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Principles guiding ethical research in a collaboration to strengthen Indigenous primary healthcare in Australia: Learning from experience
journal contributionposted on 2021-08-27, 02:14 authored by Jodie Bailie, Alison F Laycock, Kathleen P Conte, Veronica Matthews, David Peiris, Ross S Bailie, Seye Abimbola, Megan E Passey, Frances C Cunningham, Kerryn Harkin, Roxanne Bainbridge
Introduction Indigenous communities worldwide are leading calls for all research involving Indigenous people to be underpinned by values and principles articulated by them. Many researchers are explicitly adopting these principles to guide what, where, how and when research is undertaken with Indigenous people. With critical reflection to support the implementation of such principles largely absent from published literature, this paper explores both the implementation of, and the outcomes from a set of guiding principles used in a large-scale Australian research collaboration to improve Indigenous health. Methods In this inductive qualitative study, we adopted a principles-focused evaluation approach. Based on interviews with 35 actors in the collaboration and a review of project documents, we generated themes that were then iteratively discussed, refined and categorised into (1) 'strategies' - activities by which implementation of our guiding principles were recognised; (2) 'outcomes' - results seen from implementing the principles and (3) 'conditions' - aspects of the context that facilitated and constrained implementation of the principles. Results Respondents found it difficult to articulate how the guiding principles were actually implemented, and frequently referred to them as part of the fabric of the collaboration. They viewed the set of principles as mutually reinforcing, and as providing a rudder for navigating complexity and conflict. Implementation of the principles occurred through five strategies - honouring the principles; being dynamic and adaptable; sharing and dispersing leadership; collaborating purposefully and adopting a culture of mutual learning. Outcomes included increased Indigenous leadership and participation; the ability to attract principled and values-driven researchers and stakeholders, and the development of trusting and respectful relationships. The conditions that facilitated the implementation of the principles were collaborating over time; an increasing number of Indigenous researchers and taking an 'innovation platform' approach. Conclusion Our findings show that principles guiding collaborations are valuable in providing a focus, direction and a way of working together when they are collaboratively developed, hold genuine meaning for all members and are implemented within a culture of continuous critical reflection, learning and adaptation, with ongoing reinterpretation of the principles over time.
Category 1 - Australian Competitive Grants (this includes ARC, NHMRC)
Number of Pages12
Publisher LicenseCC BY-NC
Full Text URL
Additional RightsCC BY NC 4.0
Cultural WarningThis research output may contain the names and images of Aboriginal and Torres Strait Islander people now deceased. We apologize for any distress that may occur.
External Author AffiliationsThe University of Sydney; Charles Darwin University
Author Research Institute
- Centre for Indigenous Health Equity Research
JournalBMJ Global Health
EthicsEthical researchhealth policyhealth services researchhealth systemshealth systems evaluationqualitative studyAustraliaEthics, ResearchHumansPrimary Health CareQualitative ResearchPublic Health and Health Services not elsewhere classifiedAboriginal and Torres Strait Islander Information and Knowledge SystemsApplied Ethics not elsewhere classified