Ethical considerations in prehospital ambulance based research: qualitative interview study of expert informants

Autor: Niroshan Siriwardena, Adele Langlois, Stephanie Armstrong, Tom Quinn
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Emergency Medical Services
Health (social science)
Biomedical Research
Interview
Ambulances
education
alliedhealth
030204 cardiovascular system & hematology
Paramedics
Ambulance
Interviews as Topic
Consent
03 medical and health sciences
0302 clinical medicine
Clinical trials
B900 Others in Subjects allied to Medicine
Medicine
Humans
Mental Competency
Public engagement
Expert interviews
Qualitative Research
Ethics
Medical education
lcsh:R723-726
Informed Consent
business.industry
Health Policy
Qualitative interviews
Principal (computer security)
Ethics committee
030208 emergency & critical care medicine
medicine.disease
United Kingdom
Clinical trial
Issues
ethics and legal aspects
Philosophy of medicine
Medical emergency
Health Services Research
business
lcsh:Medical philosophy. Medical ethics
Theme (narrative)
Research Article
Zdroj: BMC Medical Ethics, Vol 20, Iss 1, Pp 1-12 (2019)
BMC Medical Ethics
ISSN: 1472-6939
DOI: 10.1186/s12910-019-0425-3
Popis: Background Prehospital ambulance based research has unique ethical considerations due to urgency, time limitations and the locations involved. We sought to explore these issues through interviews with experts in this research field. Methods We undertook semi-structured interviews with expert informants, primarily based in the UK, seeking their views and experiences of ethics in ambulance based clinical research. Participants were questioned regarding their experiences of ambulance based research, their opinions on current regulations and guidelines, and views about their general ethical considerations. Participants were chosen because they were actively involved in, or in their expert capacity (e.g. law) expressed an interest in, ambulance based research. Results Fourteen participants were interviewed including principal investigators, researchers, ethicists and medical lawyers. Five major themes were identified: Capacity, Consent, Clinical Considerations, Consultation and Regulation. Questions regarding consent and capacity were foremost in the discussions as all participants highlighted these as areas for concern. The challenges and use of multiple consent models reflected the complexity of research in this environment. The clinical theme referred to the role of paramedics in research and how research involving ambulance services is increasingly informing improvements to patient care and outcomes and reducing the burden on hospital services. Most felt that, although current regulations were fit for purpose, more specific guidance on implementing these in the ambulance setting would be beneficial. This related closely to the theme of consultation, which examined the key role of ethics committees and other regulatory bodies, as well as public engagement. Conclusions By interviewing experts in research or ethics in this setting we were able to identify key concerns and highlight areas for future development such as improved guidance.
Databáze: OpenAIRE
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