Eckenwiler L
Old Dominion University, Norfolk, VA, USA.
Kennedy Inst Ethics J. 2001 Mar;11(1):37-69. doi: 10.1353/ken.2001.0003.
The model of moral reasoning used in Institutional Review Board review fails to uphold ethical ideals for research participants for it does not adequately acknowledge the particular context of research or of subjects, including their gender, their socioeconomic status, and the communities in which they lead their lives. The ethical review of research needs to take seriously the particularities of the research context as well as the situations of potential participants. A variety of conclusions are drawn for changes to the system for ethical review. Most significant is a call for effective consultation with the various communities affected by research and greater reliance on subject representatives. Also proposed is national review for selected research.
机构审查委员会审查中所采用的道德推理模式未能维护研究参与者的道德理想,因为它没有充分认识到研究或受试者的特定背景,包括他们的性别、社会经济地位以及他们生活所在的社区。研究的伦理审查需要认真对待研究背景的特殊性以及潜在参与者的情况。针对伦理审查体系的变革得出了各种结论。最关键的是呼吁与受研究影响的各个社区进行有效协商,并更多地依赖受试者代表。还提议对选定的研究进行国家审查。