Clark Alexander M, Sousa Bailey J, Ski Chantal F, Thompson David R
Office of the President, Athabasca University, Athabasca, Northern Alberta, Canada.
School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
BMJ Open. 2025 Jun 20;15(6):e097757. doi: 10.1136/bmjopen-2024-097757.
Examples of poor research practices have received much attention in academic and public arenas. Such practices persist and threaten the health of the public and the reputation and impact of research and researchers.
In this article, we argue that research-though intended to improve health-can lead to patient harm through the proliferation of honest (though occasionally dishonest) yet unacceptable research practices.
We argue that deliberate dishonest research practices-termed questionable research practices-are widely prevalent and insidious and influenced by both individual and cultural factors. Drawing on credible conceptualisations of poor research practices, we define honest yet unacceptable research practices to be different from questionable research practices involving dishonesty, but just as serious due to their wide prevalence and damaging impacts. Finally, we present recommendations for people and organisations to better protect patients' interests from honest yet unacceptable research practices.
Our recommendations can serve as the basis for preventing honest yet unacceptable poor research practices to safeguard public trust in health professions, researchers and practices.
不良研究行为的例子在学术和公共领域受到了广泛关注。此类行为持续存在,威胁着公众健康以及研究和研究人员的声誉与影响力。
在本文中,我们认为研究——尽管旨在改善健康——却可能因大量存在的诚实(尽管偶尔不诚实)但不可接受的研究行为而导致患者受到伤害。
我们认为故意的不诚实研究行为——即所谓的有问题的研究行为——广泛存在且具有隐蔽性,受到个人和文化因素的影响。借鉴对不良研究行为的可靠概念界定,我们将诚实但不可接受的研究行为定义为不同于涉及不诚实的有问题研究行为,但因其广泛存在和破坏性影响而同样严重。最后,我们为个人和组织提出建议,以更好地保护患者利益免受诚实但不可接受的研究行为的侵害。
我们的建议可作为预防诚实但不可接受的不良研究行为的基础,以维护公众对医疗行业、研究人员及研究行为的信任。