Nursing

 

Recruitment of research participants through the Internet. (includes abstract) Im E; CIN: Computers, Informatics, Nursing, 2004 Sep-Oct; 22 (5): 289-97 (journal article - tables/charts) PMID: 15520599 CINAHL AN: 2004180549

 

Despite an increasing amount of Internet research, issues in recruitment for studies in this environment rarely have been discussed. The purpose of this article is to provide some future directions for participant recruitment via the Internet, based on the experiences of recruiting participants for three Internet survey studies. The issues in the recruitment process include those related to low response rates, selected groups of participants, the importance of timing, and potential ethical issues. Based on the discussion of the issues, the following suggestions are proposed for future recruitment through the Internet: use of creative motivation strategies; sensitivity to the gender, ethnicity, and socioeconomic status of potential participants; consideration of the timing of data, collection; and sensitivity to potential ethical issues.

 

 

Methods. Issues in protection of human subjects in Internet research. (includes abstract) Im E; Nursing Research, 2002 Jul-Aug; 51 (4): 266-9 (journal article - research) PMID: 12131239 CINAHL AN: 2002110236

 

BACKGROUND: Despite the increasing use of the Internet among nurses, the use of the Internet in nursing research has been rarely discussed and critiqued in terms of issues in protection of human subjects. APPROACH: In this article, issues in protection of human subjects in Internet research are explored by analyzing an Internet study to propose directions for human protection in Internet research. RESULTS: Issues raised through the study include those related to (a) anonymity and confidentiality, (b) security, (c) self-determination and authenticity, (d) full disclosure, and (e) fair treatment. DISCUSSION: Based on discussion of the five issues, development of standardized guidelines, investigator triangulation, and information sharing are proposed as directions for protection of human subjects in Internet research.

 

 

 

Internet research in midwifery: Practical considerations and challenges. By: Stewart, Sarah. British Journal of Midwifery, Sep2006, Vol. 14 Issue 9, p527-529, 3p; (AN 22462880)

 

The Internet is an exciting tool for midwifery research; however there are a number of unique challenges that must be addressed. The global and transient nature of the Internet sometimes makes it difficult for the researcher to ensure best practice, but international guidelines provide direction in dealing with these issues. The Internet researcher must ensure anonymity and confidentiality, as well as gain informed consent from research participants. Copyright and intellectual property regulations must be observed, rules of online communities should be respected and an endeavour must be made to ensure that research results are disseminated to all the study participants. [ABSTRACT FROM AUTHOR]

 

 

Nurse Educ Today. 2005 Jan;25(1):3-8.

An overview of the ethics of cyber-space research and the implication for nurse educators.

Haigh C, Jones NA.

 

This paper provides an overview of the techniques available to the cyber-space researcher together with a consideration of the specific ethical issues that such research generates. It is acknowledged that these research methods are, at present, not widely utilised within health care sciences, thus this paper draws upon the experiences and debates that are current within other disciplines, predominantly those of the social sciences. The primary areas of ethical concern are suggested to be those surrounding consent, privacy, identification verification and disguise. These issues are further considered for their implications for nurse educators and for those academics that are either undertaking cyber-space research of their own or supervising student's Internet-based research projects.

 

 

Contemp Nurse. 2003 Dec-2004 Feb;16(1-2):114-23.

Ensnaring webs and nets: ethical issues in Internet-based research.

Cotton AH.

 

The Internet is a relatively new medium for research that few nurse researchers have embraced. While it offers countless opportunities for nursing research, it also is prey to many perils. In the crucible of cyberspace, the very nature of not only the research process, but also that of the participant researcher relationship is transmuted. This paper critically examines the major and often unique ethical issues of online research, and argues these must be adequately addressed if online nursing research is to effectively protect participants and researchers from harm, and optimally meet the profession's and society's best interests.

 

 

 

J Prof Nurs. 2004 Jan-Feb;20(1):68-74.

Ethical and legal issues of conducting nursing research via the Internet.

Ellett ML, Lane L, Keffer J.

 

In February 2001, President Clinton's Information Technology Advisory Commission reported that information technology has the potential to advance biomedical research. As nursing research via the Internet expands, important ethical and legal issues need to be addressed. The purpose of this article is to report one researcher's journey in attempting to conduct ethical and legal nursing research via the Internet. The ethical and legal issues needing attention are discussed. Potential guidelines are provided for researchers wanting to use Internet technology

 

 

 

Oncol Nurs Forum. 1998 May;25(4):673-6.

Comment in:

Oncol Nurs Forum. 1998 Oct;25(9):1497-8.

Internet cancer support groups: legal and ethical issues for nurse researchers.

Klemm P, Nolan MT.

 

PURPOSE/OBJECTIVES: To explore the legal and ethical issues surrounding the use of information obtained from Internet cancer support groups (ICSGs) in research. DATA SOURCES: Published articles, news broadcasts, books, government reports. DATA SYNTHESIS: ICSGs are a rich source of information for people with cancer, their families, caregivers, and nurse researchers. Because ICSGs are new in research, potential legal and ethical conflicts in this setting exist. CONCLUSIONS: ICSGs are an early prototype of patient groups empowered to seek health through the use of information technology. Nurses are ideally suited to advance this new area of healthcare technology. Honoring the trust that patients have always placed in nurses is essential if this technology is to be developed further. IMPLICATIONS FOR NURSING PRACTICE: Given the dearth of guidelines to direct researchers, legal and ethical conflicts may occur. Nurse researchers should be cognizant of the potential legal and ethical implications involved in conducting research via the Internet.

