
Attitudes of health-care providers towards research with newborn babies
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ABSTRACT CONTEXT: By providing information and possibly shaping parents' preferences, health-care providers are thought to play a critical role in parental decisions to enroll their
infants in research. Yet, little is known about health-care providers' beliefs about research with newborns. Previous studies suggest that parents and health-care providers are often at
odds regarding attitudes towards research. OBJECTIVE: To examine the attitudes of health-care providers concerning the acceptability of research with newborn babies and the degree of
research-related risk to which they would be willing to expose their own infant. These findings were compared with a previous study of parental attitudes. DESIGN, SETTING AND PARTICIPANTS: A
survey (pretested questionnaire with 20 scaled items and five case scenarios) of 50 doctors and 64 nurses conducted in a large tertiary care center in western Canada. RESULTS: Study
limitations were a response rate of 64.5% among nurses but only 22% among physicians. Both doctors and nurses were strongly supportive of research with newborns, but nurses were more averse
to exposing infants to risk. Only 76.0% of nurses, compared to 92.2% of physicians, agreed that informed consent should be sought for all forms of research. When results were compared with
parental perceptions, health-care providers were more likely to believe that research should be conducted for the good of all babies. Parents were generally less aware of the existence of an
approval process for research in general. In responding to hypothetical scenarios with risk and direct benefit, parents were less willing to enroll their infants than were health-care
providers. Approximately 30% of both groups would be willing to enroll their infants in a study involving moderate risk and no direct benefit. CONCLUSIONS: Views of nurses, physicians, and
parents regarding research with newborns are different. Overall, there is support for research; however, nurses are more likely to never enroll their own baby and enroll babies into minor
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our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS PARENTAL PERSPECTIVES ON A TRIAL USING WAIVED INFORMED CONSENT AT BIRTH Article 21 December 2023 EXPERIENCES AND
PREFERENCES FOR LEARNING ABOUT NEONATAL RESEARCH: INSIGHTS FROM PARENT INTERVIEWS Article 25 November 2023 THE CULTURE OF RESEARCH COMMUNICATION IN NEONATAL INTENSIVE CARE UNITS: KEY
STAKEHOLDER PERSPECTIVES Article Open access 18 October 2021 REFERENCES * Ferguson PK . Patients' perceptions of information provided in clinical trials. _J Med Ethics_ 2002;28:45–48.
Article CAS Google Scholar * Mason S, Allmark P . Obtaining informed consent to neonatal randomised controlled trials: interviews with parents and clinicians in the euricon study.
_Lancet_ 2000;356:2045–2051. Article CAS Google Scholar * Liaschenko J, Underwood SM . Children in research–fathers in cancer research: meanings and reasons for participation. _J Fam
Nurs_ 2001;7:71–91. Article Google Scholar * Moore S . A need to try everything: patient participation in phase I trials. _J Adv Nurse_ 2001;33:738–747. Article CAS Google Scholar *
Roberts LW, Warner T, Brody JL . Perspectives of patients with schizophrenia and psychiatrists regarding ethically important aspects of research participation. _Am J Psychiatry_
2000;157:67–74. Article CAS Google Scholar * Schaffer D, Shaw GM . Mothers' motivations to participate in a pregnancy health survey. _Public Health Reports_ 1992;107:731–733. CAS
PubMed PubMed Central Google Scholar * Zupancic JAF, Gillie P, Streiner DL, Watts JL, Schmidt B . Determinants of parental authorization for involvement of newborn infants in clinical
trials. _Pediatrics (serial online)_ 1997;99:e6 Available from URL: http://www.pediatrics.org.cgi/content/full/99/1/e6. CAS Google Scholar * Singhal N, Oberle K, Burgess E, Huber-Okrainer
J . Parents' perceptions of research with newborns. _J Perinatol_ 2002;22:57–63. Article Google Scholar * Slevin ML, Stubbs L, Plant HJ, et al. Attitudes towards chemotherapy:
comparing views of patients with cancer with those of doctors, nurses and the general public. _BMJ_ 1990;300:1458–1460. Article CAS Google Scholar * Cheng JD, Hitt J, Koczwara B, et al.
