During the simulation, I first played as Jan Klein RN. I chose to play the nurse because that is my field. During the simulation, I was nervous. I was unsure of what question or ethical issue would occur. There were multiple characters including Dr. Richard Sowers the principal investigator who was trying to strike a compromise between what he believes is best for his patients and what he believes is best for research. During the simulation, Jane was under pressure by Dr. Sowers to fabricate data and break the study protocol. During the simulation intro, there were ethical concerns. A melanoma trial led to the hospital’s acquired IRB chair becoming involved. There were concerns that all the creatinine numbers were the same. There were also questionable premature deaths during this trial. This resulted in Dr. Sowers and Klein being terminated.
During the scenario that I took place in Jane often made time for her family. She also was good at keeping her values strong. She was not good at work and life balance. This lead to fatigue, being overworked and would make it easier to be
Jane points out that you need IRB approval before starting the study. She was not good at being better at the start of the investigation. I chose to talk to my supervisor, who then talked to Dr. Sowers. He pushed back the enrollment of patients potentially avoiding ethical issues. My character should have initially done more pushback with the doctor before going to the supervisor. One thing my character could have done better is staying up to date on the latest regulations and IRB policies. If this situation occurred again, I would speak to Dr. Sowers with guidelines in hand. I would talk to him directly about how this could jeopardize the validity of his study.
During, the scenario I set up weekly meetings with Sowers and techs. This was useful in keeping everyone on track. I used IRB guidelines for guidance and support(FDA, 2019)t. I would also speak to other clinical researchers, Dr. Soers, and my supervisor. I learned that maintaining ethics is a cornerstone of research. They encourage the research goals of knowledge, truth, and avoidance of mistakes in the first place. Anti-falsification and anti-misrepresentation laws, for example, encourage the truth and reduce mistakes. Ethical standards encourage the principles that are necessary to collaborative work in research, which frequently requires a significant degree of cooperation and coordination among many different persons in various disciplines and institutions(Resnik, 2020). Numerous ethical principles guarantee that researchers are responsible to the public. In research, ethical principles assist to generate public support. Trust in the quality and integrity of a research endeavor increases the likelihood of funding(Resnik, 2020).
FDA. (2019). IRB-FAQs. Fda.gov. https://www.fda.gov/regulatory-information/search-fda-guidance-documents/institutional-review-boards-frequently-asked-questions
Resnik, D. (2020, December 23). What is Ethics in Research & Why is it Important? National Institute of Environmental Health Sciences. https://www.niehs.nih.gov/research/resources/bioethics/whatis/index.cfm
In the simulation session, I took the role of Jan Klein. Klein moonlights as a registered nurse and clinical trial manager. She was being pressured by her employers, a principal investigator, to fabricate data and breach study guidelines. I felt guilty for betraying my profession by knowingly breaching the research ethics. I also felt overworked and stressed out. Despite the nurse shortage in her institution, she can offer quality services to her patients. She is also able to respect and treat her patient as independent parties. Researching with ethics is an integral element of becoming a successful nurse researcher (Heale & Shorten, 2016). The character could also have blown the whistle on her employer’s misconduct. If this situation occurs again, the nurse should do her best to identify violations and react to them with authenticity.
office of the nursing manager
The nurse can use resources such as office of the nursing manager, research regulation boards, nursing organizations, and occupational therapist. From this simulation, I learned that in many different ways, ethical values for nursing research are an expansion of moral values for nursing practice (Heale & Shorten, 2016). Whether organizing or analyzing research, comprehending and using ethical values is a critical part of guaranteeing the highest class evidence for nursing practice. When conducting research, nurses should seek to reduce harm, obtain informed consent, protect anonymity, and maintain the confidentiality of research subjects (Resnik, 2020). Adhering to ethics helps nurses promote the intentions of the study. Ethical guideline fosters the values that are important to collaborative work (Resnik, 2020). Ethical norms also guarantee that investigators can be held responsible (Resnik, 2020).
Heale, R., & Shorten, A. (2016). Ethical context of nursing research. Evidence Based Nursing, 20(1), 7-7. https://doi.org/10.1136/eb-2016-102514 (Links to an external site.)
Resnik, D. B. (2020, December 23). What is ethics in research & why is it important? National Institute of Environmental Health Sciences. https://www.niehs.nih.gov/research/resources/bioethics/whatis/index.cfm