Olsen Douglas P, Lehto Rebecca H, Chan Roxane Raffin
Michigan State University, East Lansing, USA
Michigan State University, East Lansing, USA.
West J Nurs Res. 2016 Sep;38(9):1205-20. doi: 10.1177/0193945916639590. Epub 2016 Mar 22.
Nurse-researchers studying interventions for patients at the end-of-life may become close with participants due to the nature of interactions within the research protocol. In such studies, participants may request further interactions that would constitute clinical care beyond the scope of the protocol. Nurse-researchers may feel a conflict of values between their obligation to the research goals and their inclinations and obligations as nurses to care for their patients. Nurse-researchers in this situation aspire to honor the bonds developed through close contact and ensure participants receive standard of care while maintaining standards of research ethics. Analysis of a case and review of applicable concepts in research ethics, including ethical relationships, therapeutic misconception, equipoise, and population vulnerability, are used to develop recommendations regarding the decision parameters for similar cases.
研究临终患者干预措施的护士研究员可能会因研究方案中互动的性质而与参与者关系密切。在这类研究中，参与者可能会要求进一步互动，而这将构成超出方案范围的临床护理。护士研究员可能会在对研究目标的责任与作为护士照顾患者的倾向和责任之间感到价值观冲突。处于这种情况的护士研究员渴望尊重通过密切接触建立的联系，并确保参与者获得护理标准，同时维持研究伦理标准。通过对一个案例的分析以及对研究伦理中适用概念的回顾，包括伦理关系、治疗性误解、 equipoise和人群脆弱性，来制定关于类似案例决策参数的建议。
