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Series foreword ix
Introduction
Key terms
Moral judgements/morality
Ethics
Ethical frameworks
Consequentialist approaches
Principlist approaches
Ethics of care
Virtue ethics
Ethical regulation
Ethical guidelines
Informed consent
Capacity
Duty of confidentiality
Anonymity
Risk
Informed consent
Introduction
Providing information
Encouraging participation: incentives,
encouragement and acknowledgement
Recording consent
Consent in online research
Capacity to consent
Summary
Ethical dilemmas
Introduction
Ethical ‘horror stories’
Case studies
Making ethical decisions
Summary
References
Index
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Series foreword
The idea behind this series is a simple one: to provide concise and acces-
sible overviews of a range of frequently-used research methods and of
current issues in research methodology. Books in the series have been
written by experts in their fields with a brief to write about their subject
for a broad audience who are assumed to be interested but not neces-
sarily to have any prior knowledge. The series is a natural development
of presentations made in the ‘What is?’ strand at Economic and Social
Research Council Research Methods Festivals which have proved popular
both at the Festivals themselves and subsequently as a resource on the
website of the ESRC National Centre for Research Methods.
Methodological innovation is the order of the day, and the ‘What is?’
format allows researchers who are new to a field to gain an insight into its
key features, while also providing a useful update on recent developments
for people who have had some prior acquaintance with it. All readers
should find it helpful to be taken through the discussion of key terms, the
history of how the method or methodological issue has developed, and
the assessment of the strengths and possible weaknesses of the approach
through analysis of illustrative examples.
Research ethics has come to be one of the most contentious areas
of contemporary social scientific research, and this book conveys the
key issues of contention and how researchers in the field of qualitative
research have responded to them. That it manages to do so in a measured
and systematic fashion is no small feat. In addition, it provides an analysis
of the ethical concerns that continue to arise with new developments
in the field, suggesting that while these do present serious challenges to
researchers, there are good reasons to believe that ethical ways of respond-
ing to them are being developed.
The books cannot provide information about their subject matter
down to a fine level of detail, but they will equip readers with a powerful
ix
x What are qualitative research ethics?
Graham Crow
Series editor
1 Introduction
What are qualitative research ethics?
The focus of this book is based on three premises: first, that researchers
need to consider ethical issues throughout the entirety of their research;
second, that gaining an understanding of the different philosophical
approaches to research ethics and identifying an approach that fits with
their moral and intellectual framework will help them to engage with
issues that emerge as their research unfolds; and third, that, despite the
well-known horror stories of unethical conduct, most ethical issues with
which researchers grapple are relatively mundane and everyday, but
no less important for that. The book focuses primarily on ethical issues
that emerge for researchers and research participants in the conduct of
research. Researchers also have ethical responsibilities to the research
team with whom they may be working, to their discipline, to the wider
research community and to the public. It is incumbent on researchers to
consider ethical issues within this broader context.
The book commences with an exploration of ethical frameworks as well
as various forms of guidelines and regulation that guide or inform ethical
decision making. This chapter also outlines relevant legislation with which
researchers are obliged to comply.
The following three chapters explore three of the core issues in research
ethics and the ways that researchers have engaged with them: informed
consent; anonymity and confidentiality; and risk. In each of these chapters
the meaning of these concepts are explored and their application, and
in some cases their relevance, in different types of research approaches
is outlined. In each of these three chapters, examples are provided from
the literature of the ways in which researchers have managed these ethi-
cal issues in their research. Examples are also drawn on from a research
project on informed consent conducted with my colleagues Sue Heath,
Graham Crow and Vikki Charles as part of the Economic and Social
Research Council (ESRC) Research Methods Programme as well as a
project on ethical issues in visual methods conducted with my colleagues
Jon Prosser, Amanda Coffey, Sue Heath and Judy Robison. Each of these
projects involved interviews or focus groups with researchers exploring
their views about ethical issues in qualitative research and how these
issues were managed in the context of their research.
Chapter six discusses common ethical dilemmas that research-
ers experience and through three detailed case studies discusses the
deliberation and management of such dilemmas. Finally, chapter seven
explores developments in research methods over the last decade and the
What are qualitative research ethics?
