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Toward a Moral Horizon: APPENDIX 2-1

Toward a Moral Horizon
APPENDIX 2-1
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table of contents
  1. Cover Page
  2. Title Page
  3. Copyright Page
  4. Contents
  5. List of Tables
  6. List of Figures
  7. Indigenous Voices on the Moral and Ethical Horizon of the Land: A Contextualized Land Acknowledgement
  8. Foreword
  9. About the Editors
  10. About the Contributors
  11. Acknowledgements
  12. Introduction The Moral Terrain
  13. Section 1 Mapping the Moral Climate for Health Care and Nursing Ethics
    1. Chapter 1 Nursing Ethics: Developing a Moral Compass for Leadership
      1. Appendix 1-1
      2. Appendix 1-2
      3. Appendix 1-3
    2. Chapter 2 Research Ethics and Canadian Nursing: An Evolving Landscape
      1. Appendix 2-1
    3. Chapter 3 Building on Values: Ethics in Health Care in Canada
    4. Chapter 4 Exploring Public Health Ethics: Social Justice, Solidarity, and the Common Good
      1. Appendix 4-1
    5. Chapter 5 Indigenous Nurse Perspectives: Ethical Realities
    6. Chapter 6 Nurses and Health Care Providers as Moral Agents: From Moral Distress to Moral Action
    7. Chapter 7 Ethical Leadership at the Interface of the Nursing Profession, Organizations, and Health Care Systems
  14. Section 2 Pursuing Equity in Diverse Populations
    1. Chapter 8 Becoming a Transformative Nurse Educator: Untangling Ethics in Nursing Education
      1. Appendix 8-1
    2. Chapter 9 Promoting Health Equity in Nursing Practice: Challenges and Opportunities
    3. Chapter 10 Addressing Structural Inequities: Ethical Challenges in Mental Health Care
      1. Appendix 10-1
    4. Chapter 11 Health Equity, Reproductive Justice, and Relational Autonomy: Ethical Nursing Care for Childbearing Individuals and Families
    5. Chapter 12 Listening Authentically to Young People’s Voices: A Conception of the Moral Agency of Children
    6. Chapter 13 Home Health Care: Ethics, Politics, and Policy
    7. Chapter 14 The Ethics of Caring for People with Disabilities
    8. Chapter 15 Care of Older Adults: The Crises, the Challenges, and the Clarion Calls for Change
    9. Chapter 16 Traversing Landscapes of Dying and Grief: A Palliative Care Ethic for Nursing at the End of Life
  15. Section 3 Navigating Horizons for Health Care and Nursing Ethics
    1. Chapter 17 Genetics and Identity: Ethical Considerations in Practice, Policy, and Research
    2. Chapter 18 Promises and Perils of Digital Health Technologies
    3. Chapter 19 Opening Pandora’s Box: The Ethics of Xenotransplantation—A Biotechnology Exemplar
    4. Chapter 20 Becoming a Global Community: It’s a Small World After All
    5. Conclusion Going Boldly Forward: Toward a Moral Horizon

APPENDIX 2-1

Key Considerations for Writing and Reviewing Research Proposals

TOPIC

RELEVANT QUESTIONS

Background and Rationale

To ensure that the study is important, merits participants’ time, and generates important knowledge.

• Is there evidence that the study is necessary and important?

• Is there evidence that the right questions are being asked?

• Is there evidence that the approach used is appropriate?

Study Objectives

To ensure that the study is feasible and reasonable.

• Are the objectives of the study reasonable and manageable given previous work in the area?

• What are the expected outcomes and knowledge of the study?

Methods

To ensure that the study is scientifically sound and results are likely to be valid and meritorious.

• Do the research methods seem appropriate to the question?

• Is the study likely to produce valid results?

• What, where, how, on whom, and when will the study take place?

• What types of biological samples will be collected, and will genetic testing be conducted?

• How will samples/data be used and analyzed?

Sample and Recruitment of Human Participants

To ensure that there is justice or fairness in selection of participants, and participants are recruited appropriately.

