The use of empirical research in bioethics: a survey of researchers in twelve European countries.

Abstract:

BACKGROUND:The use of empirical research methods in bioethics has been increasing in the last decades. It has resulted in discussions about the 'empirical turn of bioethics' and raised questions related to the value of empirical work for this field, methodological questions about its quality and rigor, and how this integration of the normative and the empirical can be achieved. The aim of this paper is to describe the attitudes of bioethics researchers in this field towards the use of empirical research, and examine their actual conduct: whether they use empirical research methods (and if so, what methods), and whether (and how) they have made attempts at integrating the empirical and the normative. METHODS:An anonymous online survey was conducted to reach scholars working in bioethics/biomedical ethics/ethics institutes or centers in 12 European countries. A total of 225 bioethics researchers participated in the study. Of those, 200 questionnaires were fully completed, representing a response rate of 42.6%. The results were analysed using descriptive statistics. RESULTS:Most respondents (n = 175; 87.5%) indicated that they use or have used empirical methods in their work. A similar proportion of respondents (61.0% and 59.0%) reported having had at least some training in qualitative or quantitative methods, respectively. Among the 'empirical researchers', more than a fifth (22.9%) had not received any methodological training. It appears that only 6% or less of the 'empirical researchers' considered themselves experts in the methods (qualitative or quantitative) that they have used. Only 35% of the scholars who have used empirical methods reported having integrated empirical data with normative analysis, whereas for their current projects, 59.8% plan to do so. CONCLUSIONS:There is a need to evaluate the current educational programs in bioethics and to implement rigorous training in empirical research methods to ensure that 'empirical researchers' have the necessary skills to conduct their empirical research in bioethics. Also imperative is clear guidance on the integration of the normative and the empirical so that researchers who plan to do so have necessary tools and competences to fulfil their goals.

journal_name

BMC Med Ethics

journal_title

BMC medical ethics

authors

Wangmo T,Provoost V

doi

10.1186/s12910-017-0239-0

subject

Has Abstract

pub_date

2017-12-22 00:00:00

pages

79

issue

1

issn

1472-6939

pii

10.1186/s12910-017-0239-0

journal_volume

18

pub_type

杂志文章,多中心研究
  • Unconventional combinations of prospective parents: ethical challenges faced by IVF providers.

    abstract:BACKGROUND:Professional guidelines have addressed ethical dilemmas posed by a few types of nontraditional procreative arrangements (e.g., gamete donations between family members), but many questions arise regarding how providers view and make decisions about these and other such arrangements. METHODS:Thirty-seven ART ...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-017-0177-x

    authors: Klitzman R

    更新日期:2017-02-28 00:00:00

  • Co-design and implementation research: challenges and solutions for ethics committees.

    abstract:BACKGROUND:Implementation science research, especially when using participatory and co-design approaches, raises unique challenges for research ethics committees. Such challenges may be poorly addressed by approval and governance mechanisms that were developed for more traditional research approaches such as randomised...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-015-0072-2

    authors: Goodyear-Smith F,Jackson C,Greenhalgh T

    更新日期:2015-11-16 00:00:00

  • Confidentiality breaches in clinical practice: what happens in hospitals?

    abstract:BACKGROUND:Respect for confidentiality is important to safeguard the well-being of patients and ensure the confidence of society in the doctor-patient relationship. The aim of our study is to examine real situations in which there has been a breach of confidentiality, by means of direct observation in clinical practice...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-016-0136-y

    authors: Beltran-Aroca CM,Girela-Lopez E,Collazo-Chao E,Montero-Pérez-Barquero M,Muñoz-Villanueva MC

    更新日期:2016-09-02 00:00:00

  • Implementing clinical ethics committees as a complex intervention: presentation of a feasibility study in community care.

    abstract:BACKGROUND:How should clinical ethics support services such as clinical ethics committees (CECs) be implemented and evaluated? We argue that both the CEC itself and the implementation of the CEC should be considered as 'complex interventions'. MAIN TEXT:We present a research project involving the implementation of CEC...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-020-00522-1

    authors: Magelssen M,Karlsen H,Pedersen R,Thoresen L

    更新日期:2020-09-01 00:00:00

  • Patients' perceived purpose of clinical informed consent: Mill's individual autonomy model is preferred.

