School of Nursing, Midwifery and Social Sciences, CQUniversity, Townsville, Queensland, Australia.
School of Nursing, Midwifery and Social Sciences, CQUniversity, Brisbane, Queensland, Australia.
J Nurs Manag. 2022 Oct;30(7):2442-2447. doi: 10.1111/jonm.13764. Epub 2022 Aug 23.
To stimulate discussion and debate about the inclusion of vulnerable populations in primary research to inform practice change and improve health outcomes.
Current research practices to safeguard vulnerable people from potential harms related to power imbalances may in fact limit the generation of evidence-based practice.
The authors draw on their experience working and researching with a recognized group of vulnerable people, incarcerated pregnant women, to provide insight into the application of ethics in both research and clinical practice. In a novel approach, the ethical principles are presented in both contexts, articulating the synergies between them. Suggestions are presented for how individuals, managers and organizations may improve research opportunities for clinical practitioners and enhance the engagement of vulnerable people to contribute to meaningful practice and policy change.
Ethical practice guidelines may limit the ability to create meaningful change for vulnerable populations, who need authentic system change to achieve good health outcomes.
Inclusive research and practice are essential to ensuring a strengths-based approach to healthcare and addressing health needs of the whole population. Health systems and models of care recognizing the diverse lives and health needs of the broader population demand practical, sustainable support from clinical managers.
Practical suggestions for clinical managers to support point of care research is provided, embedding vulnerable voices in policy, practice development and care provision.
激发关于将弱势群体纳入基础研究以推动实践变革和改善健康结果的讨论和辩论。
当前保护弱势群体免受与权力失衡相关的潜在危害的研究实践实际上可能限制基于证据的实践的产生。
作者借鉴了他们与一个公认的弱势群体——被监禁孕妇一起工作和研究的经验，深入了解伦理在研究和临床实践中的应用。采用一种新颖的方法，本文在两个背景下呈现了伦理原则，阐明了它们之间的协同作用。为个人、管理者和组织如何为临床医生提供更多的研究机会并增强弱势群体的参与以促进有意义的实践和政策变革提出了建议。
伦理实践指南可能会限制为弱势群体创造有意义变革的能力，他们需要真正的系统变革才能实现良好的健康结果。
包容性研究和实践对于确保以优势为基础的医疗保健方法和解决整个人口的健康需求至关重要。承认更广泛人群的多样化生活和健康需求的卫生系统和护理模式需要临床管理者提供实际的、可持续的支持。
为临床管理者提供了支持即时护理研究的实用建议，将弱势群体的声音嵌入到政策、实践发展和护理提供中。
