Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Essay on research ethics
Ethical principles in medical research
Ethical principles in medical research
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Essay on research ethics
The introduction of any innovation or invention in medical technology requires sufficient testing to determine its safety and effectiveness. The fact that the clinical studies are performed on people generates significant ethical debate regarding respect towards those patients. It is interesting to discover that this ethical debate gained significant attention after WWII, during the Nuremberg War Crime Trials, where judgments for those who conducted biomedical experiments on prisoners were determined (The Belmont Report, 3). The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research was created to define ethical guidelines for research involving human subjects (2). The Commission accomplished this through the publication of the Belmont Report, which summarizes the Commission’s findings resultant from its four day deliberation (2). Through inspection of the Belmont Report, the ethical principles of respect of persons, beneficence and justice are revealed to have great application in biomedical research using human patients.
The respect for those persons participating in the study is upheld through the application of deontological principles on autonomy. First, “individuals should be treated as autonomous agents” (The Belmont Report, 4). An autonomous individual is someone who can make a decision through their own reasoning. People have different degrees of autonomy due to various reasons, such as age or a disability. This leads to the second principle that “persons with diminished autonomy are entitled to protection” (4). Those who are too young to fully understand a decision, as well as those who have been incapacitated in some way, require some extent of protection. Failing to pr...
... middle of paper ...
...t, physicians must make every effort to have respect for people, beneficence, and justice. Respect for people consists of allowing individuals to make their own decisions unless they are incapable, which is accomplished using informed consent. Respecting beneficence consists of looking out for the well-being of another individual; in the medical industry, this is best accomplished by assessing risks and benefits, and attempting to obtain the most favorable ratio between the two. Respect for justice ensures that benefits and burdens of a study are equally distributed so that no one individual must bear all the burdens or receive all the benefits. The Belmont Report provides “basic ethical principles and guidelines” that physicians performing medical research studies can follow to provide the most ethical treatment possible to their patients (The Belmont Report 2).
Those who were affected by the testing in hospitals, prisons, and mental health institutions were the patients/inmates as well as their families, Henrietta Lacks, the doctors performing the research and procedures, the actual institutions in which research was being held, and the human/health sciences field as a whole. Many ethical principles can be applied to these dilemmas: Reliance on Scientific Knowledge (1.01), Boundaries of Competence (1.02), Integrity (1.04), Professional and Scientific Relationships (1.05), Exploitative Relationships (1.07, a), Responsibility (2.02), Rights and Prerogatives of Clients (2.05), Maintaining Confidentiality (2.06), Maintaining Records (2.07), Disclosures (2.08), Treatment/Intervention Efficacy (2.09), Involving Clients in Planning and Consent (4.02), Promoting an Ethical Culture (7.01), Ethical Violations by Others and Risk of Harm (7.02), Avoiding False or Deceptive Statements (8.01), Conforming with Laws and Regulations (9.01), Characteristics of Responsible Research (9.02), Informed Consent (9.03), and Using Confidential Information for Didactic or Instructive Purposes (9.04), and Debriefing (9.05). These particular dilemmas were not really handled until much later when laws were passed that regulated the way human subjects could be used for research. Patients
In the United States, the basis for ethical protection for human research subjects in clinical research trials are outlined by the Belmont Report developed in the late 1970’s. This document, published by the Nation Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, highlights three important basic principles that are to be considered when any clinical trial will involve human research subjects. They are; respect for persons, beneficence, and justice. (Chadwick & Gunn, 2004)
Denise Dudzinski, PhD, MTS, Helene Starks, PhD, MPH, Nicole White, MD, MA (2009) ETHICS IN MEDICINE. Retrieved from: http://depts.washington.edu/bioethx/topics/pad.html
Siegler, M., and W. Winslade. "Ethics in Medicine." Clinical Ethics. By A. R. Jonsen. 7th ed. N.p.:
The four major ethical principles in health care are: Autonomy – to honor the patient’s right to make their own decision (the opposite is paternalism - the health care provider knows best for the patient), Beneficence – to help the patient advance his/her own good, Nonmaleficence – to do no harm (many bioethical controversies involves this principle), and Justice – to be fair and treat like cases alike. All 4 principles are considered to be in effect at all times. In theory, each is of equal weight or importance. Ethical responsibilities in a given situation depend in part on the nature of the decision and in part on the roles everyone involved play.
