Since the 1970s, members of all professions- including professions as diverse as social work, psychology, psychiatrist, nursing, medicine, accounting, business, law enforcement, and engineering- have paid closer attention to ethical issues in general. (Reamer,1999)- New technology, especially in the health care and the computer fields, has brought with it a number of complex and compelling ethical issues. Formal allegation of ethical misconduct and professional negligence involving ethical issues have motivated many professional to pay closer attention to ethical standards. Significant Historical Event: Trial of the Nazi Doctors at Nuremberg, in 1945(Levine,1991) a legal proceedings broadcast the fact that profound harm can result from unethical research (Ashcroft,1998). The hauntingly inhumane experiments conducted by the Nazi Doctors for the benefit of the Third Reich military demonstrated the unspeakable pain and suffering that unprincipled research result can cause. These pioneering documents have shaped contemporary guidelines that require that individuals’ participation in research be both voluntary and informed and that participants be protected from risk to the greatest extent possible (Levine,1988). 2 Other Key Historical Events 1. Tuskegee Syphilis Study, a 40 year project, 1932 by the U.S Public Health Service- to investigate the natural history of untreated syphilis. 2. Willowbrook Study- researchers investigated the natural history of another disease- the infectious hepatitis. The researchers goal was to study the history of the disease when left untreated and later to evaluate the effects of gamma globulin as a treatment option. Surgeon General William Stewart- he issued a U. S Public Health Service directive on human experiment. This directive announced that the Public Health Service would not fund research studies unless the institution receiving the federal funds documented the procedures in place to ensure research participants’ informed consent, the use of appropriate and ethical research procedures, an adequate review of the risks and medical benefits of the research project, and the procedures designed to protect research participants’ rights. World Medical Association(1960s) promulgated the Declaration of Helsinki, which elaborate on the informed consent standards set forth in the Nuremberg Code in 1946(Whitbeck,1998). ETHICAL ISSUES DURING THE EARLY STAGES OF RESEARCH AND EVALUATION Initial Formulation of Research Question- Social workers must explore overarching questions concerning the researching project's broad goals. Sample Selection -Social workers also should be minded of the research participants( or samples) they include in their work. Given the professions enduring commitment to issues of cultural, ethnic, and social diverse, social workers must ensure that their samples sufficiently represent, when methodologically appropriate and sound, diverse groups and clientele. Informed Consent -According to this concept, research participants must be informed about the purposes, methods, and risks associated with the research study, and they must voluntarily consent to participate in it.These are reflected in NASW’s (1996) Code of Ethics -Social workers engaged in evaluation of research should obtain voluntary and written informed consent from the participants, when appropriate, without any implied or actual deprivation or penalty for refusal to participate; and with undue inducement to participate, and due regard for participants’ well being, privacy, and dignity. Informed consent should include information about the nature, extent, and duration of the participation requested and disclosure of the risks and benefits of participation in research.(Standard 5.01[e]) Several Key Elements of Informed Consent Not Using Coercion -Social work should not use coercion to convince people to participate in their research and evaluation activities. Ascertaining Competence-Consent is valid only when participants truly understands the nature of the research and evaluation activity, possible benefits, and associated risks. Social workers must ensure that participants’ understanding of these issues is not compromised by their mental status, literacy, or language difficulties. Waiving Informed Consent - Some research and evaluation projects and activities do not require formal informed consent. - Obtaining Participants’ Consent to Specific Procedures or Actions When formal informed consent is warranted, social workers must explain clearly to potential participants the purpose of the research activity, its possible benefits and costs, and alternatives or other options that the participants might want to consider. Having the Right to Refuse or Withdraw Consent -Social workers should ensure that potential participants understand thier right to refuse or withdraw consent. -Informed consent- is a process that should include the systematic and deliberate disclosure of information and an opportunity for individual to discuss and ask questions about the research study.(Reamer, 1987) Institutional Review -Institutional Review Board(IRBs) often known as Human Subjects Protection Committees(1970s) as a result of the National attention to ethical issues in research in general. An IRBs may request additional information and details or may request certain changes in a study’s research design before approving a proposal. Ethical Issues in Research Design and Methodology There are seven main issues that social workers must be concerned about during the actual research project or activity: Ethical Aspects of Research Design- Ethical issues often arise when social workers design projects that explore cause- effect relationships variables. The Use of Deception -As a group, social workers generally find anathema any form of deception in professional practice. Fortunately, the vast majority of researc and evaluation activities, whether needs assessments, program evaluations, or clinical evaluations, do not call for any significant deception. Confidentiality and Privacy- Social workers have a keen understanding of the importance of confidentiality and privacy. -Data collected by the social workers often concern very sensitive issues such as clients’ troubling feelings, illegal behaviors, and controversial attitudes or program employees’ concerns about personnel issues or administrative problems. Social workers needed to be scrupulous in their efforts to protect such data. -Social workers also must be prepared to assist individuals who become upset during data collection or at any other point in their involvement in research activities. Conflict of Interest- Social workers involved in evaluation and research need to be careful to avoid conflicts of interest, especially when the research participants are current or former clients. Reporting Results- Social workers must be careful to protect the confidentiality of final results and to report results accurately. Disclosing Results to Research Participants- as a matter of principle,social workers ordinarily share evaluation and research results with their data sources,whether clients,colleagues,or the general public. Professional Paternalism- social workers have an understandable instinct to protect people from harmful information. Acknowledging Credit- social workers responsible for the dissemination of results must be careful to acknowledge the contributions of those who provided meaningful assistance. According to NASW's (1996) Code of Ethics: