Ethics before Evidence: The Essential Role of IERB Approval in Research Integrity

Authors

  • Rehana Khadim PhD Scholar, Health Services Academy, Islamabad
  • Shaista Noor Qureshi Assistant Professor Medical Education Army Medical College. Rawalpindi

DOI:

https://doi.org/10.51253/pafmj.v75i6.14146

Abstract

In medical research, where new ideas and discoveries enhance our understanding of life, ethical principles must come before evidence. The Institutional Ethical Review Board (IERB) upholds ethical standards, ensuring that the pursuit of knowledge never compromises human dignity and moral responsibility. Every researcher must first seek the approval of IERB, not as a formality, but as an essential step toward responsible and credible research.1

The idea of ethical review boards is not new. Its roots traced back to the mid-20th century, when the world was confronted with the horrifying violations of human rights during unethical experiments in medicine and science. The Nuremberg Code in 1947 and later the Declaration of Helsinki in 1964 marked the beginning of global awareness about the need to protect research participants.2 Over time, countries and institutions developed their own frameworks to ensure ethical oversight, and the concept of IERB was created as an institutional mechanism to protect participants, promote ethical standards, and uphold research credibility.

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References

1. Capili B, Anastasi JK. Ethical Research and the Institutional Review Board: An Introduction. Am J Nurs 2024; 124(3): 50-54. http://doi.org/10.1097/01.NAJ.0001008420.28033.e8

2. World Medical Association. World Medical Association: Declaration of Helsinki. (2024). [Internet]. Available at : https://www.wma.net/what-we-do/medicalethics/declaration-of-helsinki/ (Accessed on December 7,2025)

3. Endacott R. Clinical research 2: Legal and ethical issues in research. Accid Emerg Nurs 2007; 15(3): 166-169. http://doi.org/10.1016/j.aaen.2006.12.001

4. Committee on the Use of Human Subjects Harvard University. Do You Need IRB Review and Why? (2025). [Internet]. Available at:

https://cuhs.harvard.edu/do-you-need-irb-review-and-why (Accessed on December 7, 2025)

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Published

31-12-2025

Issue

Section

Editorial

How to Cite

1.
Khadim R, Qureshi SN. Ethics before Evidence: The Essential Role of IERB Approval in Research Integrity. Pak Armed Forces Med J [Internet]. 2025 Dec. 31 [cited 2026 Jan. 2];75(6):1041. Available from: https://pafmj.org/PAFMJ/article/view/14146