Which two ethical principles come into question when community health research projects involve health screening?
A) Autonomy and nonmaleficence
B) Fidelity and veracity
C) Respect for persons and beneficence
D) Beneficence and justice
Ans: B
Community health research raises serious questions of fidelity and veracity in projects that involve health screening. Many communities, particularly those with underrepresented population groups, are frequently visited by teams of researchers who screen residents for any number of health conditions or risk factors, including chronic illness and toxic exposure. Community health nurses, as community advocates, should help ensure that they and other researchers are honest with the community about exactly what is to be provided. All too often, residents do not understand that the only benefit from participation in a research study is the screening itself. Access to the results of health screening raises a separate issue of veracity, as well as issues of beneficence and nonmaleficence. It is of little benefit to know of a serious health condition if there is no access to treatment for it.
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