JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/JCNR.v10i8.15430ArticleA Survey on Research Ethics Cognition and Influencing Factors among Primary‑Care Medical Staff in Shanghai from the Perspective of Regional Medical Alliancehttps://artdesignp.com/journal/JCNR/10/8/10.26689/JCNR.v10i8.15430AnNi,WangShuying,XuGuoxiong,LinWei,MaoLingying,ZhangNing20261082026-08-31Objective: To understand the knowledge and attitudes of primary‑care medical staff toward research ethics and research ethics committees (RECs), analyze influencing factors, and thereby improve ethical awareness and decision‑making capacity among researchers in primary‑care institutions. Methods: A cross‑sectional survey was conducted using convenience sampling among researchers from a tertiary hospital and its affiliated medical alliance units in Jinshan District, Shanghai. Results: Only 45.76% of participants were familiar with the operational guidelines and ethical principles for reviewing biomedical research involving human subjects. Although 83.47% considered RECs helpful, 65.68% knew that their hospital had an REC, but only 37.29% fully understood its functions. Meanwhile, 47.04% believed that REC review slows research progress, and 41.52% thought it acceptable to fabricate some data or alter study structures if no harm is caused to patients. Conclusion: It is recommended that research ethics education be prioritized in medical ethics curricula through revised syllabi or teaching methods; a culture of research integrity should be fostered; and regional ethics collaboration and training platforms led by tertiary hospitals within the medical alliance should be vigorously promoted.Regional medical alliance, Primary‑care medical institutions, Research ethics, Research ethics committee, Cognition

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