Key terms
Moral judgements/morality
Morality is concerned with intentions and actions which are good (or the
‘right’ thing to do) contrasted with those that are bad or wrong. A moral
judgement is made when a person decides what the right course of action
is in a specific situation. Ethical dilemmas in research involve people
making moral judgements.
Ethics
Ethics is the branch of philosophy which addresses questions about moral-
ity. The terms ethics and morals are often used interchangeably. Research
ethics are concerned with moral behaviour in research contexts.
Ethical frameworks
Ethical frameworks provide a means of thinking about ethical dilemmas
(or moral behaviour). They provide some criteria against which research-
ers can consider what it is right or wrong to do when presented with an
ethical dilemma. Common ethical frameworks are consequentialist, prin-
ciplist, non-consequentialist, ethics of care and virtue ethics.
Consequentialist approaches
Consequentialist approaches argue that ethical decisions should be based
on the consequences of specific actions so that an action is morally right if
it will produce a good outcome for an individual or for wider society.
Introduction
Principlist approaches
Principlist approaches are non-consequentialist approaches. Rather than
focusing on the consequences of an action, they draw on the principles of
respect for people’s autonomy, beneficence, non-maleficence and justice
in making and guiding ethical decisions in research. Respect for autonomy
relates to issues of voluntariness, informed consent, confidentiality and
anonymity. Beneficence concerns the responsibility to do good, non-
maleficence concerns the responsibility to avoid harm and justice concerns
the importance of the benefits and burdens of research being distributed
equally. People using principlist approaches make ethical decisions on the
basis of these specific principles. Principlist approaches hold that consent
to participate in research should be freely given and that potential partici-
pants should not experience any form of coercion to encourage them to
take part in research.
Ethics of care
An ethics of care approach means that ethical decisions are made on
the basis of care, compassion and a desire to act in ways that benefit the
individual or group who are the focus of research. This contrasts with
consequentialist and principlist approaches which involve using rules
or principles to address ethical dilemmas. An ethics of care approach
means that researchers make decisions about ethical issues in relation
to a particular case and by drawing on the notion of ‘care’ in relation to
research participants, rather than applying universal rules.
Virtue ethics
Virtue ethics focus on the virtue or moral character of the researcher
rather than principles, rules or consequences of an act or decision. Virtue
ethics draw on the notion of researcher integrity and seek to identify the
characteristics or virtues that a researcher needs in order to behave in
morally (or ethically) ‘good’ ways.
Ethical regulation
Most research conducted by researchers in the UK and North America,
and much research conducted in other European countries and indeed in
the Western world, is subject to ethical regulation. The form this takes is
review by a recognised ethics committee.
What are qualitative research ethics?
Ethical guidelines
Professional ethical guidelines and codes provide frameworks to enable
researchers to think through the ethical dilemmas and challenges that they
encounter in their research. In most cases, these guidelines are very general
and with the exception of some specific issues such as confidentiality or
matters that might result in accusations of research misconduct, they do
not provide answers to how researchers should manage the specific situ-
ations that they might encounter in their research. Social researchers in
many (but not all) disciplines can, and do, conduct research without being
members of a professional organisation. It is also the case that guidelines
are not legally enforceable. Nevertheless, a researcher may be excluded
from membership of a professional organisation, damage their reputation
and have difficulty getting their work published or gaining grants if they
disregard these guidelines in ways that challenge disciplinary norms of
ethical behaviour.
Informed consent
Informed consent involves providing participants with clear information
about what participating in a research project will involve and giving them
the opportunity to decide whether or not they want to participate.
Capacity
The term ‘capacity’ or ‘competence’ is used to refer to people’s ability to
give consent to participate in research. There are some groups for whom
questions of capacity or ‘competence’ to provide consent are raised.
These groups include children and young people, people with intellectual
disability and people with some physical and/or mental illness and disabil-
ity. People are assumed to lack capacity to consent if they are not able
to understand what participating in research will involve, to weigh up the
risks and benefits to them of participating or to reach their own decision
about this and/or other matters that affect their life. Assessing capacity to
consent is, in many cases, a judgement made by researchers but there are
some legal issues that need consideration and specific issues are relevant
for research with children and young people.
