Item Details

Attempting to standardise ethical review within the complexity of health-related research

Issue: Vol 9 No. 3 (2012)

Journal: Communication & Medicine

Subject Areas: Healthcare Communication Linguistics

DOI: 10.1558/cam.v9i3.269

Abstract:

Researchers in medicine, allied disciplines and elsewhere submit research proposals to an ethical review board before research commences. This paper argues that the effectiveness of review relies on reviewers using discernment and judgement when applying standardised review criteria so that they accommodate the full range of research projects. With reference to ethics literature, the paper identifies five imperatives in the development of review guidelines and processes. It examines case composition and analysis, and explores interactions between professional developers, researchers and reviewers to illustrate problems in the review process. It refers to the ethical review system in New Zealand and the report to parliament: Inquiry into Improving New Zealand’s Environment to Support Innovation through Clinical Trials (Health Committee 2011). Seeking to gain for New Zealand a competitive edge in clinical research, this report made 19 recommendations to improve the climate for clinical trials, ethical review included, in this country. The connection between these two case studies is the common endeavour to standardise the ethical review exercise, review systems and review processes. Cases with commentary are a recommended addition to guidelines documents to present research within its context and to demonstrate the complexity that a standardised ethical review does not always address.

Author: Rosemary De Luca

View Original Web Page

References :

Adlan, A. A. and ten Have, H. A. M. J. (2012) The dilemma of revealing sensitive information on paternity status in Arabian social and cultural contexts. Bioethical Inquiry 9: 403–409. http://dx.doi.org/10.1007/s11673-012-9390-y
Blommaert, J. and Bulcaen, C. (2000) Critical discourse analysis. Annual Review of Anthropology 29: 447–466. http://dx.doi.org/10.1146/annurev.anthro.29.1.447
Bryder, L. (2009) A History of the ‘Unfortunate Experiment’ at National Women’s Hospital. Auckland, New Zealand: Auckland University Press.
Code of Health and Disability Services Consumers’ Rights. Available at: www.hdc.org.nz
Cohen, L., Manion, L. and Morrison, K. (2007) Research Methods in Education. 6th edn. New York: Routledge.
Coney, S. (1988) The Unfortunate Experiment. Auckland, New Zealand: Penguin.
Cooper, B. and De Luca, R. (2009) Human ethics guidelines for schools. New Zealand Science Teacher 122: 35–47.
Cram, F. (2003) Preliminary Discussions with Maori Key Informants: Report to the National Ethics Advisory Committee. Wellington, New Zealand: Ministry of Health.
Dare, T. (20 December 2012) Getting ethical approval after the fact. Ethics Notes. Available at: http://www.hrc.govt.nz/news-and-media/news/getting-ethics-approval-after-fact
De Luca, R. (2003) The New Zealand way: ART regulation in New Zealand. In J. Gunning and H. Szoke (eds) The Regulation of Assisted Reproductive Technology, 95–107. Aldershot: Ashgate.
Ess, C. and AoIR ethics working committee (2002) Ethical Decision-making and Internet Research: Recommendations from the AoIR Ethics Working Group. Available at: http://www.aoir.org/reports/ethics.pdf
Ethical Conduct in Human Research and Related Activities Regulations. First published in 2008. In University of Waikato (2011) Calendar: 112–121.
Hamilton, New Zealand: University of Waikato. Ethics Notes (May 2011). Available at: http://www.hrc.govt.nz/sites/default/files/Ethics-May2011.pdf
Fairclough, N. (1989) Language and Power. London: Longman.
Glynn, T. and Bishop R. (1995) Cultural issues in educational research: A New Zealand perspective. He Pukenga Kōrero: A Journal of Māori Studies 1 (1): 37–43.
Health Committee (June 2011) Inquiry into Improving New Zealand’s Environment to Support Innovation in Clinical Trials. Available at: http://tinyurl.com/oxmgaf9
Hudson, M. L., Ahuriri-Driscoll, A. L. M., Lea, M. G. and Lea, R. A. (2007) Whakapapa: A foundation for genetic research? Bioethical Inquiry 4 (1): 43–49. http://dx.doi.org/10.1007/s11673-007-9033-x
Hudson, M. L. and Russell, K. (2009) The Treaty of Waitangi and research ethics in Aotearoa. Bioethical Inquiry 6: 61–68. http://dx.doi.org/10.1007/s11673-008-9127-0
Hurwitz, B. (2012) Textual practices in crafting bioethics cases. Bioethical Inquiry 9: 395–401. http://dx.doi.org/10.1007/s11673-012-9407-6
Jonsen, A. R. and Toulmin, S. E. (1988) The Abuse of Casuistry: A History of Moral Reasoning. Berkeley: University of California Press.
Karlberg, J. P. E. and Speers, M. A. (2010) Reviewing Clinical Trials: A Guide for the Ethics Committee. Hong Kong: Karlberg, Johan Petter Einar.
Martin, J. R. (2008) Negotiating values: Narrative and exposition. Bioethical Inquiry 5 (1): 41–55. http://dx.doi.org/10.1007/s11673-008-9091-8
Ministry of Health (2006) Operational Standard for Ethics Committees: Updated Edition. Available at: http://www.moh.govt.nz
National Ethics Advisory Committee (2012) Ethical Guidelines for Intervention Studies Revised Edition. Wellington, New Zealand: Ministry of Health.
National Ethics Advisory Committee (2012) Ethical Guidelines for Observational Studies: Observational Research, Audits and Related Activities Revised Edition. Wellington, New Zealand: Ministry of Health.
Nelson, H. J. (ed.) (1997) Stories and Their Limits: Narrative Approaches to Bioethics. New York: Routledge.
Nelson, T. H., Deuel, A., Slavit, D. and Kennedy, A. (2010) Leading deep conversations in collaborative inquiry groups. The Clearing House 83: 175–179. http://dx.doi.org/10.1080/00098650903505498
NZARE (2010) New Zealand Association for Research in Education Ethical Guidelines. Available at: http://www.nzare.org.nz/pdfs/NZAREEthicalGuidelines2010.pdf
Ministry of Health (2006) Operational Standard for Ethics Committees: Updated Edition. Wellington, New Zealand: Ministry of Health. First published in March 2002.
Pope, C. C., De Luca, R., Tolich, M. (2010) How an exchange of perspectives led to tentative ethical guidelines for visual ethnography. International Journal of Research and Method in Education 33 (3): 301–316. http://dx.doi.org/10.1080/1743727X.2010.511712
Report of the Committee of Inquiry into Allegations Concerning the Treatment of Cervical Cancer at National Women’s Hospital and into Other Related Matters (1988). Auckland, New Zealand: Government Printing Office.
Thomas, H. and Pattison, S. (2010) Talk about values in the British National Health Service. Communication & Medicine 7 (2): 177–85.
van Dijk, T. A. (1993) Principles of critical discourse analysis. Discourse and Society 4 (2): 249–283. http://dx.doi.org/10.1177/0957926593004002006
van Leeuwen, M. (2012) Rhetorical effects of grammar. Critical Approaches to Discourse Analysis across Disciplines 5 (2): 88–101. Available at: http://cadaad.net/journal
Wodak, R. (ed.) (1989) Language, Power and Ideology. Amsterdam: Benjamins.
World Medical Association (2008) Declaration of Helsinki. Available at: http://www.wma.net/en/30publications/10policies/b3/inde.html