 

 

Im EO, Chee W.

Issues in Internet survey research among cancer patients.

Cancer Nurs. 2004 Jan-Feb;27(1):34-42; quiz 43-4.

PMID: 15108950 [PubMed - indexed for MEDLINE]

 

Considering the increasing number of cancer patients who are online, it is clear that the Internet will provide an important research medium and/or setting for oncology nurses in the near future. Despite increasing Internet usage in nursing research and practice, issues in using the Internet among cancer patients as a research tool have rarely been explored and discussed. The purpose of the article is to propose future directions for Internet research among cancer patients based on discussions of practical issues raised in an Internet survey study among 40 online cancer patients. The issues raised through the research process include (a) ethical issues, (b) recruitment issues, (c) issues in Web site development and maintenance, and (d) data entry and analysis issues. On the basis of the discussions of these issues, some future directions for Internet survey studies are proposed, including dealing with ethical issues, getting computer expertise, using motivational strategies, and using national and international approaches.

 

 

Kralik D, Warren J, Price K, Koch T, Pignone G.

The ethics of research using electronic mail discussion groups.

J Adv Nurs. 2005 Dec;52(5):537-45.

PMID: 16268860 [PubMed - indexed for MEDLINE]

 

AIM: The aim of this paper is to identify and discuss the ethical considerations that have confronted and challenged the research team when researchers facilitate conversations using private electronic mail discussion lists. BACKGROUND:The use of electronic mail group conversations, as a collaborative data generation method, remains underdeveloped in nursing. Ethical challenges associated with this approach to data generation have only begun to be considered. As receipt of ethics approval for a study titled; 'Describing transition with people who live with chronic illness' we have been challenged by many ethical dilemmas, hence we believe it is timely to share the issues that have confronted the research team. These discussions are essential so we can understand the possibilities for research interaction, communication, and collaboration made possible by advanced information technologies. DISCUSSION: Our experiences in this study have increased our awareness for ongoing ethical discussions about privacy, confidentiality, consent, accountability and openness underpinning research with human participants when generating data using an electronic mail discussion group. We describe how we work at upholding these ethical principles focusing on informed consent, participant confidentiality and privacy, the participants as threats to themselves and one another, public-private confusion, employees with access, hackers and threats from the researchers. CONCLUSION: A variety of complex issues arise during cyberspace research that can make the application of traditional ethical standards troublesome. Communication in cyberspace alters the temporal, spatial and sensory components of human interaction, thereby challenging traditional ethical definitions and calling to question some basic assumptions about identity and ones right to keep aspects of it confidential. Nurse researchers are bound by human research ethics protocols; however, the nature of research by electronic mail generates moral issues as well as ethical concerns. Vigilance by researchers is required to ensure that data are viewed within the scope of the enabling ethics approval

 

 

Walking the line: ethical and legal issues in Internet research. Klemm P; Nursing Spectrum -- Philadelphia Tri -- State Edition, 2000 Oct 30; 9 (22): 5 (journal article) CINAHL AN: 2001091939

 

NO ABSTRACT

 

 

Casting the net: using the internet for survey research. By: Stewart, Sarah. British Journal of Midwifery, Sep2003, Vol. 11 Issue 9, p543, 4p, 1c; (AN 10875230)

 

Discusses the use of internet for survey research. Advantages of internet surveys; Disadvantages of internet surveys; technological issues associated with internet research; Construction, length and response rate of internet surveys; Methods of recruitment; Survey protection and incentives; Ethical considerations. INSET: KEY POINTS.

 

 

 

Issues in data generation using email group conversations for nursing research. (eng; includes abstract) By Kralik D, Journal Of Advanced Nursing [J Adv Nurs], 2006 Jan; Vol. 53 (2), pp. 213-20; PMID: 16422720

 

AIM: The purpose of this paper is to provide an overview of the issues we have confronted when generating and analysing dialogue data by using electronic mail. BACKGROUND: The decision to use email for our research arose from our developing understanding of some of the consequences of illness that people living with chronic illness confront in their lives. As researchers, we recognized the potential of the Internet for computer-mediated communication using email for communication between researchers and research participants. DISCUSSION: We consider the functional aspects of generating data by email, such as the software needed, and then explore the issues encountered during the research process including ethical considerations, fluctuating participation, participants' familiarity with using email, facilitating lurkers towards participation, establishing group norms, and the role of the facilitator. CONCLUSION: As a collaborative inquiry, email conversation allowed us to spend time with participants over 2 years to explore chronic illness experience. However the scope and viability of computer-mediated communication as a qualitative method of research remains relatively unexplored, hence this paper.

 

Im, E. O., et. al., An Online Forum as a Qualitative Research Method. Nursing Research (New York) v. 55 no. 4 (July/August 2006) p. 267-73

 

Issues encountered in implementing an online forum as a qualitative component of a larger study on cancer pain experience were examined. Issues ranging from minor technical problems to serious ethical dilemmas were documented as they arose, and relevant memos were written. Content analysis was then used to review and analyze the memos and written records of the discussions. A high response and retention rate and automatic transcripts were identified as being related to credibility. Participants' forgetfulness was determined to be related to dependability, and difficulties in theoretical saturation and unstandardized computer and Internet jargon were identified as issues related to confirmability. Finally, a security issue related to hacking attempts was identified.