强化理论视域下临床研究者负责任研究行为塑造与思考OA
Shaping and reflection on the responsible conduct of research among clinical researchers from the perspective of reinforcement theory
高质量的临床研究是提供可靠医学证据、指导循证实践及优化公共健康策略的科学基础.临床研究者负责任研究行为则是研究质量的核心保障.任何研究失范行为,不仅导致科研资源浪费、相关个体及机构声誉受损,更将削弱研究证据效度、误导循证医学实践,增加公共卫生决策风险,最终阻碍医学创新进程.本文基于强化理论框架,通过阐释强化理论与临床研究者负责任研究行为塑造的内在关联,论证新形势下负责任研究行为塑造的必要性,归纳出研究者负责任研究行为塑造尚面临科研评价功利化、利益冲突复杂、审查与监管乏力、研究资源限制、负责任研究行为的教育不足等现实挑战,进而提出从重构绩效评价锚点、动态管控利益冲突风险、伦理监管精准规束、阶梯规划资源支持、内化负责任研究行为的文化认同等方面入手,有助于塑造临床研究者负责任研究行为的对策建议.
High-quality clinical research represents the scientific foundation for generating credible medical evidence,guiding evidence-based practice,and optimizing public health strategies.The responsible conduct of research by clinical researchers serves as the core guarantee of research quality.Any act of research misconduct will not only result in the waste of research resources and damage the reputation of relevant individuals and institutions,but also undermine the validity of research evidence,mislead evidence-based medical practice,raise risks for public health decision-making,and ultimately impede the progress of medical innovation.Based on the framework of reinforcement theory,this paper elaborated on the internal correlation between reinforcement theory and the shaping of responsible conduct of research among clinical researchers,and demonstrated the necessity of shaping responsible conduct of research in the new context.It also summarized practical challenges encountered in such shaping,such as utilitarian-oriented research evaluation,complex conflicts of interest,inadequate review and supervision,constrained research resources,and insufficient education on responsible conduct of research.It further proposed countermeasures that were conducive to shaping the responsible research conduct of clinical researchers.These encompassed reconstructing the orientation of performance evaluation,dynamically managing risks arising from conflicts of interest,implementing precise constraints via ethical supervision,arranging tiered resource support,and internalizing cultural recognition of responsible research conduct.
叶美华;张铃倩;陆艺;王品;蔡滨;周罗晶
大连医科大学扬州临床医学院,江苏 扬州 225001||大连医科大学公共卫生学院,辽宁 大连 116044扬州大学护理·公共卫生学院,江苏 扬州 225009扬州大学护理·公共卫生学院,江苏 扬州 225009大连医科大学扬州临床医学院,江苏 扬州 225001||大连医科大学公共卫生学院,辽宁 大连 116044江苏省苏北人民医院医院管理研究所,江苏 扬州 225001江苏省苏北人民医院科技处,江苏 扬州 225001
医药卫生
负责任研究行为临床研究者行为塑造强化理论科研诚信
responsible conduct of researchclinical researcherbehavior shapingreinforcement theoryresearch integrity
《中国医学伦理学》 2026 (10)
1330-1335,6
扬州市基础研究计划(联合专项)卫生健康类重点项目"负责任创新背景下多元共治的医学科技伦理治理模式研究"(2024-1-03)
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