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Rethinking ethical reflexivity and oversight in health research through an ecosystem approach: A workshop report

Wright, Katharine; Ali, Joseph; Atuire, Caesar; Cheah, Phaik Yeong; Chiumento, Anna; Ferretti, Agata; Hunt, Adrienne; ... Littler, Katherine; + view all (2025) Rethinking ethical reflexivity and oversight in health research through an ecosystem approach: A workshop report. Research Ethics 10.1177/17470161251346253. (In press). Green open access

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Abstract

As the scope of morally relevant considerations widens and new challenges emerge at the frontiers of health innovation, there are questions about the appropriate role and remit for research ethics review, within the broader context of the whole health research ecosystem. Drawing on discussion at a satellite meeting at the 2022 Global Forum on Bioethics in Research in Cape Town, we argue that the ethical conduct of research is the responsibility of all stakeholders in the research ecosystem – from funders, governments and research institutions to individual research teams and ethics committees. As a research community we need to espouse, and take action to achieve, more distributed approaches to ethical scrutiny and reflexivity. A crucial element of such a shift should be the development of collaborative and non-adversarial relationships between researchers and ethics committees that recognise and respect the mutual responsibilities of all parties to promote ethical research conduct. In tandem with the development of systems to support the exercise of ethical responsibilities across the research ecosystem, committees need to reconceptualise their role, in partnership with communities, as one of providing accountability through a focus on how research promotes participant agency and the common good.

Type: Article
Title: Rethinking ethical reflexivity and oversight in health research through an ecosystem approach: A workshop report
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/17470161251346253
Publisher version: https://doi.org/10.1177/17470161251346253
Language: English
Additional information: © The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/).
Keywords: ethics ecosystem, ethics oversight, ethical reflexivity, ethics review, REC review, research ethics
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10214433
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