Neill Sarah J
Children's Nursing, University College Northampton, Kettering, Northampton NN16 8RA, UK.
J Child Health Care. 2005 Mar;9(1):46-58. doi: 10.1177/1367493505049646.
The development of research with children highlights a number of ethical issues for the research process concerning consent, confidentiality and protection from harm. This article aims to analyse the extent to which these issues have been considered within the published guidance for research involving children. Several key principles emerged: there is consensus that it is unethical not to conduct research with children; consent should be obtained from both the child and the parent or guardian; where the child does not have sufficient understanding of what is involved and the implications of such involvement, the assent of the child should be sought; children involved in research should be made aware that, where information concerning risks to themselves or others emerges, confidentiality cannot be guaranteed; and finally researchers must consider the potential impact of research participation on the child, building methods of providing support to children into the research proposal.
针对儿童的研究发展凸显了研究过程中在同意、保密以及免受伤害方面的一些伦理问题。本文旨在分析在已发布的涉及儿童研究的指南中,这些问题在何种程度上得到了考量。出现了几个关键原则:人们达成共识,即不开展针对儿童的研究是不道德的;应同时获得儿童及其父母或监护人的同意;如果儿童对所涉及的内容及其参与的影响没有足够的理解,应征求儿童的同意;参与研究的儿童应被告知,若出现涉及自身或他人风险的信息,保密无法得到保证;最后,研究人员必须考虑研究参与对儿童的潜在影响,在研究方案中纳入为儿童提供支持的方法。