Duty of confidentiality
In the research context, the duty of confidentiality is taken to mean that
identifiable information about individuals collected during the process
Introduction
Anonymity
The primary way that researchers seek to protect research participants
from the accidental breaking of confidentiality is through the process of
anonymisation, which occurs through the use of pseudonyms applied to
research participants, organisations and locations or other ways of not
revealing participants’ real identities.
Risk
Ensuring the safety and well-being of research participants is an important
element of ethical research practice. While much qualitative research may
pose only minimal risks to participants, it is important not to disregard
the risks that can occur, particularly in research on topics which are in
some way ‘sensitive’ because they focus on personal issues, taboo issues
or issues which pose a threat for those participating in it. Assessments of
risk should also focus on risks for researchers which may arise from lone
working or from the nature of the research.
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2 Thinking ethically: approaches
to research ethics
Introduction
Researchers inevitably experience ethical issues in the process of conduct-
ing research. Sometimes these issues are anticipated and planned for and
may form part of decision making about a project before it commences.
However, often ethical challenges and dilemmas are unexpected and
emerge as research unfolds. While there are a number of ‘common’ ethi-
cal issues, and the following three chapters in this book explore these,
research is always situated and contextual and the specific issues that arise
are often unique to the context in which each individual research project
is conducted. However, while ethical issues are often unique to a specific
context, the management of such issues nevertheless needs to be informed
by a range of ethical frameworks, approaches, regulation and guidelines.
In this chapter the various guidelines, approaches and frameworks that
inform, guide, and in some cases constrain, ethical decision-making, are
outlined. An understanding of these provides an important basis from
which researchers can think through, and argue, their ethical decisions.
What are qualitative research ethics?
codes, further cases of abuse arising from medical and scientific research
conducted during the 1960s and 1970s occurred. The most well known of
these cases is the Tuskegee syphilis study which took place between 1932
and 1972, in which the effects of syphilis in 400 poor African-American
men were studied over a prolonged period even though treatment for the
disease had become available. This was not an isolated case and a number
of other ethical scandals relating to biomedical studies were identified in
which people were experimented on to examine disease progression and/
or to develop medical treatments (see Israel and Hay, 2006). It was the
Tuskegee study in particular that has been identified as being instrumental
in establishing the United States’ National Commission for the Protection
of Human Subjects in Biomedical and Behavioural Research in 1979 and
the subsequent Belmont Report and the formation of Institutional Review
Boards (IRBs) for reviewing research in the US. The Belmont Report
(1979) has been highly influential and provides the underlying principles
by which research ethics committees across the Western world evaluate
research proposals. It identified three key principles, respect for persons,
beneficence and justice, to which Beauchamp and Childress (1979), in a
widely used book in the field of bioethics, added a fourth, that of non-
maleficence (Macfarlane, 2009). These principles are discussed further
here.
The ethical frameworks used in social research have emerged from the
frameworks developed in relation to medical research. This is an issue that
is a concern for many social scientists who view the risks of social research
to be far less significant than for medical research. Nevertheless, it is
important to recognise that the social sciences have not been immune
from accusations of unethical behaviour. Stanley Milgram’s (1963) obedi-
ence to authority experiment, Phillip Zimbardo’s (see Haney, Banks and
Zimbardo, 1973) Stanford prison experiment and Laud Humphreys’ (1975)
study on homosexual behaviour are commonly-cited ethical ‘horror
stories’ in the social sciences.
The regulation of social research has increased significantly over
the last decade, particularly in Europe and North America. In the USA,
Institutional Review Boards (IRBs) have, since the 1970s, screened research
on and with ‘human subjects’. Their powers have been identified as consid-
erable and wide ranging and their scope increasing (Haggerty, 2004).
In the UK, funding bodies, such as the Economic and Social Research
Council (ESRC), have established ethical frameworks (ESRC, 2005, 2010)
Thinking ethically: approaches to research ethics
Ethical decision-making
Consideration of the links, overlaps and differences between morals,
ethics, ethical approaches, ethical frameworks, ethical regulation and
legal regulation are an important starting point for thinking about ethics.
What are qualitative research ethics?
