护理临床研究伦理审查的挑战及对策

doi:10.3761/j.issn.2096-7446.2025.09.004

摘要/Abstract

摘要：

该文系统剖析了医疗机构护理临床研究伦理审查现存的六大核心挑战：护理研究者伦理意识薄弱、项目设计伦理考量缺失、研究参与者权益保护不足、隐私保护机制不完善、利益冲突识别能力欠缺及新兴技术伦理边界模糊；提出“四维提升”策略，构建“护理管理—科研管理—临床研究/质量促进中心—伦理委员会”四方联动机制，实施动态风险评估和过程监管。通过以上实践策略，有望提升护理伦理审查效率，构建覆盖全链条的伦理管理体系，为形成“护理临床研究伦理审查操作指引”提供循证依据，提升护理科研伦理水平，完善我国护理科研伦理治理体系。

关键词: 护理研究者, 护理临床研究, 伦理审查, 伦理学, 护理学

Abstract:

This article systematically analyzes the six core challenges in the ethical review of clinical nursing research in medical institutions：weak ethical awareness among nursing researchers，lack of ethical considerations in project design，insufficient protection of the rights and interests of research participants，incomplete privacy protection mechanisms，lack of ability to identify conflicts of interest，and blurred ethical boundaries of emerging technologies. A targeted “four-dimensional improvement” strategy is proposed，and a four party linkage mechanism of “nursing management-research management-clinical research/quality promotion center-ethics committee” is constructed to implement dynamic risk assessment and process supervision. Through the above practical strategies，it is expected to enhance the ethical review in nursing research，establish an ethical management system covering the entire chain，provide evidence-based basis for the formation of the “Guidelines for Ethical Review of Nursing Clinical Research”，improve the ethical level of nursing research，and perfect the ethical governance system of nursing research in China.

Key words: Nursing Researcher, Nursing Clinical Research, Ethical Review, Ethics, Nursing

李继红, 王爽. 护理临床研究伦理审查的挑战及对策[J]. 中华急危重症护理杂志, 2025, 6(9): 1050-1054.

LI Jihong, WANG Shuang. Challenges and recommendations for ethical review in nursing clinical research[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1050-1054.

图/表 1

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