Overview of the Ethics Committee

Ethics Committee – Overview of the Ethics Committee

Health Research Ethics Committee (HREC)

Overview

The Health Research Ethics Committee (HREC) is an autonomous body authorized by institutional and governmental authorities to conduct ethical reviews of health-related research. The committee evaluates research protocols involving human participants and/or experimental animals in accordance with the three fundamental ethical principles, seven ethical standards, and twenty-five ethical guidelines governing health research ethics.

HREC consists of qualified ethics reviewers from diverse scientific disciplines whose expertise aligns with the research under review, supported by a professional administrative secretariat to ensure efficient operational processes.

Roles and Responsibilities

The Health Research Ethics Committee is responsible for:

  • Reviewing the ethical aspects of health research protocols involving human participants and/or experimental animals.

  • Granting Ethical Clearance (Ethical Approval) for research protocols that comply with ethical standards.

  • Monitoring and evaluating the implementation of approved research projects.

  • Disseminating ethical guidelines and standards in accordance with World Health Organization (WHO) recommendations.

  • Recommending the suspension or termination of research activities that deviate from approved protocols or violate ethical requirements.

  • Conducting re-evaluations of research protocols involved in disputes between researchers and other institutions.

  • Participating in accreditation and competency assessment activities for ethics committees in collaboration with the National Health Research and Development Ethics Committee.

  • Providing education and training in health research ethics for internal and external institutions.

  • Preparing and submitting committee activity reports to the Faculty of Nursing.

To support its functions, HREC is assisted by a competent secretariat responsible for daily administrative and operational activities.

Informed Consent

Informed consent is the voluntary agreement provided by a participant after receiving adequate information regarding all procedures, interventions, risks, and benefits associated with a research study.

In health research, informed consent holds a higher ethical significance than consent obtained in routine healthcare services because research participants may not directly benefit from their participation.

In addition to its ethical importance, informed consent carries legal implications under Indonesian law. Failure to obtain proper informed consent may result in criminal, civil, and administrative sanctions.

Informed consent must be obtained prior to any research involving:

  • Human participants

  • Communities or population groups

  • Medical record data

  • Biological specimens derived from human tissues or cells

The informed consent document forms an integral part of the Ethical Clearance/Ethical Approval issued by HREC.

Ethical Considerations in Health Research

Health research requires strict ethical oversight because it involves human participants who may be exposed to discomfort, inconvenience, or potential risks.

Poorly designed research is considered unethical because it may produce inaccurate or unreliable findings, resulting in unnecessary participant burden and misuse of resources. Researchers therefore have a professional responsibility to uphold the highest ethical and scientific standards throughout the research process.

Types of Health Research Requiring Ethical Review

General Health Research

  • Genetic research

  • Stem cell research

  • Research involving stored biological materials

  • Clinical trials

  • Epidemiological research

  • Research involving experimental animals

Nursing Research

  • Pediatric Nursing Research

  • Maternity Nursing Research

  • Mental Health Nursing Research

  • Medical-Surgical Nursing Research

  • Oncology Nursing Research

  • Cardiovascular Nursing Research

  • Critical Care Nursing Research

  • Family Nursing Research

  • Community Nursing Research

  • Gerontological Nursing Research

  • Nursing Education Research

  • Nursing Management Research

Research Integrity

Ethical Integrity

Researchers are required to uphold the three core ethical principles:

  1. Respect for Persons

  2. Beneficence

  3. Justice

Researchers must also comply with the seven ethical standards established by WHO (2011) and the twenty-five ethical guidelines outlined by WHO (2016).

Principal investigators and research team members share responsibility for ensuring ethical conduct throughout the research process, with particular attention to vulnerable populations, including:

  • Children

  • Individuals with physical or mental disabilities

  • Pregnant women and fetuses

  • Ethnic minority groups

  • Older adults

  • Economically disadvantaged populations

  • Prisoners

  • Students

Academic Integrity

Academic integrity requires researchers to recognize and uphold fundamental values that sustain educational and research institutions. Scientific advancement benefits society and depends upon responsible and ethical scholarly conduct.

Five Fundamental Principles of Academic Integrity

  • Honesty

  • Trust

  • Fairness

  • Respect

  • Responsibility

Integrity During Research

The Declaration of Helsinki (Paragraph 10) states:

“It is the duty of the physician in medical research to protect the life, health, privacy, and dignity of the human subject.”

Accordingly, researchers must prioritize the protection of participants’ life, health, privacy, safety, and dignity throughout the entire research process. The welfare of participants must always take precedence over scientific interests.

Integrity After Research

Access to Research Benefits

The Declaration of Helsinki emphasizes that:

  • Health research is ethically justified only when there is a reasonable likelihood that the population participating in the research will benefit from its outcomes.

  • At the conclusion of a study, participants should have access to the best proven preventive, diagnostic, and therapeutic interventions identified through the research.

Data Archiving

At the completion of a research project, all original records and supporting documentation must be appropriately documented, archived, and securely maintained for future verification, clarification, or audit purposes.

Publication Ethics and Intellectual Property

Researchers are expected to maintain ethical integrity by avoiding scientific misconduct related to data ownership and intellectual property rights.

Data Ownership

According to Thomas D. May, data ownership considerations include:

  • Who collected the data;

  • Under whose supervision the data were collected; and

  • Whether legal or institutional obligations require the transfer of ownership rights.

Intellectual Property

Intellectual property includes:

  • Patents

  • Copyrights

  • Trademarks

  • Trade Secrets

These rights belong to individual researchers or research groups and are protected under applicable national laws and regulations.