Ethical Communication

In trying to address the health care concerns of young people, researchers and health care professionals need to communicate with them in non-threatening and ethical manner. In this regard interpersonal communication skills with adolescents and young people is critical in early identification of health issues, provision of emotional support, effective illness management and health education. In order to understand barriers and facilitators in communication for better health care outcomes with adolescents Kim & White (2016) identified key aspects of interpersonal communication as:

  • Addressing sensitive and intimate aspects of young clients’ lives;
  • Developing trust and a sense of emotional safety for open and engaging communication;
  • Creating a sense of inclusion

The primary goal of ethical communication is to avoid harm to others, whether it is direct emotional or physical harm or harm to the reputations of research participants. This station reminds researchers, research staff and health care providers that ethical communication is a medium through which respect for human dignity, integrity, privacy, and right to confidentiality are upheld.

Ethical issues to be communicated and upheld throughout research are:

  • Any type of communication in relation to the research should be done with honesty and transparency.
  • Any type of misleading information, as well as representation of primary data findings in a biased way must be avoided.
  • Affiliations in any forms, sources of funding, as well as any possible conflicts of interests have to be communicated and declared. Research participants should not be subjected to harm in any ways whatsoever.
  • Any deception or exaggeration about the aims and objectives of the research must be avoided.
  • Respect for the dignity of research participants should be prioritised.
  • Full consent should be obtained from the participants prior to the study (this may include assent from the adolescent participant and consent from their parent/legal guardian).
  • The protection of the privacy of research participants has to be ensured.
  • Adequate level of confidentiality of the research data should be ensured.
  • Anonymity of individuals and organisations participating in the research has to be ensured.

Effective and ethical communication with adolescents and young people is characterised by:

  • Active listening
  • Clear, consistent messages
  • Including them in decision-making.
  • Being positive.

Advantages of ethical communication:

The Credo for ethical communications identifies the advantages for ethical communication as an enhancement of human worth and dignity by fostering, truthfulness, fairness, responsibility, personal integrity and respect for self and others. While unethical communication threatens the quality of all communication and consequently the well-being of individuals and the society in which we live.

Researchers and adult research staff working with the youth adhere to Ethical standards in youth work through acknowledging that youth work is a tool for the personal development, social integration and active citizenship of young people. Ethical engagement with young people is an emphasis that youth research work serves the higher purposes of inclusion and social cohesion, representing a value-driven social practice which produces evidence-based outcomes that have health, social and political consequences.

Code of ethics - Duty of care:

  • The young research workers avoid exposing other young people to the likelihood of further harm or injury, and remain aware of the safety of others.
  • The young research workers do not purchase, use or supply alcohol and drugs to other young people
  • The young research workers also avoid appearing intoxicated in public whether on duty or not. This is in line with the non-verbal ethical communication.

Other things to consider:

  • Sensitive matters like sexual and reproductive health care tend to pose communication barriers between young people and health care providers.
  • Health researchers can devise strategies and develop tools to moderate these barriers for better psychosocial care and preventative health interventions.
  • Trust and emotional safety are critical elements in communicating with young people because these promote open and engaging communication
  • Equally important is making young people feel included in the health programme while giving them autonomy to make final decisions about their well being

BY YOLISWA NTSEPE (MA, PhD)
ADOLESCENT PROGRAMMES MANAGER

UPDATED NOV 22, 2023

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REFERENCES & ADDITIONAL RESOURCES:

Ethical standards in youth work and how they support education and career pathways of youth workers. Working paper:
https://pjp-eu.coe.int/documents/42128013/47262613/06_SCRIB.pdf/41cea176-d7fa-3167-a716-11af717b1559

Credo for Ethical Communication. 
https://www.natcom.org/sites/default/files/pages/2017_Review_Credo_for_Ethical_Communication.pdf