Not more than 250 words each. Respond as soon as possible
Respond to Paula DNP-830 Week 4 DQ 1
Describe a vulnerable population in terms of research. Why is the population considered vulnerable? What other groups might also be considered vulnerable populations?
Ethical considerations of research have specific requirements for studies involving human populations. Vulnerable populations would be those that could not give consent or are determined by the Code of Federal Regulations to require additional protection, as in embryos, fetuses, neonates, children, pregnant women, and prisoners. These populations are at higher risk for harm and disparities. Research involving these vulnerable populations are only justified if it is responsive to the needs of the population. Special permission is required by the IRB if using a vulnerable population.
Bracken-Roche, D., Bell, E., Macdonald, M. E., & Racine, E. (2017). The concept of ’ vulnerability ’ in research ethics: an in-depth analysis of policies and guidelines. HEALTH RESEARCH POLICY AND SYSTEMS, 15. https://doi-org.lopes.idm.oclc.org/10.1186/s12961-016-0164-6
Sylvia, M., Terhaar, M.,(2014) Clinical Analytics and Data Management for DNP. Springer Publishing, New York
Respond to Latoya DNP-830 Week 4 DQ 1
There are many vulnerable populations that are subjected to poor quality healthcare and they include rural population residents, individuals of lower socioeconomic status, and many elderly patients (Samuel-Nakamura, Leads, Cobb, Nguyen Truax, & Schanche Hodge, 2017). Many rural community residents are not afforded the same access to healthcare which increases their risk of many diseases and disorders (Samuel-Nakamura et al., 2017). Many lack the education needed to understand how these disease and disorders affect them and are unable to achieve self-care due to low health literacy levels (Samuel-Nakamura et al., 2017). When conducting research, language barriers can pose a problem if a participant is completing a survey or questionnaire not written in their native language (Samuel-Nakamura et al., 2017). This would be a limitation in the research findings as the participant may not have fully understood the questions skewing the results. Literacy rates affects the ability for participants to understand certain key terms and impacts their ability to be an informed participant. Therefore, vulnerable populations are not always the best research participants for experimental studies due to health disparities they already face and are subjected to.
Response to Paula
Hello Paula, I agree with you on the different vulnerable populations, and it is interesting also to include fetuses and embryos. Indeed, they also require protection since any psychological effect on the mother, for instance, may affect the fetus growth and development. The role of the IRB is to examine the research approach and determine if there are negative impacts on the participants.
To contribute to your discussion, addressing ethical issues in selecting and conducting research on vulnerable populations consider a wide range of factors from one’s condition to the impacts that specific study approaches may have on the individual’s health. In line with World Health Organizations definition of the term health, it is broad and includes physical, emotional, and psychological welfare (Huq et al., 2016). Therefore, the ethical element of research should not only consider the ability of an individual to make a decision but also the effects that the study may have on the participant. For instance, studying veterans requires their consent, and the study survey or intervention should not induce memories especially for individuals who have been treated for Post-Traumatic Stress Disorder (PTSD). In research, the effect of vulnerability is that it challenges the validity and alters the informed consent forms and process. However, in case IRB examines the research and ascertain that there is no harm or exploitation, the researcher may proceed provided all the study safeguards are in place (Lapid, Clarke, and Wright, 2019).
Huq, N., Chowdhury, T., Aziz, S., Mitra, D., & Haque, S. R. (2016). The Predictive Effect of Depression on Self Rated Health: A One Year Longitudinal Study Among Adult Population in Bangladesh. In Proceeding of the 2nd International Conference on Public Health (Vol. 2, pp. 40-47).
Lapid, M. I., Clarke, B. L., & Wright, R. S. (2019, March). Institutional Review Boards: What Clinician Researchers Need to Know. In Mayo Clinic Proceedings (Vol. 94, No. 3, pp. 515-525). Elsevier.
Response to Latoya
Hello Latoya, you provide a sound justification of why rural community research can be classified as biased and involve vulnerable population. I agree with you that access to quality health in the rural sector is a significant challenge. Further, researchers should ensure that the study population understands what the research entails. This promotes the quality and reliability of the research.
To contribute to your discussion, there are a number of ways that the research in rural areas can be enhanced. Among these strategies is educating the participants prior to performing the actual research and cultural competence among the researcher. Considering the education approach, the researcher should go beyond providing an informed consent that explains the study and what is required from the individual (Sarker et al., 2016). Face to face explanations should also be factored in the awareness which promotes the participants’ understanding on what the study entails. Cultural competence, on the other hand, ensures that the researcher profoundly relates with the study participants which has a significant relationship with the acceptance rate of the research. As a core role of healthcare providers, advocacy is essential in addressing the health disparities by championing the equal access of quality health among different population and in particular the rural area (Chang, Simon, & Dong, 2016). In vulnerability, promoting the rural community awareness and understanding their cultures and beliefs fosters the development of research protections to their literacy. masterstroke in dealing with the mental health issues that surround us all.
Sarker, B. K., Rahman, M., Rahman, T., Hossain, J., Reichenbach, L., & Mitra, D. K. (2016). Reasons for preference of home delivery with traditional birth attendants (TBAs) in rural Bangladesh: a qualitative exploration. PloS one, 11(1), e0146161.
Chang, E. S., Simon, M. A., & Dong, X. (2016). Using community-based participatory research to address Chinese older women’s health needs: Toward sustainability. Journal of women & aging, 28(4), 276-284.