Ethics in healthcare

Running head: ETHICS IN HEALTHCARE 1
Ethics in healthcare
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ETHICS IN HEALTHCARE 2
Do you think that alternative forms of community consent should be actively pursued?
Why or why not?
While the conventional approaches of obtaining informed consent are vital, I think
alternative forms of community are also helpful and should thus be actively pursued as well.
Although much is yet to be done regarding these other forms, alternative forms could be
pivotal especially in an environment such as Intensive Care Unit where the patients because
of their physical or cognitive impairments due to sedation, trauma or illness may be unable to
provide informed consent.
There exist some types of research such as in ICU patients where consent for
important genomic research may need no delay as it may lead to the missed opportunity of
collecting transient and perhaps important clinical data (Ann K. Shelton, 2015). When done
in time, this research is crucial as it helps in saving many lives. This is why alternative forms
such as computer-based educational intervention may be crucial. This alternative form may
be crucial and also effective in helping the surrogates who could be the family members or
friends who are to make vital decisions for their patients have an understanding of informed
consent. These are among many importance of why alternative forms of community consent
should be pursued.
How would you feel if your medical records were examined and included in research
without your consent based on illness in the past?
The Belmont report sets the basic ethical principles that are to be followed when
conducting any research that involves a human being. These basic ethical principles are
respect for persons (autonomy), beneficence and justice (James M. DuBois, 2008).
I would not be happy if I found my medical records were examined as well as
included in research without my consent. Firstly, this means that some of the basic ethical
principles are violated. The principle of respect for the person, in this case, has been
ETHICS IN HEALTHCARE 3
overlooked. This is because there was no informed consent involved meaning I was not given
the opportunity to choose whether I would like my medical records to be examined and
included in the research.
In every research that is to be conducted, the three Belmont ethical principles must be
observed. Respect for person principle requires informed consent where the person to
participate are to be made sure that they understand the entire process and to decide whether
to be involved in research without any coercion or undue influence.
The beneficence principle requires individuals to be protected against harm (Jharna Mandal,
2011). For this principle to be fulfilled, the research should be beneficial to the participant,
and its benefits must outweigh the risks that are involved in the entire process.
The principle of justice requires fair selection of subjects that are to be involved I
research. This means that research subjects should not be selected based on their racial,
social, sexual or even ethnic groups. There should be no bias of any kind during their
selection.
Therefore, if any of these ethical principles is violated, it means that the research is
not conducted according to the Institutional Review Board. Therefore, having my medical
record examined and included in research without my consent, I would complain. However, it
would be different if I was not in a position to make this decision and my parents or
surrogates gave the green light for my medical record to be included in the research as they
have the right.
ETHICS IN HEALTHCARE 4
References
Ann K. Shelton, R. P. (2015, March ). A COMPUTER-BASED EDUCATION
INTERVENTION TO ENHANCE SURROGATES’ INFORMED CONSENT FOR
GENOMICS RESEARCH. AMERICAN JOURNAL OF CRITICAL CARE, Volume
24(No. 2), 148-154.
James M. DuBois, R. L. (2008). Hidden Empirical Research Ethics: A Review of Three
Health Journals from 2005 through 2006. HHS Public Access, 2-8.
Jharna Mandal, S. A. (2011). Ethics in human research. Tropical Parasitology, 2-3.

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