nursing.
影响因子:
--
通讯作者:
Ley,Cathaleen
Ley,Cathaleen
中科院分区:
--
文献类型:
--
作者:
Jairath,Nalini;Ulrich,ConnieM;Ley,Cathaleen

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心血管研究护士在确保受试者招募以合乎道德的方式进行方面发挥着重要作用。然而,这些护士在研究过程中遇到了许多伦理挑战。仅仅依赖监管机制,如机构审查委员会的监督和遵守法律要求,不一定能确保人类受试者的保护或研究人员的科学诚信(J Law Med Ethics. 2002; 30: 411-419)。因此,本文讨论了与招募住院心血管患者进行研究相关的3个额外的伦理考虑。这些包括(a)家庭和患者委托的“看门人”的角色,(b)短暂和微妙的精神状态变化对同意过程的影响,以及(c)患者优先级冲突的影响。这一内容是用作者招募住院冠状动脉搭桥手术患者的经验来说明的。
Cardiovascular research nurses play important roles in ensuring that subject recruitment is conducted in an ethically defensible manner. However, these nurses encounter many ethical challenges in the course of research. Sole reliance on regulatory mechanisms such as institutional review board oversight and adherence to legal requirements does not necessarily ensure human subjects' protection or the scientific integrity of researchers (J Law Med Ethics. 2002; 30: 411–419). Therefore, this article discusses 3 additional ethical considerations associated with recruiting hospitalized cardiovascular patients for research studies. These include (a) the role of the family and patient-delegated “gatekeepers,”(b) the effect of transient and subtle mental status changes upon the consent process, and (c) the effect of conflicting patient priorities. This content is illustrated using the authors' experiences recruiting hospitalized coronary artery bypass graft surgical patients for a research study.
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