    abstract:BACKGROUND:Although informed consent is an integral part of clinical practice, its current doctrine remains mostly a matter of law and mainstream ethics rather than empirical research. There are scarce empirical data on patients' perceived purpose of informed consent, which may include administrative routine/courtesy g...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/1472-6939-15-2

    authors: Hammami MM,Al-Gaai EA,Al-Jawarneh Y,Amer H,Hammami MB,Eissa A,Qadire MA

    更新日期:2014-01-10 00:00:00

  • Ethical competence in DNR decisions -a qualitative study of Swedish physicians and nurses working in hematology and oncology care.

    abstract:BACKGROUND:DNR decisions are frequently made in oncology and hematology care and physicians and nurses may face related ethical dilemmas. Ethics is considered a basic competence in health care and can be understood as a capacity to handle a task that involves an ethical dilemma in an adequate, ethically responsible man...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-018-0300-7

    authors: Pettersson M,Hedström M,Höglund AT

    更新日期:2018-06-19 00:00:00

  • Patients as consumers of health care in South Africa: the ethical and legal implications.

    abstract:BACKGROUND:South Africa currently has a pluralistic health care system with separate public and private sectors. It is, however, moving towards a socialised model with the introduction of National Health Insurance. The South African legislative environment has changed recently with the promulgation of the Consumer Prot...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/1472-6939-14-15

    authors: Rowe K,Moodley K

    更新日期:2013-03-21 00:00:00

  • Structural racism in precision medicine: leaving no one behind.

    abstract:BACKGROUND:Precision medicine (PM) is an emerging approach to individualized care. It aims to help physicians better comprehend and predict the needs of their patients while effectively adopting in a timely manner the most suitable treatment by promoting the sharing of health data and the implementation of learning hea...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-020-0457-8

    authors: Geneviève LD,Martani A,Shaw D,Elger BS,Wangmo T

    更新日期:2020-02-19 00:00:00

  • Their view: difficulties and challenges of patients and physicians in cross-cultural encounters and a medical ethics perspective.

    abstract:BACKGROUND:In todays' super-diverse societies, communication and interaction in clinical encounters are increasingly shaped by linguistic, cultural, social and ethnic complexities. It is crucial to better understand the difficulties patients with migration background and healthcare professionals experience in their sha...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-018-0311-4

    authors: Würth K,Langewitz W,Reiter-Theil S,Schuster S

    更新日期:2018-07-04 00:00:00

  • Saudi views on consenting for research on medical records and leftover tissue samples.

    abstract:BACKGROUND:Consenting for retrospective medical records-based research (MR) and leftover tissue-based research (TR) continues to be controversial. Our objective was to survey Saudis attending outpatient clinics at a tertiary care hospital on their personal preference and perceptions of norm and current practice in rela...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/1472-6939-11-18

    authors: Al-Qadire MM,Hammami MM,Abdulhameed HM,Al Gaai EA

    更新日期:2010-10-18 00:00:00

  • Generating genius: how an Alzheimer's drug became considered a 'cognitive enhancer' for healthy individuals.

    abstract:BACKGROUND:Donepezil, an acetylcholinesterase inhibitor used in the treatment of Alzheimer's disease, has been widely cited in media and bioethics literature on cognitive enhancement (CE) as having the potential to improve the cognitive ability of healthy individuals. In both literatures, this claim has been repeatedly...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/1472-6939-15-37

    authors: Wade L,Forlini C,Racine E

    更新日期:2014-05-12 00:00:00

  • Convergent ethical issues in HIV/AIDS, tuberculosis and malaria vaccine trials in Africa: Report from the WHO/UNAIDS African AIDS Vaccine Programme's Ethics, Law and Human Rights Collaborating Centre consultation, 10-11 February 2009, Durban, South Africa

    abstract:BACKGROUND:Africa continues to bear a disproportionate share of the global HIV/AIDS, tuberculosis (TB) and malaria burden. The development and distribution of safe, effective and affordable vaccines is critical to reduce these epidemics. However, conducting HIV/AIDS, TB, and/or malaria vaccine trials simultaneously in ...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/1472-6939-11-3

    authors: Mamotte N,Wassenaar D,Koen J,Essack Z

    更新日期:2010-03-09 00:00:00

  • Attitudes and behaviors of Japanese physicians concerning withholding and withdrawal of life-sustaining treatment for end-of-life patients: results from an Internet survey.

    abstract:BACKGROUND:Evidence concerning how Japanese physicians think and behave in specific clinical situations that involve withholding or withdrawal of medical interventions for end-of-life or frail elderly patients is yet insufficient. METHODS:To analyze decisions and actions concerning the withholding/withdrawal of life-s...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/1472-6939-8-7

    authors: Bito S,Asai A

    更新日期:2007-06-19 00:00:00

  • Patient-targeted Googling and social media: a cross-sectional study of senior medical students.