• Is the sample appropriately delineated?

• Are appropriate inclusion criteria present?

• Is any population excluded inappropriately (e.g., based on sex, gender, age, ethnicity, language)?

• Are people in the sample vulnerable in any way?

• What has been done to protect potential participants from harms? From feeling coerced?

• Is there evidence of undue inducement to accept more than minimal risk?

• What recruitment strategies and materials are to be used?

Informed Consent/Assent

To ensure that there is an adequate process for informed consent (assent where applicable), and that consent/assent is free, informed and ongoing.

• Is there evidence that elements of informed consent /assent (voluntariness, capacity, and comprehension) will be present?

• Are alternatives to participation outlined (for therapeutic studies)?

• Are consent and assent documents written in plain language?

• Are the required elements of consent (as outlined by TCPS 2 and institutional policy) present?

• Will consent be oral or written?

• Is there a justified request for authorized representatives if appropriate?

• Is there a justified request for waiver of consent if appropriate?

Potential Harms and Benefits

To ensure that the potential benefit significantly outweighs the potential for harm, and that harms and benefits are considered in terms of participants, their families, and communities.

• Are potential (known and reasonably anticipated) harms and discomforts adequately described?

• Are possible benefits described appropriately (in other words, not overstated)?

• Have appropriate measures being taken to maximize benefit and minimize harm?

• What happens if participants become injured or get sick as a result of being in this study?

• Have any rights to legal recourse been waived?

Privacy and Confidentiality

To ensure that participants’ privacy and confidentiality will be protected.

• What types of personal information about participants will be collected (e.g., highly sensitive information, identifying information, biological samples)?

• What personal information about participants will be disclosed, to whom (e.g., study sponsor, Health Canada, REB), and why?

• How will personal information be protected (e.g., coded), how long will information be kept, and how/where will it be stored?

• What happens to information/samples if participants wish to withdraw their consent?

Knowledge Translation and Dissemination

To ensure that the results of the research will be shared.

• Will participants and their communities receive and benefit from the results of the research?

Budget

To ensure that there is adequate funding to conduct the research and potential biases and limitations are identified.

• Is the budget appropriate? Are expenses of the study clearly laid out?

• Are expenses to be assumed by appropriate bodies? For example, who pays for extra diagnostic tests?

• Are participants to be compensated for out-of-pocket expenses?

• Is there evidence that the investigator might benefit inappropriately (i.e., i there a suggestion that the researcher is being paid to recruit participants, and could this then lead to inappropriate recruitment?)

• Are there any real, apparent or potential conflicts of interest that may affect how the research is conducted?

Other Considerations

For some research studies, other areas may need to be addressed, such as:

• Multicentre or multijurisdictional research

• Sex and gender

• Official languages

• Indigenous research

• Community engagement

• Legislation and regulations

Note. Appendix 2-1 is largely adapted from Research ethics and nursing, by K. Oberle and J. L. Storch (2013, Table 14-1, p. 287), in J. L. Storch, P. Rodney, & R. Starzomski (Eds.), Toward a moral horizon: Nursing ethics for leadership and practice (2nd ed., pp. 282–301). © 2013 by Pearson Canada. Additional information from Research Protocol Instructions by Health Canada’s Research Ethics Board (Health Canada, 2022). © 2021 by Health Canada.

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This publication, unless otherwise indicated, is released under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License. This means that you may copy, redistribute, remix, transform or build upon the material for non- commercial purposes only. Distribution of derivative works must be made under an identical license that governs the original work. Properly attribute the book as follows: Starzomski, R., Storch, J. L., & Rodney, P. (Eds.). (2023). Toward a Moral Horizon: Nursing Ethics for Leadership and Practice. Victoria, BC: University of Victoria Libraries. https://doi.org/10.18357/9781550587128 This work is licensed under a CC BY-NC-SA 4.0 International License, except where otherwise noted. Download this book at https://dspace.library.uvic.ca/handle/1828/3853
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