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158  n  ETHNOGERiATRiCS



              Because  integrity  integrates  several   of risk, and on decisions of allocation. These
           virtues  inherent  in  moral  character,  ethi-  are  familiar  ethical  issues.  However,  in  the
   E       cal  investigators  prize  it  and  avoid  lapses   future,  as  ethical  issues  related  to  societal
           in  integrity.  One  such  lapse  is  scientific   changes and to advances in science and tech-
           (research)  misconduct,  which  may  take  the   nology intensify, they will present unprece-
           forms  of  plagiarism,  data  falsification,  data   dented and compelling moral challenges for
           fabrication,  irresponsible  authorship,  and   investigators and for the ethics of research.
           questionable  research  practices.  Plagiarism   Two  such  challenges  are  transgenics  and
           refers to passing off as one’s own the ideas or   synthetic  DNA.  Nevertheless,  regardless
           words of another. Data falsification refers to   of the challenges, the one uncompromising
           manipulating research results by altering or   principle underlying all research is that it be
           omitting them so that their validity is ques-  ethical.
           tionable. Data fabrication refers to making up
           of research results. irresponsible authorship                 Mary Cipriano Silva
           refers  to  claiming  authorship  credit  when
           one’s role as author and/or researcher is neg-
           ligible. Questionable research practices refer
           to  deviating  from  acceptable  ethical  stan-  EthnogEriatrics
           dards in the conduct, evaluation, dissemina-
           tion, or application of research into practice.
              To deter unethical behavior related to the   Ethnogeriatrics,  an  evolving  geriatrics  sub-
           preceding five components of scientific mis-  specialty,  is  a  multidisciplinary  approach
           conduct, individuals and organizations have   to  eldercare  focusing  on  the  interrelated-
           instituted  safeguards  for  research.  These   ness  of  aging,  health,  ethnicity,  geriatrics,
           safeguards  include  the  U.S.  Department   ethno-gerontology, and transcultural health,
           of  Health  and  Human  Services  Office  of   specific  to  quality  health  care  and  quality
           Research  integrity,  research  review  boards,   of  life  in  racial/ethnic  minorities.  The  U.S.
           policy documents and guidelines, peer and   Census Bureau (2008a) categories for racial/
           editor reviews of research publications, use   ethnic groups are Black/African American,
           of  best  research  evidence  for  practice,  and   American indian and Alaska Native, Asian
           opportunities for Magnet status.         American,  Hispanic/Latino,  and  Native
              Future directions for research include (a)   Hawaiian/Pacific  islander.  By  2050,  one
           generation of ethical research guidelines for   third  of  the  population  65  years  and  older
           unprecedented advances in science and tech-  from  this  group  is  projected  to  be  Black/
           nology that pose moral  issues, (b)  selection   African  American,  Hispanic/Latino,  and
           of interdisciplinary teams of researchers and   “other races” category, mainly of Asian and
           ethicists  to  monitor  the  impact  of  unprec-  Pacific  islander  groups  (Administration  on
           edented  advances  in  science  and  technol-  Aging, 2009). These growth rates, persistent
           ogy on research participants and on human   health  disparities,  health  literacy,  and  cul-
           rights  in  research,  and  (c)  further  develop-  tural  and  language  challenges  underscore
           ment  of  ethical  position  statements  on  the   an  ethnogeriatric  imperative  (institute  of
           current and future use of tele-health and the   Medicine,  2008;  Smedley,  Stith,  &  Nelson,
           internet in research.                    2003; Yeo, 2009).
              in  summary,  the  ethics  of  research  are   Some  key  concepts  in  ethnogeriat-
           primarily based on ethical principles and on   rics  include  heterogeneity,  cultural  values
           moral  character.  Within  these  parameters,   and traditions, health beliefs and practices,
           ethical issues arise. Examples included herein   health  literacy,  access  to  health  care,  accul-
           focused on nature of autonomy, on severity   turation,  language  and  communication,
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