Campbell A G
Br Med J. 1974 Aug 3;3(5926):334-8. doi: 10.1136/bmj.3.5926.334.
Obtaining informed consent for non-therapeutic experimentation on infants and children has ethical and legal implications that cause great controversy. There is some danger that worthy research will be inhibited if current ethical codes are interpreted too strictly, yet infants, children, and other vulnerable groups clearly must be protected from exploitation as research subjects. It is suggested that permission from parents coupled with integrity of the investigator will remain the child's best protection, but several additional protective mechanisms are available and should be used. Some guidelines for non-therapeutic research are suggested which should not only provide adequate protection for infants and young children involved in research projects, but allow investigators reasonable freedom to prosecute worthy research vital to continued improvements in child care.
就针对婴幼儿的非治疗性实验获取知情同意存在伦理和法律层面的影响,这引发了巨大争议。如果当前的伦理准则被过于严格地解读,存在一定风险,即有价值的研究将受到抑制,然而婴幼儿以及其他弱势群体显然必须得到保护,以免作为研究对象被剥削。有人认为,父母的许可加上研究者的正直将仍然是对儿童的最佳保护,但还有一些额外的保护机制可用且应该被采用。本文提出了一些针对非治疗性研究的指导方针,这些方针不仅应能为参与研究项目的婴幼儿提供充分保护,还应给予研究者合理的自由去开展对持续改善儿童护理至关重要的有价值研究。