    abstract:BACKGROUND:Social media and Internet technologies present several emerging and ill-explored issues for a modern healthcare workforce. One issue is patient-targeted Googling (PTG), which involves a healthcare professional using a social networking site (SNS) or publicly available search engine to find patient informatio...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-017-0230-9

    authors: Chester AN,Walthert SE,Gallagher SJ,Anderson LC,Stitely ML

    更新日期:2017-12-04 00:00:00

  • Ethics of neuroimaging after serious brain injury.

    abstract:BACKGROUND:Patient outcome after serious brain injury is highly variable. Following a period of coma, some patients recover while others progress into a vegetative state (unresponsive wakefulness syndrome) or minimally conscious state. In both cases, assessment is difficult and misdiagnosis may be as high as 43%. Recen...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/1472-6939-15-41

    authors: Weijer C,Peterson A,Webster F,Graham M,Cruse D,Fernández-Espejo D,Gofton T,Gonzalez-Lara LE,Lazosky A,Naci L,Norton L,Speechley K,Young B,Owen AM

    更新日期:2014-05-20 00:00:00

  • Ethical challenges related to elder care. High level decision-makers' experiences.

    abstract:BACKGROUND:Few empirical studies have been found that explore ethical challenges among persons in high public positions that are responsible for elder care. The aim of this paper was to illuminate the meaning of being in ethically difficult situations related to elder care as experienced by high level decision-makers. ...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/1472-6939-8-3

    authors: Mamhidir AG,Kihlgren M,Sorlie V

    更新日期:2007-04-10 00:00:00

  • An effective multisource informed consent procedure for research and clinical practice: an observational study of patient understanding and awareness of their roles as research stakeholders in a cancer biobank.

    abstract:BACKGROUND:Efforts to improve patients' understanding of their own medical treatments or research in which they are involved are progressing, especially with regard to informed consent procedures. We aimed to design a multisource informed consent procedure that is easily adaptable to both clinical and research applicat...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/1472-6939-14-30

    authors: Cervo S,Rovina J,Talamini R,Perin T,Canzonieri V,De Paoli P,Steffan A

    更新日期:2013-07-30 00:00:00

  • Effect of written outcome information on attitude of perinatal healthcare professionals at the limit of viability: a randomized study.

    abstract:BACKGROUND:Differences in perception and potential disagreements between parents and professionals regarding the attitude for resuscitation at the limit of viability are common. This study evaluated in healthcare professionals whether the decision to resuscitate at the limit of viability (intensive care versus comfort ...

    journal_title:BMC medical ethics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12910-019-0413-7

    authors: Papadimitriou V,Tosello B,Pfister R

    更新日期:2019-10-22 00:00:00

  • Actual implementation of sick children's rights in Italian pediatric units: a descriptive study based on nurses' perceptions.

    abstract:BACKGROUND:Several charters of rights have been issued in Europe to solemnly proclaim the rights of children during their hospital stay. However, notwithstanding such general declarations, the actual implementation of hospitalized children's rights is unclear. The purpose of this study was to understand to which extent...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-015-0021-0

    authors: Bisogni S,Aringhieri C,McGreevy K,Olivini N,Lopez JR,Ciofi D,Merlo AM,Mariotti P,Festini F

    更新日期:2015-05-13 00:00:00

  • Autonomy of the child in the South African context: is a 12 year old of sufficient maturity to consent to medical treatment?

    abstract:BACKGROUND:A child is a developing person with evolving capacities that include autonomy, mental (decisional) capacity and capacity to assume responsibility. Hence, children are entitled to participatory (autonomy) rights in South Africa as observed in the Children's Act 38 of 2005. According to section 129 of the Act ...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-016-0150-0

    authors: Ganya W,Kling S,Moodley K

    更新日期:2016-11-02 00:00:00

  • Patenting human genes: Chinese academic articles' portrayal of gene patents.

    abstract:BACKGROUND:The patenting of human genes has been the subject of debate for decades. While China has gradually come to play an important role in the global genomics-based testing and treatment market, little is known about Chinese scholars' perspectives on patent protection for human genes. METHODS:A content analysis o...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-018-0271-8

    authors: Du L

    更新日期:2018-04-24 00:00:00

  • Ethical oversight in quality improvement and quality improvement research: new approaches to promote a learning health care system.