Ethical
frameworks
Legal regulation
The decisions that researchers make about the ethical issues that they
anticipate encountering in the research planning stage and those that
emerge as research unfolds are influenced by several issues: professional
guidelines; disciplinary norms; ethical and legal regulation and an individ-
ual’s ethical and moral outlook. Figure 1 illustrates this diagrammatically.
Each of these issues is explored in this chapter.
All individuals have a moral outlook about what is right and wrong that
guides their behaviour. This moral outlook is shaped by individuals’ experi-
ences and interactions and the specific moral beliefs held are inevitably
individual (see Gregory, 2003). Nevertheless, society has a large amount
of agreement on specific moral principles about right and wrong (such
as justice and fairness), even though there is considerable disagreement
about the application of these principles to particular circumstances and
contexts. Ethical approaches are the application of key moral norms (or
principles). Ethical behaviour in research demands that researchers engage
with moral issues of right and wrong. To do this they draw on ethical
principles identified by the research community to which they belong.
The specific ethical issues that researchers identify in their research are
informed by their own moral outlook and their understanding of ethics
in research. The frameworks for thinking about and managing them
are informed largely by the ethical principles derived from the various
approaches to ethics which are set out in professional ethical guidelines as
well as various textbooks on the topic. Some of these ethical issues can be
considered prior to the research commencing but many are emergent and
Thinking ethically: approaches to research ethics
Ethical frameworks
A range of approaches to research ethics can be identified (see Israel
and Hay, 2006; Macfarlane, 2009; Merten and Ginsberg, 2009). These
approaches or frameworks provide a means of thinking about moral
behaviour. They provide some criteria against which researchers can
consider what it is right or wrong to do when presented with an ethical
dilemma. These frameworks do not provide clear answers to such dilem-
mas but rather a means of thinking about them and assessing what an
appropriate and defensible course of action might be. Consideration of
these frameworks is therefore important in helping to guide researchers
in thinking through the ethical challenges with which they are confronted.
One of the challenges of engaging with these frameworks is that the
criteria that each uses to inform moral decisions vary and thus the deci-
sions that researchers may make will differ according to which framework
is used. It is also the case that some of the criteria (or principles) within
certain frameworks may lead people to reach different decisions about
the ethical challenges they encounter according to which principle within
a framework they give primacy to. The most common approaches are
consequentialist, principlist, non-consequentialist, ethics of care and
virtue ethics.
What are qualitative research ethics?
must be freely given and that potential participants should not be subject
to any encouragement (or coercion) to take part such as that arising
from payment for participation or power relations between researcher
and participant. Each of the principles is viewed as important but it is
recognised that they may conflict with each other and in such cases it
is necessary to make a case for why one might need to be chosen over
another. Principlist approaches are widely used and commonly form the
basis of evaluation of applications for ethical approval by research ethics
committees (Israel and Hay, 2006: 37).
An ethics of care approach was originally identified by Carol Gilligan
(1982) and has been developed by other feminist theorists (Mauthner et al,
2002; Held, 2006). In this approach, ethical decisions are made on the basis
of care, compassion and a desire to act in ways that benefit the individual
or group who are the focus of research, recognising the relationality and
interdependency of researchers and research participants. This contrasts
with the approaches outlined above which involve using rules or prin-
ciples to address ethical dilemmas. An ethics of care approach means that
researchers make decisions about ethical issues in relation to a particular
case and by drawing on the notion of ‘care’ in relation to research partici-
pants, rather than applying universal rules. Held (2006) has identified
some key features of the approach and argues that it involves: meeting
the needs of others; recognising emotions; recognising people’s relational-
ity and interdependence; and respecting and seeking the views of others
and their moral claims. This is an approach used in much feminist and
participatory research where researchers develop close relationships with
their participants (see Edwards and Mauthner, 2002). It has been viewed
by some as a form of virtue ethics (see below) in that researchers need
to develop particular characteristics or virtues in relation to the research
they conduct. Mauthner et al (2002) have developed some guidelines for
a feminist ethics of care which draws on the key features identified above.
These comprise questions for researchers to consider in deliberating on
ethical dilemmas (Mauthner et al, 2002: 28).
