This paper highlights the changing nature of nursing. Shifting direc tions toward a new consciousness of human caring and healing guide and direct nursing's future and offer a hopeful paradigm for the future of health care. What is emerging is a moral ideal of human caring that raises new questions and reverses the traditional medical treatment model. A caring ethic is introduced in relation to transpersonal caring theory that allows for new epistemologies and ontologies of being, such as evolution of consciousness and transcendence.

Computer mediated communication has enabled researchers to transfer the focus group method to the online environment. This has important practical, ethical and theoretical implications including the challenge of maximizing and analysing focus group interaction in a faceless medium, devoid of visual and vocal cues. In the online setting where written communication is the only means of understanding data, interaction offers the researcher a critical window to interpret meaning and to understand better what is happening in the social context of the group. A schema of questions has been used in this study to draw attention to this interaction and to examine the transcripts of online focus groups, which sought to investigate the lived experiences of sufferers of repetitive strain injury. Five asynchronous online focus groups were conducted on a closed website specifically created for the study. Online focus group interaction was found to generate rich qualitative data. More studies are required to explore what is potentially an innovative tool for qualitative researchers.

Ethical conduct involving research participants rests on the Belmont principles of autonomy, beneficence and justice. Novel methods present new challenges in safeguarding these principles. The increasing use of data obtained from the internet in health research raises important questions regarding obligations to people posting personal information online. Ethical issues warrant special consideration since guidelines are only beginning to emerge, placing greater onus on the researcher’s discretion. This paper presents a model (a synthesis of the work of Eysenbach and Till (2001) and Kraut et al (2004)) to assist in decision-making regarding obtaining or waiving informed consent when using archived emails from websites. For illustrative purposes, the application of the model to a PhD project is described.

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