Jurnal Internasional vol.12 issue 1 2022
African Journal of Emergency Medicine
The ethical considerations for emergency care research in low- and middle-income countries: A scoping review of the published literature
Dublin Core
Title
Jurnal Internasional vol.12 issue 1 2022
African Journal of Emergency Medicine
The ethical considerations for emergency care research in low- and middle-income countries: A scoping review of the published literature
African Journal of Emergency Medicine
The ethical considerations for emergency care research in low- and middle-income countries: A scoping review of the published literature
Subject
Research ethics
Low- to middle-income countries
Emergency care
Emergency medical services
Low- to middle-income countries
Emergency care
Emergency medical services
Description
Introduction: Research studies on emergency care in low- and middle-income countries (LMICs) face many ethical
considerations, including obtaining valid informed consent from vulnerable patients. This study aims to describe
the body of literature related to the ethical considerations associated with emergency care research in low- and
middle-income settings.
Methods: A scoping review was conducted to identify literature published between 2000 and 2020 related to
ethical considerations associated with emergency care research in the LMIC setting. Titles and abstracts were
screened in duplicate, and full texts were reviewed and extracted by the principal author.
Results: In total, 1087 articles were identified and 17 articles were included. Major themes identified in the liter-
ature included risk versus benefit assessments, patient vulnerabilities, consent, community engagement, clinical
roles, ancillary care provision, and regulation of research. Alternative models of consent are often used in emer-
gency care research, including surrogate consent, community consent, and waiver of consent. Challenges and
best practices with these alternative models of consent in LMICs are discussed.
Discussion: Gapsremain in the literature describing the ethics of emergency care research in LMICs, including clear
guidelines for protecting vulnerable patients and designing ethical consent processes. Best practices identified
include community engagement for designing research studies, identifying acceptable risk profiles, and allocating
benefits. Continuous and rigorous assessment of the quality of consent is also needed.
considerations, including obtaining valid informed consent from vulnerable patients. This study aims to describe
the body of literature related to the ethical considerations associated with emergency care research in low- and
middle-income settings.
Methods: A scoping review was conducted to identify literature published between 2000 and 2020 related to
ethical considerations associated with emergency care research in the LMIC setting. Titles and abstracts were
screened in duplicate, and full texts were reviewed and extracted by the principal author.
Results: In total, 1087 articles were identified and 17 articles were included. Major themes identified in the liter-
ature included risk versus benefit assessments, patient vulnerabilities, consent, community engagement, clinical
roles, ancillary care provision, and regulation of research. Alternative models of consent are often used in emer-
gency care research, including surrogate consent, community consent, and waiver of consent. Challenges and
best practices with these alternative models of consent in LMICs are discussed.
Discussion: Gapsremain in the literature describing the ethics of emergency care research in LMICs, including clear
guidelines for protecting vulnerable patients and designing ethical consent processes. Best practices identified
include community engagement for designing research studies, identifying acceptable risk profiles, and allocating
benefits. Continuous and rigorous assessment of the quality of consent is also needed.
Creator
Sarah Hirner , Colleen Saunders , Willem Stassen
Source
https://doi.org/10.1016/j.afjem.2021.12.001
Date
15 December 2021
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Sarah Hirner , Colleen Saunders , Willem Stassen, “Jurnal Internasional vol.12 issue 1 2022
African Journal of Emergency Medicine
The ethical considerations for emergency care research in low- and middle-income countries: A scoping review of the published literature,” Repository Horizon University Indonesia, accessed February 5, 2025, https://repository.horizon.ac.id/items/show/1866.
African Journal of Emergency Medicine
The ethical considerations for emergency care research in low- and middle-income countries: A scoping review of the published literature,” Repository Horizon University Indonesia, accessed February 5, 2025, https://repository.horizon.ac.id/items/show/1866.