Monday, November 3, 2003

This presentation is part of : Primary Health Care Development: Lessons Learned from Global Research Collaborations

Developing Collaboration for Ethical International Research

Susan J. Misner, MS, RN, Global Health Leadership Office, University of Illinois at Chicago, Chicago, IL, USA, Marcia A. Coffia, BSN, Public Health Nursing, University of Illinois at Chicago, Chicago, IL, USA, and Puangtip Chaiphibalsarisdi, PhD, Faculty of Nursing, Chulalongkorn University, Bangkok, NA, Thailand.

Abstract

Background. It is essential to consider ethical issues when initiating or expanding partnerships for international research. Ethical conflicts may present barriers to the establishment and progress of international research programs focusing on global health issues that reflect serious disparities in health status and access to care. Research collaborators must ensure careful analysis of cross-cultural and cross-national ethical issues at each stage of the research process. Based on previous planning and implementation of collaborative research, nursing researchers can benefit by sharing the lessons learned through ethical analysis of unique research experiences across diverse cultural settings. Examination of shared ethical concerns and potential solutions to ethical challenges can increase the skills of nurse researchers for maximally effective research development.

Supposition. Ethical analysis is presented as a fundamental process for development of collaborative research partnership across international settings.

Framework. Ethical considerations in the conduct of research include areas of content, structure, process and outcomes.

Strategies. The identification of common and diverging values and beliefs is a vital content area when formulating research priorities. Structural issues for global partners incorporate the within country and international levels of organization for human subjects protection review, including the congruence of ethical review protocols. Local and global collaborative research networks will be described as structural components that facilitate ethical processes and outcomes. Finally, strategies for ethics education, faculty development, and public awareness are described as critical processes for establishing and maintaining scientific integrity during short-term research studies and on-going programs of collaborative international research. The presentation will include a discussion of criteria for evaluating the ethical issues related to research outcomes and findings, such as equity in decision making among research collaborators, gender roles considerations, and allocation of limited resources for research activities. Specific examples from international research in nur

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