    abstract:BACKGROUND:Institutional review boards (IRBs) distinguish health care quality improvement (QI) and health care quality improvement research (QIR) based primarily on the rigor of the methods used and the purported generalizability of the knowledge gained. Neither of these criteria holds up upon scrutiny. Rather, this ap...

    journal_title:BMC medical ethics

    pub_type: 杂志文章,评审

    doi:10.1186/s12910-015-0056-2

    authors: Fiscella K,Tobin JN,Carroll JK,He H,Ogedegbe G

    更新日期:2015-09-17 00:00:00

  • Will my patients get their residence permit? A critical analysis of the ethical dilemmas involved in writing medical certificates for residence permits in France.

    abstract:BACKGROUND:France has long been a country of immigration and in some respects may be seen to have a generous policy with respect to asylum seekers and access to health care for migrants. The French state notably provides healthcare access for undocumented migrants, through state medical aid and since 1998 has had a hum...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-020-00500-7

    authors: Cailhol J,Lebon MC,Sherlaw W

    更新日期:2020-07-13 00:00:00

  • The relationship between the perception of open disclosure of patient safety incidents, perception of patient safety culture, and ethical awareness in nurses.

    abstract:BACKGROUND:Scientific advances have resulted in more complex medical systems, which in turn have led to an increase in the number of patient safety incidents (PSIs). In this environment, the importance of honest disclosure of PSIs is rising, which highlight the need to settle a reliable system. This study aimed to inve...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-020-00546-7

    authors: Kim Y,Lee E

    更新日期:2020-10-27 00:00:00

  • A principled ethical approach to intersex paediatric surgeries.

    abstract:BACKGROUND:Surgery for intersex infants should be delayed until individuals are able to decide for themselves, except where it is a medical necessity. In an ideal world, this single principle would suffice and such surgeries could be totally prohibited. Unfortunately, the world is not perfect, and, in some places, inte...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-020-00550-x

    authors: Behrens KG

    更新日期:2020-10-29 00:00:00

  • International variation in ethics committee requirements: comparisons across five Westernised nations.

    abstract:BACKGROUND:Ethics committees typically apply the common principles of autonomy, nonmaleficence, beneficence and justice to research proposals but with variable weighting and interpretation. This paper reports a comparison of ethical requirements in an international cross-cultural study and discusses their implications....

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/1472-6939-3-2

    authors: Goodyear-Smith F,Lobb B,Davies G,Nachson I,Seelau SM

    更新日期:2002-04-19 00:00:00

  • Understanding and retention of the informed consent process among parents in rural northern Ghana.

    abstract:BACKGROUND:The individual informed consent model remains critical to the ethical conduct and regulation of research involving human beings. Parental informed consent process in a rural setting of northern Ghana was studied to describe comprehension and retention among parents as part of the evaluation of the existing i...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/1472-6939-9-12

    authors: Oduro AR,Aborigo RA,Amugsi D,Anto F,Anyorigiya T,Atuguba F,Hodgson A,Koram KA

    更新日期:2008-06-19 00:00:00

  • Clinical Ethics Committees in Africa: lost in the shadow of RECs/IRBs?

    abstract:BACKGROUND:Clinical Ethics Committees (CECs) are well established at healthcare institutions in resource-rich countries. However, there is limited information on established CECs in resource poor countries, especially in Africa. This study aimed to establish baseline data regarding existing formal CECs in Africa to rai...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/s12910-020-00559-2

    authors: Moodley K,Kabanda SM,Soldaat L,Kleinsmidt A,Obasa AE,Kling S

    更新日期:2020-11-18 00:00:00

  • A biobank management model applicable to biomedical research.

    abstract:BACKGROUND:The work of Research Ethics Boards (REBs), especially when involving genetics research and biobanks, has become more challenging with the growth of biotechnology and biomedical research. Some REBs have even rejected research projects where the use of a biobank with coded samples was an integral part of the s...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/1472-6939-7-4

    authors: Auray-Blais C,Patenaude J

    更新日期:2006-04-06 00:00:00

  • Documentation of best interest by intensivists: a retrospective study in an Ontario critical care unit.

    abstract:BACKGROUND:Intensive care physicians often must rely on substitute decision makers to address all dimensions of the construct of "best interest" for incapable, critically ill patients. This task involves identifying prior wishes and to facilitate the substitute decision maker's understanding of the incapable patient's ...

    journal_title:BMC medical ethics

    pub_type: 杂志文章

    doi:10.1186/1472-6939-11-1

    authors: Ratnapalan M,Cooper AB,Scales DC,Pinto R

    更新日期:2010-02-10 00:00:00