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Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure
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Safeguarding children in clinical research.

Steven D Edwards1

  • 1Department of Philosophy, History and Law, Swansea University, Swansea SA2 8PP, UK. s.d.edwards@swansea.ac.uk

Nursing Ethics
|June 14, 2012
PubMed
Summary

UK guidelines permit non-therapeutic research on children, causing temporary harm. This conflicts with the Declaration of Helsinki, raising questions about who best protects children from exploitation in clinical research settings.

Area of Science:

  • Pediatric clinical research ethics
  • Child protection in medical studies

Background:

  • UK guidelines permit non-therapeutic clinical research on children.
  • These studies may involve interventions causing temporary pain, bruising, or scarring.
  • This practice potentially conflicts with the Declaration of Helsinki's principle prioritizing subject interests.

Purpose of the Study:

  • To examine the ethical conflict between current UK guidelines for pediatric research and the Declaration of Helsinki.
  • To explore who is best positioned to protect children from exploitation in clinical research: medical researchers, parents, or nurse advocates.
  • To critique justifications for current guidelines that equate clinical research with clinical education.

Main Methods:

  • Ethical analysis of UK research guidelines.

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  • Interpretation of the Declaration of Helsinki in the context of pediatric research.
  • Argumentative critique of existing ethical defenses for current guidelines.
  • Main Results:

    • Current UK guidelines permitting non-therapeutic research on children, causing temporary harm, are ethically questionable.
    • The principle that a research subject's interests must outweigh all others is central to the conflict.
    • Existing defenses for guidelines, claiming moral parity between research and education, are found inadequate.

    Conclusions:

    • There is a significant ethical tension regarding non-therapeutic clinical research involving children in the UK.
    • The protection of children in research requires careful consideration of ethical principles and the roles of various stakeholders.
    • Current guidelines and their justifications warrant re-evaluation to ensure robust child protection in medical research.