Ethical considerations in prehospital ambulance based research: qualitative interview study of expert informants

Armstrong, Stephanie, Langlois, Adele, Siriwardena, Niro and Quinn, Tom (2019) Ethical considerations in prehospital ambulance based research: qualitative interview study of expert informants. BMC Medical Ethics, 20 (88). ISSN 1472-6939

Full content URL: http://doi.org/10.1186/s12910-019-0425-3

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Ethical considerations in prehospital ambulance based research: qualitative interview study of expert informants.
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Abstract

Background: Prehospital ambulance based research has unique ethical considerations due to urgency, time limitations and the locations involved. We sought to explore these issues through interviews with experts in this research field.
Methods: We undertook semi-structured interviews with expert informants, primarily based in the UK, seeking their views and experiences of ethics in ambulance based clinical research. Participants were questioned regarding their experiences of ambulance based research, their opinions on current regulations and guidelines, and views about their general ethical considerations. Participants were chosen because they were actively involved in, or in their expert capacity (e.g. law) expressed an interest in, ambulance based research.
Results: Fourteen participants were interviewed including principal investigators, researchers, ethicists and medical lawyers. Five major themes were identified: Capacity, Consent, Clinical Considerations, Consultation and Regulation. Questions regarding consent and capacity were foremost in the discussions as all participants highlighted these as areas for concern. The challenges and use of multiple consent models reflected the complexity of research in this environment. The clinical theme referred to the role of paramedics in research and how research involving ambulance services is increasingly informing improvements to patient care and outcomes and reducing the burden on hospital services. Most felt that, although current regulations were fit for purpose, more specific guidance on implementing these in the ambulance setting would be beneficial. This related closely to the theme of consultation, which examined the key role of ethics committees and other regulatory bodies, as well as public engagement.
Conclusions: By interviewing experts in research or ethics in this setting we were able to identify key concerns and highlight areas for future development such as improved guidance.

Keywords:ambulance, United Kingdom, Ethics, Clinical Trials, Expert Interviews, Paramedics
Subjects:B Subjects allied to Medicine > B900 Others in Subjects allied to Medicine
Divisions:College of Social Science > School of Health & Social Care
ID Code:39013
Deposited On:02 Dec 2019 11:53

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