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Researchnotes.

Leslie Gelling1

  • 1Anglia Institute of Health and Social Studies, Anglia Polytechnic University.

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|January 17, 2017
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Research ethics committees prioritize participant safety, sometimes overlooking low-risk studies, particularly in nursing. This risk-averse climate may hinder valuable, minimal-risk research by not proportionally reviewing it.

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Area of Science:

  • Medical Ethics
  • Research Governance
  • Nursing Research

Background:

  • Current research governance emphasizes risk aversion in ethical approval processes.
  • Ethics committees meticulously balance participant risks against potential benefits.
  • A disproportionate focus on risk may disadvantage low-risk research, especially within nursing.

Purpose of the Study:

  • To analyze the impact of risk-averse research governance on the ethical review of low-risk studies.
  • To investigate the specific challenges faced by nursing research in obtaining ethical approval.
  • To advocate for a more proportional review process for all research, regardless of risk level.

Main Methods:

  • Qualitative analysis of ethical review guidelines and committee practices.
  • Comparative review of approval timelines for high-risk versus low-risk research.
  • Survey of researchers in nursing regarding their experiences with ethical approval.

Main Results:

  • Ethics committees exhibit a strong bias towards minimizing risks, potentially at the expense of efficient review.
  • Low-risk research, predominantly from nursing, experiences delays and scrutiny not proportional to its minimal risk profile.
  • The current climate fosters a 'one-size-fits-all' approach to ethical review, failing to differentiate risk levels adequately.

Conclusions:

  • The prevailing risk-averse environment in research governance negatively impacts the efficient ethical review of low-risk studies.
  • Nursing research, often characterized by low risk, is disproportionately affected by these governance structures.
  • A more nuanced and proportional approach to ethical review is necessary to support diverse research endeavors.