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Ethics review, reflective equilibrium and reflexivity.

Julie Morton1

  • 1University of Salford, UK.

Nursing Ethics
|July 28, 2021
PubMed
Summary
This summary is machine-generated.

Research Ethics Committees (RECs) reviewers balance universal principles with specific applications using intuition and imagination. Reflective equilibrium aids understanding and improving ethical review processes for human participant research.

Keywords:
Ethics reviewreflective equilibriumreflexivityresearch ethicsresearch ethics committees

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Area of Science:

  • Ethics in scientific research
  • Human participant research review
  • Qualitative research methodology

Background:

  • Research Ethics Committees (RECs) review research involving human participants.
  • Ethical decision-making by RECs relies on universally agreed principles.
  • Limited understanding exists on how reviewers apply these principles in practice.

Purpose of the Study:

  • To understand the decision-making processes of REC reviewers during meetings.
  • To explore how reviewers approach their ethical review work.
  • To demonstrate how reflective equilibrium can enhance understanding of ethics review and reflexive examination of habitual review processes.

Main Methods:

  • Observational study capturing the day-to-day work of RECs.
  • Seventeen research applications were observed across eight meetings.
  • Analysis of data using constructed grounded theory.

Main Results:

  • Eight themes emerged, highlighting attention to procedure and application engagement.
  • Reflective equilibrium was employed as a qualitative frame.
  • Three core processes were identified: emotion/intuition, imagination/creative thinking, and intuition/trust.

Conclusions:

  • Reviewers dynamically integrate universal principles with specific application contexts.
  • Reflective equilibrium provides a robust framework for understanding the review process.
  • Enhancing reviewer training with reflexivity, supported by reflective equilibrium, is crucial for improving ethical review practices.