School of Health Sciences, University of Surrey, Faculty of Health and Medical Sciences, Guildford, Surrey, UK.
King's College London, London, UK.
J Adv Nurs. 2023 Nov;79(11):4196-4206. doi: 10.1111/jan.15764. Epub 2023 Jul 6.
To critically evaluate the concepts of harm and re-traumatization in the research process and to explore the ethical implications of conducting research on distressing topics using our research on the experiences of nurses working during the COVID-19 pandemic as an exemplar.
Longitudinal qualitative interview study.
Using qualitative narrative interviews, we explored the impacts of the COVID-19 pandemic on nurses' psychological well-being in the UK.
To reduce the potential for harm to both research participants and researchers, the members of the research team were keen to establish ways to reduce the power differential between the researcher and participants. We found that our collaborative and team-based approach, with participant autonomy and researcher reflexivity embedded into the research framework, enabled the sensitive generation of data.
Reduction of potential harm for both participants and researchers in the generation of at times highly distressing data with a traumatized population was achieved through a respectful, honest and empathetic approach within a team that met frequently for reflection.
The research participants were not harmed by our research, instead they expressed gratitude at being given space and time to tell their stories in a supportive environment. Our work advances nursing knowledge through accentuating the value of giving autonomy to research participants to control their stories whilst working within a supportive research team with emphasis placed on reflexivity and debriefing.
Nurses working clinically during COVID-19 were involved in the development of this study. Nurse participants were given autonomy over how and when they participated in the research process.
批判性地评估伤害和再创伤化的概念,并以我们对在 COVID-19 大流行期间工作的护士的经验进行的研究为例,探讨在研究令人痛苦的主题时进行研究的伦理含义。
纵向定性访谈研究。
使用定性叙事访谈,我们探讨了 COVID-19 大流行对英国护士心理健康的影响。
为了减少对研究参与者和研究人员都可能造成的伤害,研究团队成员热衷于找到减少研究人员和参与者之间权力差异的方法。我们发现,我们的合作和团队方法,将参与者的自主权和研究人员的反思性嵌入研究框架中,使我们能够敏感地生成数据。
通过在一个经常进行反思的团队中采用尊重、诚实和富有同理心的方法,减少了在有时具有创伤性的人群中生成高度痛苦数据时对参与者和研究人员的潜在伤害。
我们的研究没有对研究参与者造成伤害,相反,他们对在一个支持性的环境中给予他们讲述自己故事的空间和时间表示感谢。我们的工作通过强调赋予研究参与者自主权以控制他们的故事,同时在一个强调反思和汇报的支持性研究团队中工作,从而推进了护理知识。
在 COVID-19 期间临床工作的护士参与了这项研究。护士参与者在如何以及何时参与研究过程方面拥有自主权。