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Intensive care nurses' perceptions of various ethics concerns affecting clinical research
Hannaleena Karjalainen1, Arja Halkoaho2, Anna-Maija Pietilä3
1Kuopio University Hospital, University of Eastern Finland (UEF), Kuopio, Finland.
Background:
Intensive-care unit (ICU) nurses have an important role in the recruitment of patients for scientific research and in the performance of clinical research.
Aim:
A study was conducted to examine ICU nurses' perceptions of ethics-related aspects of ICU-based research. The study focused on nurse attitudes and knowledge related to clinical research, with special emphasis on perceptions of the informed-consent process in ICU research.
Method:
The study applied a descriptive qualitative approach, involving semi-structured group interviews and theme-based inductive content analysis. Subjects were ICU nurses (n = 28) at a university hospital ICU who had experience with research protocols applied in that unit.
Findings:
The nurses had mainly positive perceptions of clinical studies. They found research beneficial for future patients and for society. The nurses considered the information given to them about the studies inadequate. They were concerned about the fact that the consent for research is almost always obtained at the beginning of the ICU care, when patients and relatives are still in the crisis period. This limits the possibility of understanding and assimilating the information provided on the study.
Conclusions:
The role of ICU nurses in clinical studies should be more prominent and taken into account in the planning of ICU studies.
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