Human subject protection in clinical cancer trials : Action research

四年来的行动研究成果总结如下：A。参与癌症临床试验的研究护士的网络肿瘤学研究护士需要网络机会来讨论和解决患者的问题。我们最初开始研究会议，然后联系日本癌症护理学会，组织特殊兴趣小组，以回应成员的要求。2006年，全体会议批准了14个特别兴趣小组，临床试验护士就是其中之一。网络化是本次行动研究最重要的成果。癌症临床试验中人体保护的同步概念分析我们分3个阶段进行了同步概念分析：1）日本的现状; 2）其他国家的现状; 3）日本和其他国家的综合情况。然后，我们形成了一个共识小组。分析和独立澄清的概念包括"知情同意"、"风险/效益评估"、"风险评估"、"风险评估"和"风险评估"。 ...更多信息 “合作”和“合作”。图中详细描述了每个概念的关键属性、前提、促成因素和结果。此外，提取与每个概念相关的共同因素，并对临床癌症试验中人类受试者保护的定义进行了细化。共同因素，即前因和使能因素、"人体研究监管"、"豁免"和"信息"表明，在癌症临床试验中，人体受试者保护是可以控制的。护理专家的定性分析和文本数据分析软件的比较临床癌症试验的风险信息是从朝日新闻和读卖新闻的文章中分析的，因为这些报纸的数据系统允许基于计算机搜索发表的文章。文本数据分析软件WordMiner [○! R]，从标题和文章中的词的含义中选择关键词，而护理专家则从上下文中解释这些词中选择关键词。这些发现表明，所收集的数据的可信度需要通过相互同意比较专家的解释。因此WordMiner [○! R]选择专家在阅读时可能忽略的有价值的信息（单词），因为独特的字符是通过概率测试提取的。少

Outcomes of action research over 4 years are summarized as follows:A. Networking for research nurses involved in clinical trials of cancerOncology research nurses required networking opportunities to discuss and resolve patients' issues. We initially started study meetings and then approached the Japanese Society of Cancer Nursing to organize special interest groups to respond to members' requests. The plenary session approved 14 Special Interest Groups in 2006 and Clinical Trial Nurses comprised one of them. Networking was the most important outcome of this action research.B. Simultaneous concept analysis of human protection in clinical cancer trialsWe conducted simultaneous concept analyses in 3 phases: 1) the current situation in Japan; 2) the current situation in other countries; 3) integrating situations in Japan and other countries. We then formed a consensus group. Concepts for analysis and independent clarification included "informed consent", "risk/benefit assessment", "advoca … More cy", and "collaboration". Critical attributes, antecedents, enablers, and outcomes of each concept are described in detail in a figure. Furthermore, extracted common factors associated with each concept and the definition of human subject protection in clinical cancer trials was refined. The common factors, namely antecedents and enablers, "regulation of research on humans", "waivers" and "information" suggested that human subject protection can be controlled in clinical cancer trials.C. Comparison between qualitative analysis by nursing experts and software for text data analysisRisk information from clinical cancer trials was analyzed from articles in the Asahi Shinbun and Yomiuri Shinbun because these newspapers have data systems that allow computer-based searching of published articles. The software for text data analysis, WordMiner【○!R】, selected keywords from the meanings of words in headings and articles, whereas nursing experts selected them from interpreting the words in context. These findings suggest that trustworthiness of the collected data requires comparing expert interpretations by mutual consent. Thus WordMiner【○!R】 selects valuable information (words) that experts might overlook while reading because distinctive characters are extracted by probability tests. Less