Virtue ethics is person-based; it focuses on the virtue or moral charac-
ter of the researcher rather than principles, rules or consequences of an
act or decision. Virtue ethics draws on the notion of researcher integrity
and seeks to identify the characteristics or virtues that a researcher needs
in order to behave in morally (or ethically) ‘good’ ways. Macfarlane (2009:
42) has identified the demands that different phases of the research
What are qualitative research ethics?
process places on researchers and the moral virtues that researchers need
to manage these challenges at each stage. He also identifies the corre-
sponding ‘vices’ that characterise a deficit or excess of each virtue that
researchers may exhibit when they fall short of a desired virtue. The virtues
identified are courage, respectfulness, resoluteness, sincerity, humility and
reflexivity. It is recognised that these virtues are ideals which researchers
strive for and that the vices are what can occur when these ideals cannot
be met. As Macfarlane notes (2009: 42), ‘This set of virtues and vices repre-
sent the ideal character of the researcher and the temptations they face
during what is a demanding social and intellectual process’. In relation to
ethical dilemmas, a virtue ethics approach would expect a researcher to
ask what a virtuous researcher would do in the given situation.
An ethical dilemma, based on one from my own experience, may help
to clarify the actions that might be taken on the basis of these different
frameworks. An ethical dilemma commonly experienced by research-
ers relates to the issue of confidentiality. For example, a case study I was
involved in focusing on a new model of in-patient care in one hospital ward
involved interviews with all staff and some patients to find out their views
about the benefits and challenges of the new way of working. Interviews
revealed that some staff lacked commitment to the new model of care
and that this risked the success of the scheme. Should other people in the
‘case’ be informed that there were problems with staff commitment to the
scheme so that these issues could be addressed or should I not intervene,
given that to do so would involve breaches of confidentiality? A conse-
quentialist would look to the possible outcomes of acting and perhaps
would argue that the greatest good would come from disclosing this infor-
mation in order to improve the efficacy of the scheme. A principlist would
be likely to argue that upholding the principle of confidentiality should
be paramount and that information should not be disclosed. An ethics
of care approach would look to the impact of disclosing information on
the participants who had provided it and would explore what the most
beneficial outcome would be for them. A virtue ethics approach would
explore what a ‘virtuous’ researcher would do in this context which would
ensure all participants were treated with respect. In this case this would be
likely to mean maintaining confidentiality.
These ethical frameworks provide researchers with the tools to guide
decision-making in research. However, there are a range of other factors
Thinking ethically: approaches to research ethics
Ethical regulation
Most researchers are subject to ethical review procedures through a
research ethics committee (REC). Committees vary widely in the ways in
which they assess applications for review and the conclusions they come
to, even in highly regulated and established systems such as that for the
review of research in the UK National Research Ethics Service (Edwards
et al, 2004; Israel, 2004). However, the general principles they assess are
fairly uniform and are likely to comprise voluntary informed consent, the
confidentiality of information provided by participants, the anonymity of
study participants, the avoidance of harm and researcher integrity. These
are issues that researchers are advised to consider carefully in preparing
applications to RECs. RECs have the power to determine the way that
various ethical issues will be managed within a research project. RECs
generally focus on procedural or anticipated ethical issues; it appears that
social researchers, in the UK at least, tend not to seek advice from RECs
on ethical issues that emerge once research has commenced unless they
are obliged to do so (Wiles et al, 2012). As noted above, some concerns
have been raised that ethical regulation places limitations on research,
particularly certain types of research such as ethnography, online research
and visual methods.
Many resources exist to assist researchers through the ethical review
process (see for example http://www.ethicsguidebook.ac.uk/). As well as
the importance of preparing a good application that addresses the central
ethical issues, researchers can adopt other strategies to maximise their
chances of gaining approval. These include finding out how a local REC
operates, opting for a committee that might be sympathetic, identifying
a committee member to champion the application and being prepared
to discuss the application with committee members (Wiles et al, 2012;
Israel and Hay, 2006). While RECs have considerable power in determin-
ing how ethical issues will be managed in research, there is some evidence
that researchers have developed ways to work with ethics committees to
modify their impact (Wiles et al, 2012).
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