03 · What You Need to Know
From Ethical Principles to Research Decisions
There Is No Single Universal List of Research Ethics Principles
Before memorizing a list, it helps to recognize that major ethical frameworks do not all organize research ethics in exactly the same way.
The Belmont Report identifies three basic principles for research involving human subjects: respect for persons, beneficence, and justice. Respect for persons incorporates recognition of autonomy and protection for people with diminished autonomy. Belmont's conception of beneficence includes both avoiding harm and maximizing possible benefits while minimizing possible harms.
Other influential approaches distinguish beneficence from nonmaleficence, often expressed more simply as promoting benefit and avoiding harm. International frameworks may also explicitly address human dignity, privacy and confidentiality, vulnerability, equality, non-discrimination, solidarity, social responsibility, benefit sharing, and other concerns.
These differences do not necessarily mean the frameworks contradict one another. They often organize overlapping ethical concerns differently. Researchers should therefore use the framework applicable to their discipline, institution, jurisdiction, population, and type of research rather than assuming one vocabulary is universal.
The relationship among respect, beneficence, nonmaleficence, and justice is particularly useful for understanding why these principles should be considered together rather than as isolated slogans.
Respect for Persons: Take People's Agency Seriously
In the Belmont framework, respect for persons contains two ethical convictions: individuals should be treated as autonomous agents, and people with diminished autonomy are entitled to protection.
For researchers, this principle is closely connected to informed and voluntary participation. People generally need sufficient relevant information, an opportunity to understand it, and freedom to make a meaningful choice about participation where consent is required.
Respect is broader than obtaining a signature. A technically complete consent form may still fail ethically if potential participants cannot understand it, if important information is obscured, or if a power relationship makes refusal difficult.
Obtaining consent
Completing the required process for securing agreement to participate.
Respecting autonomy
Creating conditions in which a person can make a sufficiently informed and voluntary decision and respecting that decision throughout participation.
Respect can also require additional safeguards. A child, a person with impaired decision-making capacity, or someone in a strongly dependent relationship may not be able to exercise autonomy in the same way as an independent competent adult. Protection should respond to the actual circumstances rather than simply attaching a label such as “vulnerable” to an entire population.
Beneficence: Seek Benefits and Promote Well-Being
Beneficence directs attention toward the welfare of participants and the value that research may generate. In Belmont, beneficence is treated as an obligation rather than optional kindness. Its formulation includes maximizing possible benefits and minimizing possible harms.
The principle does not mean that every participant must personally benefit from a study. Many forms of research offer participants no direct clinical, educational, financial, or other substantive benefit. The anticipated value may instead lie in producing knowledge that could benefit future populations or improve understanding.
This distinction matters when researchers describe benefits in consent materials or ethics applications. Payment for participation, for example, should not automatically be described as a research benefit in a risk-benefit analysis. Nor should speculative societal benefits be inflated merely to make a study appear more favorable.
Beneficence asks what good the research can reasonably be expected to produce and how the research design can support that value while protecting those who make the research possible.
Nonmaleficence: Avoid and Minimize Unnecessary Harm
Nonmaleficence is commonly expressed as an obligation not to cause harm. Some ethical frameworks discuss it separately from beneficence; Belmont incorporates the instruction not to harm within its discussion of beneficence.
For practical research decisions, the distinction can still be useful. Seeking potential benefit and preventing harm are not always the same task. A study may promise valuable knowledge yet contain an avoidable procedure that increases participant risk. The expected value of the research does not remove the obligation to ask whether that risk can be reduced.
Harm is also broader than physical injury. Depending on the research, it can include psychological distress, loss of privacy, disclosure of sensitive information, stigma, reputational damage, social consequences, economic loss, legal exposure, or harms affecting communities rather than only individual participants.
Research need not be completely risk-free. The ethical task is to identify foreseeable risks, remove those that are unnecessary, manage those that remain, and determine whether the residual risks and burdens are justified.
Justice: Ask Who Bears the Burden and Who Stands to Benefit
Justice concerns fairness in the distribution of research burdens and benefits. Belmont frames the question directly: who should receive the benefits of research, and who should bear its burdens?
This principle has immediate implications for participant selection. Researchers should have a defensible reason for recruiting a particular population. Choosing participants merely because they are easy to access, inexpensive, dependent on the researcher, or less able to refuse can raise justice concerns.
Justice does not require identical treatment or perfectly representative recruitment in every study. A study of an intervention for adolescents obviously has a reason to recruit adolescents. Research concerning the experiences of a particular marginalized community may appropriately focus on that community.
The question is whether inclusion and exclusion are justified by the research rather than by convenience, prejudice, exploitation, or an unfair distribution of risk and opportunity.
Privacy and Confidentiality Often Put the Principles Into Practice
Privacy and confidentiality are sometimes discussed as separate ethical principles and sometimes as protections derived from broader commitments such as respect for persons, dignity, and prevention of harm.
Either way, they have practical consequences. Researchers should ask whether they need identifiable information at all, who will have access to it, whether combinations of variables can re-identify participants, how information will be stored, and what consequences could follow from disclosure.
The 2024 Declaration of Helsinki, for example, requires precautions to protect the privacy of medical research participants and the confidentiality of their personal information. It also addresses consent for collection, processing, storage, and foreseeable secondary use of identifiable or re-identifiable data in medical research.
Scientific and Social Value Can Be Ethically Relevant
Research consumes resources and may ask people to contribute time, disclose information, undergo procedures, or accept uncertainty. If a study has little prospect of producing meaningful knowledge because its question or design cannot support useful inference, those burdens become harder to justify.
This is one reason scientific quality and ethics cannot be completely separated. A technically weak study is not automatically unethical, but methodological defects can become ethically consequential when they undermine the value that was supposed to justify exposing participants or communities to burdens.
Whether research must produce social or scientific value to be ethically justified requires nuance because “value” is not limited to immediate practical application, positive results, or dramatic discoveries.
The Principles Do Not Form a Simple Hierarchy
Researchers sometimes look for a formula such as “respect always comes first” or “beneficence outweighs everything if enough people could benefit.” Major ethical frameworks do not provide such a universal calculation.
The Belmont Report itself notes that ethical principles do not always resolve particular problems beyond dispute. Historical reflections from people involved in its development likewise indicate that its three principles were not intended to operate as a rigid priority ranking.
That matters because principles can pull in different directions. Respect for autonomy may support allowing a person to accept a risk, while concern for welfare may support limiting exposure to that same risk. Protecting confidentiality may conflict with another serious responsibility created by an unexpected disclosure. Justice may challenge a recruitment strategy that otherwise appears efficient and scientifically attractive.
When principles conflict, researchers need a reasoned justification for how they balance the competing considerations rather than simply selecting whichever principle supports the decision they already prefer. The problem becomes one of working through conflicting ethical principles transparently and in context.
Principles Need Context Before They Become Actions
“Respect participants” is a principle-level commitment. “Have an independent researcher recruit students because their professor controls their grades” is a context-specific safeguard derived from that commitment.
“Minimize harm” is similarly abstract until the researcher identifies what harm is plausible, to whom, through which mechanism, and what design change could reduce it.
This movement from principle to context to action is the practical work of research ethics. The principle supplies the reason. The circumstances determine what that reason requires.