{"id":3433,"date":"2018-10-11T21:21:39","date_gmt":"2018-10-11T20:21:39","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-ethics\/?p=3433"},"modified":"2018-10-15T20:31:36","modified_gmt":"2018-10-15T19:31:36","slug":"how-we-can-make-better-decisions-in-review-and-design-of-research-using-a-simple-ethics-model","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-ethics\/2018\/10\/11\/how-we-can-make-better-decisions-in-review-and-design-of-research-using-a-simple-ethics-model\/","title":{"rendered":"How we can make better decisions in review and design of research using a simple ethics model"},"content":{"rendered":"

By\u00a0Hugh Davies<\/p>\n

It\u2019s right that all with a legitimate interest in research contribute to its design, review, conduct and dissemination. To thrive, research must be an honest partnership between ALL involved.<\/p>\n

Few would argue but, in accepting this, we need a process to allow us resolve differences when they arise. Here, in this blog, I describe a practical and simple approach depicted in the figure that can open up deliberations on any issue to explore our reasons for any decision and judgement we make. It\u2019s a tool for better practical decision making, introducing some consistency of deliberation and perhaps in the future help develop common moral positions. My (limited) purpose in this article is to put it before a wider audience and ask if it can help by bridging gaps (moral engineering) between all those who have legitimate interest in research.<\/p>\n

It\u2019s no final word:<\/strong>\u00a0 I simply present it for dissection and discussion. I\u2019d love to hear comments.<\/p>\n

\"\"<\/a><\/p>\n

Figure: A decision making model for research.\u00a0More detail can be found here.<\/a><\/p>\n

 <\/p>\n

It\u2019s founded on the proposition that deliberations centre around our \u201cearly or personal views\u201d. On any particular issue we bring these to the debate; it\u2019s where we start. The purpose of deliberation is then to turn \u201cI think \u201d into \u201cWe agree \u201d (recognizing that \u201cWe\u201d is not the plural of \u201cI\u201d). If all personal views are in accord, the decision is likely made; little more need be done. If there is disagreement, however, we need to go further and explore the reasons for our own views and turn to more objective \u201cexternal referents\u201d as depicted on the circle. They are linked (hence the circle) as none on their own provides a firm base for judgement and it\u2019s likely that resolution of different issues will rest on or emphasize different \u201cEs\u201d.<\/p>\n

In this way it proposes we can take two routes to a decision \u2013 via a \u201ccentral\u201d or \u201ccircle\u201d line (with some similarities with Kahneman\u2019s systems 1 and 2 or Gladwell\u2019s \u201cThin Slicing\u201d (1,2)). The first, direct, route is speedy and efficient. In everyday life, time constraints prevent detailed analysis of all issues so it\u2019s suited to the common times when there is agreement, little moral quandary, low risk or familiarity with the area. But when there are new research methods, disagreement, controversy, seemingly high risk or unfamiliarity with the issue under consideration we must take a different route. In these cases we need to take the slower, more deliberative and less direct \u201ccircle\u201d line.<\/p>\n

 <\/p>\n

References<\/p>\n

    \n
  1. Kahneman D 2011. Thinking, fast and slow. Penguin<\/li>\n
  2. Gladwell M 2005. Blink the power of thinking without thinking. Penguin<\/li>\n<\/ol>\n

     <\/p>\n

    Author: Hugh Davies MA MD FRCP FRCPCH<\/p>\n

    Affiliations: Oxford A Research Ethics Committee<\/p>\n

    Twitter: @clinicalresear3<\/a><\/p>\n

    Email:\u00a0reviewingresearch@gmail.com<\/a><\/p>\n

    Competing interests: None<\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    By\u00a0Hugh Davies It\u2019s right that all with a legitimate interest in research contribute to its design, review, conduct and dissemination. To thrive, research must be an honest partnership between ALL involved. Few would argue but, in accepting this, we need a process to allow us resolve differences when they arise. Here, in this blog, I […]<\/p>\n

    Read More…<\/a><\/p>\n","protected":false},"author":353,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[397],"tags":[],"class_list":["post-3433","post","type-post","status-publish","format-standard","hentry","category-research-ethics"],"yoast_head":"\nHow we can make better decisions in review and design of research using a simple ethics model - Journal of Medical Ethics blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2018\/10\/11\/how-we-can-make-better-decisions-in-review-and-design-of-research-using-a-simple-ethics-model\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How we can make better decisions in review and design of research using a simple ethics model - Journal of Medical Ethics blog\" \/>\n<meta property=\"og:description\" content=\"By\u00a0Hugh Davies It\u2019s right that all with a legitimate interest in research contribute to its design, review, conduct and dissemination. 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