Ingram, David, and Jennifer A. Parks. "Biomedical Ethics." The Complete Idiot's Guide to Understanding Ethics. Indianapolis, IN: Alpha, 2002. N. pag. Print.
The principle of autonomy states, that an individual’s decision must be respected in all cases, also an individual can act freely in accordance to their plan. For example, in a case where a patient and family demands to continue medical or surgical care and a physician want the patient to stop further treatment. In this case the patient’s choice will matter the most. According to the principle of autonomy it will be the patients and family choice whether to continue or discontinue treatment. The principle of beneficence which states, “one must promote good” comes into play in this case. In accordance to beneficence the patient will not benefit from the physicians responses personally. He/she will not benefit from harming her body with more surgeries. The patient will be going against the principle non-maleficence, which states that “one must cause no harm to an individual” by causing harm to herself. In this case the physician is justified in his/her actions by discontinuing medical or surgical care to the patient because it will not it her. These principles are what healthcare provider use to help and guide patients with the ...
Nelson, James. (1973). Human Medicine: Ethical Perspectives on New Medical Issues. Minneapolis: Augsburg Publishing House.
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
Ethics refers to the values and customs of a community at a particular point in time. At present, the term ethics is guided by the moral principles that guide our everyday actions. These moral principles guide the researcher into deciding what is ‘right’ or ‘wrong’. The foundation of medical ethics is governed by two philosophical frameworks that are deontology, and utilitarianism. However ultimately the ethics committees need to balance the risks, and benefits for the participants and the community associated with the particular research proposal. This balance is quite important as the well being of participants is at risk.7
The first article is entitled “of mice but not men: problems of randomized clinical trials,” is written by Samuel Hellman and Deborah S. Hellman discusses the issues of randomized medical testing and experiments on patients. The article describes the role of the personal physician and how the physician can take an ethical or unethical path of treating his/her patients. The relationship between the patient and physician is greatly emphasized because according to the article trust is very valuable in medicine especially when a patient’s life is at risk. A Kantian and a Utilitarian view of randomized clinical trials are debated but the authors clearly steers towards a Kantian point of view.
In December 1946, the War Crimes Tribunal at Nuremberg indicted 20 Nazi physicians and 3 administrators for their willing participation in carrying out the harmful research on unwilling human subjects. Thus, Nuremberg code was the first international code for the ethics to be followed during human subject research. It was permissible medical experiments implemented in August 1947. The code also provides few directives for clinical trials (3). Syphilis study at Tuskegee in 1974 was the most influential event that led to the HHS Policy for Protecti...
Nelson, J.B. (1973). Human Medicine: ethical perspectives on new medical issues. Minneapolis: Augsburg Publishing House.
McGee, Glenn and Arthur L. Caplan. "Medical Ethics." Microsoft® Encarta® 98 Encyclopedia. © 1993-1997: Microsoft Corporation. CD-ROM.
Medical ethics refers to the relationship between health professionals and patients. The trust of patients in physicians has been vanishing. Today a lot of health care providers primary concerns seem to be in profit rather than in providing the proper healthcare to the public. Medical ethics consist of several different principles. Nonmaleficence, beneficence, justice, and autonomy are just a few of the many principals. Nonmaleficence enacts that a health care providers, can never use treatment to injure or wrong their patients. Beneficence claims that health care providers are obligated to help others further their interest. Justice requires health providers treat every patient as equal and provide equal treatment for everyone with the same