The impact of quality of life on patient expectations regarding phase I clinical trials. _J Clin Oncol_ 2000;18:421–428. Article CAS Google Scholar * Schutter KM, Burnett CB . Factors
that influence a patient's decision to participate in a phase I cancer clinical trial. _Oncol Nurs Forum_ 2000;27:1435–1438. Google Scholar * Simon C, Eder M, Raiz P, Zyzanski S, Pentz
R, Kodish ED . Informed consent for pediatric leukemia research: clinicians' perspectives. _Cancer_ 2001;92:691–700. Article CAS Google Scholar * Burnett CB, Koczwara B, Pixley L,
Blumenson LE, Hwang YT, Meropol NJ . Nurses' attitudes towards clinical trials at a comprehensive cancer center. _Oncol Nurs Forum_ 2001;28:1187–1192. CAS PubMed Google Scholar *
Oberle K, Singhal N, Huber J, Burgess E . Development of an instrument to investigate parents' perceptions of research with newborn babies. _Nurs Ethics_ 2000;7:327–337. Article CAS
Google Scholar * Edwards SJL, Lilford RJ, Hewison J . The ethics of randomised controlled trials from the perspectives of patients, the public and healthcare professionals. _BMJ_
1998;317:1209–1212. Article CAS Google Scholar * Burgess E, Singhal N, Amin H, McMillan D, Devrome H . Consent for clinical research in the neonatal intensive care unit — a retrospective
survey and a prospective study. _ARCH DIS CHILD_ 2003;88:F280–F286. Article CAS Google Scholar * Cox K, Avis M . Psychosocial aspects of participation in early cancer drug trials. _Can
Nurs._ 1996;19:177–186. Article CAS Google Scholar * Hayman RM, Taylor BJ, Peart NS, Galland BC, Sayers RM . Participation in research: informed consent, motivation and influence. _J
Pediatr Child Health_ 2001;37:51–54. Article CAS Google Scholar * Fry C, Dwyer R . For love or money? Why injecting drug users participate in research. _Addiction_ 2001;96:1319–1325.
Article CAS Google Scholar Download references ACKNOWLEDGEMENTS We are grateful to the University of Calgary and the Calgary Health Region for support of this project, and to Michael Fox
for collecting the data. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Regional Clinical Division, Neonatology, Calgary Health Region, Calgary, Alberta, Canada Nalini Singhal MD, FRCP *
Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada Nalini Singhal MD, FRCP * Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada Kathleen Oberle RN,
PhD * University of Calgary, Calgary, Alberta, Canada Amy Darwish * Department of Medicine, Office of Medical Bioethics, University of Calgary, Calgary, Alberta, Canada Ellen Burgess MD,
FRCP Authors * Nalini Singhal MD, FRCP View author publications You can also search for this author inPubMed Google Scholar * Kathleen Oberle RN, PhD View author publications You can also
search for this author inPubMed Google Scholar * Amy Darwish View author publications You can also search for this author inPubMed Google Scholar * Ellen Burgess MD, FRCP View author
publications You can also search for this author inPubMed Google Scholar APPENDIX A APPENDIX A Questionnaire B — 5 scenarios are given in Table A1. RIGHTS AND PERMISSIONS Reprints and
permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Singhal, N., Oberle, K., Darwish, A. _et al._ Attitudes of Health-Care Providers towards Research with Newborn Babies. _J Perinatol_ 24,
775–782 (2004). https://doi.org/10.1038/sj.jp.7211171 Download citation * Published: 05 August 2004 * Issue Date: 01 December 2004 * DOI: https://doi.org/10.1038/sj.jp.7211171 SHARE THIS
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