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Ethics and Evidence-Based Research (Essay Sample)
Instructions:
Write a 1250-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.
Part 1: Describe why ethical safeguards designed for clinical research may not be feasible or appropriate for evidence-based practice or evidence-based practice implementation projects.
Part 2: Review the sectioned headed, Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles.
Part 3: Identify which ethical principles may conflict with the concept of “patients having an ethical responsibility in improving healthcare.” Discuss how these conflicts may be resolved source..
Content:
Ethics and Evidence-Based Research
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Ethics and Evidence-Based Research
Introduction
Ethics is a well-known element that, although not being quantifiable, has considerable importance in any field, especially when pursuing evidence-based research. In the current state of research practices, the relationship between ethics and research methods is intriguing and well-considered. As their good or negative reports will be followed by billions of people, scientific researchers have a higher need to adhere to ethical standards. The paper will detail on the relationship between evidence-based research and ethical concerns.
Part 1
Although ethical considerations play crucial roles in improving the quality of research, it is vital to acknowledge the reality that ethical safeguards initiated for clinical research may not be feasible or appropriate for evidence-based practice or evidence-based practice implementation projects. Scientists need to recognize the significance of this. This is due, in part, to the fact that the collection and use of evidence may be constrained by ethical considerations, especially in studies that include the use of human samples. This is notably the case in countries like the United States. One of the most crucial functions of ethical safeguards in clinical research is protecting the legal status and personal interests of samples. Initiatives incorporating evidence-based practice or the implementation of evidence-based practice may be impossible or inappropriate due to the restrictions imposed by ethical standards, which may have a detrimental influence on the way research is conducted. Evidence-based practice is predicated on the principle that all relevant evidence, regardless of its source, should be obtained and utilized. Nonetheless, in a number of scenarios, especially those involving humans, ethical considerations may limit the collection of evidence.
Randomization is one of the standards that practitioners are obligated to satisfy in order to participate in evidence-based practice. Randomization plays a key part in these research since it helps get rid of bias, which is why it's such an important factor. When conducting controlled experiments, the possibility of a person being motivated by biases and showing them when allocating treatments or interventions to the subjects is rather high. However, randomization may be constrained by ethical considerations, making it harder to successfully offer treatment to the participants. To this end, it is correct to say that ethical protections in clinical research may not be adequate or relevant in initiatives involving evidence-based practice or the implementation of EBP.
Further, it's clear that, despite engaging in evidence-based practice, an effort to better healthcare for certain patients may cause damage to other individuals. When providing evidence-based treatment, medical professionals use the most recent research while taking into account each patient's individual requirements. While one patient may benefit greatly from a certain method, other patients may have unintended consequences. It is possible for some individuals to be harmed if a healthcare intervention is provided, even if the best available scientific evidence was used to secure the intervention. These inconsistencies just suggest that ethical safeguards in clinical research may not lend themselves to evidence-based practice or the establishment of practice-based learning and improvement initiatives. Evidence-based practice, or programs to introduce evidence-based practice, must be reevaluated to see whether they meet the rigorous standards of ethical practice.
Part 2
Initiatives for Evidence-Based Quality Improvement (EBQI) are essential strategies that play a major part in the improvement of the quality of treatment provided by healthcare institutions (Hempel et al., 2022). Nevertheless, the efforts have given rise to a great deal of contentious debate on a variety of fronts. When trying to enhance healthcare outcomes for some patients, there is always the risk that such efforts may have unintended consequences for other patients, and this is one of the sources of contention. It's particularly true when the staff and resources that were used to care for those patients are redistributed to care for other patients. It's important to keep in mind that each time a healthcare provider works to raise the bar on the standard of care it provides, some patients will inevitably lose out in order to accommodate others who would benefit most from the new allocation of resources. There are fundamental moral concerns raised by a situation in which some patients are refused treatment while others in the same situation are given it. This debate is about whether or not we should adhere to the moral concept of fairness. Simply said, giving everyone with an equal chance or portion of the pie is what we mean when we talk about justice. This disagreement arose as a consequence of denying opportunities to some persons, which violates the ideal of fairness to the point that it caused the controversy.
The second source of contention around the spread of EBQI is the possibility that the measures designed to improve healthcare quality would instead prove inefficient and wasteful. Healthcare resources are very limited, therefore it's important that they're used wisely for the benefit of patients. However, the established activities may not always be successful, which might lead to unsatisfactory outcomes. Healthcare resources are very limited, therefore it's important that they're used wisely for the benefit of patients. The problem is that it is possible that the initiated efforts would not result in the desired consequences due to their inefficiency. Money being diverted to quality initiatives that aren't generating the anticipated outcomes may have an adverse effect on healthcare availability. This controversy is associated with the principle of beneficence. The practice of providing advantages and advantages to the populace is connected to the concept of beneficence. The good should certainly exceed the bad. Little good can come from this dispute, since the available resources are not providing the anticipated advantages to the intended groups of people.
Lastly, while the activities are a part of clinical research, they may be misunderstood as quality improvement initiatives (Hempel et al., 2022). This is a potential misconception. Since the patients' informed consent would not have been obtained, the methodology might spark an ethical dispute if the tests end up being classified as clinical research. Therefore, regardless of the project's outcomes, it will be criticized for not having patient consent. This controversy is associated with the principle of autonomy. It is the belief of this theory that patients should have complete autonomy over their treatment decisions. It is very evident that it will be acceptable to perform clinical research on patients without first seeking their assent under the conditions described above.
Part 3
The contention that patients having an ethical duty in improving healthcare is at odds with a number of ethical standards and creates a contentious situation. In accordance with the claims made in this assertion, patients are active participants in the process of putting into action initiatives designed to enhance healthcare. Beneficence is one of the ethical principles that is violated by this particular ethical principle. The concept of beneficence serves to promote, protect, and enforce moral rights and responsibilities as its primary function.
When asserting that patients have a moral commitment to help make healthcare better, it's important to be very specific about what patients' roles and responsibilities are in this regard. This is because when someone says that patients have an ethical responsibility in the improvement of healthcare, they are making a claim that patients have an ethical responsibility. For instance, when a community's medical care is subpar, it's important to spell out how people may help improve services and how they can be held accountable for their participation in the care they get. One strategy that may b...
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