I need reponses for WEEk 9 discussion.
Week 9 Response
RE: Discussion Prompt
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Conducting research with strong ethical principles is a critical component of being an effective nurse researcher. Consider all or some of these questions as you share your reflections on the importance of ethical considerations in nursing research.
In the research simulation activity, which character did you play?
I played Jane the nurse.
How did you feel during the simulation experience?
I was intimidated by the doctor, but I knew what the right decisions were, and I knew that even though it would make me feel uncomfortable, I had to do the right thing and confront the doctor when he wanted to falsify information on the charts or when he wanted to omit the lab reports.
What did your character do well? She confronted the doctor in a professional matter, not compromising her ethical responsibilities to the trial and her patients.
What did your character not do well and what sense can you make of the researcher’s behavior? When she realized the two charts did not match, she went to the provider first before reporting it. Here, she should have reported it before going to the provider. By going to the provider first, it tipped him off and gave him a chance to correct the charts to match. If the nurse would have reported it first, the provider would have been caught and the appropriate actions taken to protect the research subjects and maintain the appropriate ethics and data of the trial.
What else could your character have done? My character did everything in her power to play by the rules and maintain her ethical responsibility to her patients. She made sure to explain the trial even when it would have been easier to have the client just sign. She took her time and had the client say it back in her own words. The nurse made spoke up when certain criteria would have excluded patients from the trial and spoke up against the doctor who was persistent in doing the wrong thing or looking the other way to alter the trial.
If this situation would occur again, how might you handle it?
What resources would you use for guidance and support? What did you learn about ethical principles in research? In research and any aspect of nursing really, it is important that the patient understand the treatment and the risks of treatment, as well as the risk of not receiving the treatment and any alternatives to treatment. It is also important to follow the ethical principle of beneficence, which refers to “do no harm.” As a research nurse, one must feel like the trial would be to do no harm to the patient (Mantzorou, 2015).
Mantzorou, M. (2015). What are the major ethical issues in conducting research? is there a conflict between the research ethics and the nature of nursing? Health Science Journal. https://www.hsj.gr/medicine/what-are-the-major-ethical-issues-in-conducting-research-is-there-a-conflict-between-the-research-ethics-and-the-nature-of-nursing.php?aid=3485.
RE: Discussion Prompt
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In the research simulation activity, which character(s) did you play?
During this research simulation activity, the character I chose to play was RN Jan Klein who was a clinical research coordinator, as well as, an overworked nurse who works for a PI who pressures her to falsify data and violate study protocols.
How did you feel during the simulation experience?
During the simulation experience, I enjoyed being able to comprehend a “first-hand experience” on clinical and social research/researchers toward the importance of appropriately protecting research participants and avoiding research misconduct.
What did your character do well?
My character conducted weekly meetings to the research staff as well as the PI coordinator to ensure everyone is on the same page. A key to conducting research responsibly is to make sure all study staff have the necessary resources and support to accomplish their task. Clinical research coordinators should ensure that there is adequate training for all staff participating in the conduct of the study, including any new staff hired after the study has begun.
What did your character not do well and what sense can you make of the researcher’s behavior?
The PI wanted to start putting subjects on the study before having approval on the protocol, and instead of my character giving pushback to the PI, she overstepped and went straght to the supervisor. Although I am not opposed to speaking with the supervisor to intervene, however, there may be times when you need to stand up to a PI. Some investigators either don’t know the pertinent regulations, don’t recall the details of the protocol, or want to conveniently ignore those details.
It can be difficult, but it’s in everyone’s interest that to stand up to this kind of pressure and insist on following pertinent regulations and/or guidance per protocol.
What else could your character have done?
My character could have spoken directly to the PI to inform him of the standard details and protocols before going to the supervisor.
If this situation would occur again how might you handle it?
If the situation occured again, I would speak to the PI first and make sure he understands the protocols before moving forward with any research. If he still wants to overlook and overstep, then I will report to my supervisor for intervention.
What resources would you use for guidance and support?
I could utilize online resources for guidance and support as well as information from my supervisor.
What did you learn about ethical principles in research?
I learned that clinical research coordinators should act as advocates for the study participants and ensure that all subjects fully understand the study. This is especially true when working with educationally or economically disadvantaged subjects, visually or hearing impaired subjects, subjects with cognitive impairments, Alzheimer’s disease, or other dementia. Also, that it is important to comply with study inclusion and exclusion criteria. They reflect the consideration of documented subject characteristics that may moderate the probability and magnitude of harm in clinical trials. Informed consent is important. Potential participants should make their own decision about whether they want to participate or continue participating in research. This is done through a process of informed consent in which individuals (1) are accurately informed of the purpose, methods, risks, benefits, and alternatives to the research, (2) understand this information and how it relates to their own clinical situation or interests, and (3) make a voluntary decision about whether to participate. (Sng et al., 2016).
The Research Clinic. ORI. (n.d.). https://ori.hhs.gov/research-clinic.
Sng, B. L., Yip, C., & Han, N.-L. R. (2016). Legal and ethical issues in research. Indian Journal of Anaesthesia, 60(9), 684. https://doi.org/10.4103/0019-5049.190627
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