Ethics and Evidence-Based Research
Write a 1250-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.
Part 1: Describe why ethical safeguards designed for clinical research may not be feasible or appropriate for evidence-based practice or evidence-based practice implementation projects.
Part 2: Review the sectioned headed, Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles.
Part 3: Identify which ethical principles may be in conflict with the concept of “patients having an ethical responsibility in improving healthcare.” Discuss how these conflicts may be resolved.
Length: 1250 – 1500 wordsStructure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.
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The field of medicine is heavily dependent on research and continuous development of evidence-based practices. However, ethical concerns also play a significant role in determining the appropriate approach and implementation of research studies or evidence-based practice initiatives. In this assignment, we will explore why ethical safeguards designed for clinical research may not be feasible for evidence-based practice or implementation projects, the ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives, and how conflicts between ethical principles and patients’ ethical responsibility in improving healthcare can be resolved.
Ethical safeguards designed for clinical research may not be feasible or appropriate for evidence-based practice or implementation projects because of various factors. Firstly, the goal of clinical research is to determine the safety and efficacy of a specific intervention or treatment, and it may involve the use of placebos, which would not be a viable option for evidence-based practice. Secondly, clinical research involves rigorous and controlled testing procedures that may not be practical in real-world situations. Research studies may not consider the unique characteristics, preferences, or needs of individual patients, while evidence-based practice necessitates a patient-centered approach. Additionally, clinical research primarily focuses on producing generalizable knowledge, while evidence-based practice seeks to translate research into practice to improve patient outcomes.
Implementing Evidence-Based Quality Improvement (EBQI) Initiatives is not without ethical controversies. The first controversy is related to informed consent. In some instances, getting consent from every patient may not be possible, resulting in the possibility of excluding a significant portion of patients in the study, who may have benefitted from the intervention. Secondly, there may be issues related to equity, where certain vulnerable populations are excluded from the intervention, resulting in social injustice. Lastly, issues related to privacy can also arise, where patients’ private information may be disclosed, leading to various repercussions.
These controversies relate to the four core ethical principles: autonomy, beneficence, non-maleficence, and justice. Autonomy is concerned with patients’ self-determination in decision-making, related to informed consent, equity, and privacy. Beneficence refers to the promotion of good and reduction of harm in care, related to inclusive interventions and consideration of patients’ unique needs. Non-maleficence concerns the avoidance of harm in care and research, related to privacy and protecting patients’ information. Lastly, issues related to equity and inclusion relate to the principle of justice.
The concept of “patients having an ethical responsibility in improving healthcare” may conflict with the ethical principle of autonomy. Autonomy recognizes individuals’ right to self-determination and the freedom to make their health decisions independently. However, patients’ responsibility may be interpreted as a form of coercion or encroachment on their autonomy. The conflict can be resolved by considering patients’ autonomy in decision-making while acknowledging their responsibility to improve their health outcomes. For instance, patients can be given adequate information and resources to participate actively in their care decisions while recognizing their role in achieving better outcomes.
Ethics is a critical aspect of medicine and research, and it guides the implementation of interventions and decision-making in care. In this essay, we established that ethical safeguards for clinical research may not be applicable or feasible for evidence-based practice or implementation projects. We also identified ethical controversies related to implementing EBQI, which relate to core ethical principles. Lastly, we explored the concept of patients’ ethical responsibility in improving healthcare and how conflicts with the principle of autonomy can be resolved. Overall, ethical considerations are crucial in providing the best care for patients while ensuring that research and practice are conducted in a manner that is just, equitable, and respectful of patients’ autonomy.