NIH Clinical Center Senior Staff

Christine Grady, MSN, PhD


Dr. Christine Grady is chief of the Clinical Center's Department of Bioethics. Her research focuses on research subject recruitment, incentives, vulnerability, and international research ethics. Dr. Grady has written widely in books and scholarly journals on topics in bioethics, HIV disease, and nursing.

Dr. Grady received a bachelor's degree in nursing and biology from Georgetown University, a master's degree in community health nursing from Boston College, and a doctoral degree in philosophy and bioethics from Georgetown University.

She is currently a member of President Obama's Commission for the Study of Bioethical Issues. She is a senior research fellow at the Kennedy Institute of Ethics and was elected as a fellow of both the American Academy of Nursing and the Hastings Center. She is a member of an institutional review board for the National Institute of Diabetes and Digestive and Kidney Diseases and the National Institute of Arthritis and Musculoskeletal and Skin Diseases.

She has participated in numerous intergovernmental task forces and is the recipient of several awards, including the NIH Clinical Center Director's Award in 2009, NIH Director's Award in 2007 and 1999 and the Assistant Secretary of Health Award in 1988.

She serves on three editorial boards of professional journals in bioethics and nursing; she has lectured widely at national and international conferences, professional societies, universities, and healthcare institutions on ethical issues in clinical research and clinical care. She was formerly assistant director for clinical science at the National Institute of Nursing Research.

Honors and Awards

Elected fellow, 2002, Fellows Council 2005, and vice chair of the Council of the Hastings Center, 2006; NIH Director's Award, 1999, and 2007; Elected fellow in the American Academy of Nursing, 1997; Outstanding Research Article Award, Journal of the Association of Nurses in AIDS Care, 1997; U.S. Public Health Service First Annual Faye G. Abdellah Publication Award, 1993; DHHS Assistant Secretary of Health Award, 1988; Nursing Research Award, NIH Clinical Center Nursing Department, 1987; Distinguished Alumna Award, Georgetown University School of Nursing, 1987; Distinguished Nurse Award, NIH Clinical Center Nursing Department, 1986; Sigma Theta Tau Honor Society



Emanuel EJ, Crouch RA, Grady C, Lie R, Miller FG, Wendler D. (eds) The Oxford Textbook of Clinical Research Ethics New York: Oxford University Press. 2008

Lavery J, Grady C, Wahl E, Emanuel E. (eds) Ethical Issues in International Biomedical Research: A Casebook. New York: Oxford University Press. 2007

Emanuel E, Crouch R, Arras J, Moreno J, Grady C. (eds) Ethical and Regulatory Aspects of Clinical Research: Readings and Commentary. Baltimore and London: The Johns Hopkins University Press. 2003

Grady, C. The Search for an AIDS Vaccine: Ethical Issues in the Development and Testing of a Preventive HIV Vaccine. Bloomington, Indiana: Indiana University Press. 1995


Grady C. Writing a Consent Form, Chapter 35 in W.K. Kelly and S. Halabi. Oncology Clinical Trials: Successful Design, Conduct, and Analysis. NY: Demos Medical, 2010: 327-333.

Grady C. Clinical Trials in The Hastings Center Bioethics Briefing Book for Journalists, Policymakers, and Campaigns. NY: Hastings Center, 2008:11-14

Grady C and Levine R. Shared responsibility for treatment in the South African phase 1 HIV preventive vaccine trials. Chapter 13.2 in J. Lavery, C. Grady, E. Wahl, E. Emanuel Ethical Issues in International Biomedical Research: A Casebook. New York: Oxford University Press. 2007: 225-230.

Grady C. Ethics of vaccine research. Chapter 2 in A.S. Iltis (ed) Research Ethics, New York/London: Routledge Taylor and Francis Group. 2006: 22-31.

Grady C. Ethical Issues in Critical Care, Chapter 7 in P Morton, D Fontaine, C Hudak, & B. Gallo (eds). Critical Care Nursing: A Holistic Approach, 8th edition. Philadelphia: Lippincott, Williams and Wilkins; 2005; 9th edition, 2009

Grady C. Ethical Principles in Clinical Research. Chapter 2 in J. Gallin (ed) Principles and Practice of Clinical Research. New York: Academic Press; 2002: 15-26. Chapter 2 in J. Gallin and F. Ognibene 2nd Edition, 2007: 15-26.

Wiener L., Septimus A. and Grady C. Psychosocial support and ethical issues for the child and family. Chapter 40 in P. Pizzo and C. Wilfert (eds) Pediatric AIDS, 3rd Edition. Baltimore, MD: Lippincott, Williams and Wilkins; 1998: 703-727.

Grady C. Ethics, Genetics, and Nursing Practice. Chapter 9 in D. Lea, J. Jenkins, and C. Francomano (eds). Genetics in Clinical Practice. Boston: Jones and Bartlett Publishers; 1998: 221-252.

Grady C. HIV Disease: Ethical Considerations for clinicians. Chapter 34 in V. DeVita, S. Hellman, S. Rosenberg, J. Curran, M. Essex, and A. Fauci (eds). AIDS: Etiology, Diagnosis, Prevention, and Treatment, 4th edition, Philadelphia: J.B. Lippincott Co.; 1997: 633-642.

Grady C. Ethical issues in critical care. Chapter 7 in C. Hudak, B. Gallo, and P. G. Morton (eds). Critical Care Nursing: A Holistic approach, 7th edition. Lippincott Raven Publishers; 1997: 71-81.


Abbott L, Grady C. A systematic review of the empirical literature evaluating IRBs: What we know and what we still need to learn; Journal of Empirical Research on Human Research Ethics, 2011, 6(1), 3-20

Smith W, Grady C, Krohmal B, Lazovski J, Wendler D. Empirical evaluation of the need for 'on-going consent' in clinical research. AIDS 2011, 25:107–114

Grady C. Do IRBs Protect Human Research Participants? J Am Med Assoc 2010; 304(10):1122-1123.

Ulrich CM, Taylor C, Soeken K, O'Donnell P, Farrar A, Danis M, Grady C. Everyday ethics: ethical issues and stress in nursing practice. J Adv Nurs. 2010 Nov; 66(11):2510-19.

Stunkel L, Benson M, McLellan L, Sinaii N, Bedarida G, Emanuel E, Grady C. Comprehension and Informed Consent: Assessing the Effect of a Short Consent Form. IRB: Ethics & Research, 2010, 32(4): 1-9

Henderson DK, Dembry L, Fishman NO, Grady C, Lundstrom T, Palmore TN, et al. SHEA guideline for management of healthcare workers who are infected with hepatitis B virus, hepatitis C virus, and/or human immunodeficiency virus. Infect Control Hosp Epidemiol. 2010 Mar.31(3):203-32

Ulrich C, Hamric A, Grady C. Moral Distress: a Growing Problem in the Health Care Professions? The Hastings Center Report 2010; 40(1): 20-22.

Beskow L, Grady C, Iltis A, Sadler J, Wilfond B. Points to Consider: The Research Ethics Consultation Service and the IRB, IRB: Ethics & Research 2009, 31(6): 1-9.

Grady C, Edgerly M. Science, Technology, and Innovation: Nursing Responsibilities in Clinical Research, Nursing Clinics of North America 2009; 44: 471–481

Shah S, Elmer S, Grady C. Planning for Post-trial Access to Antiretroviral Treatment for Research Participants in Developing Countries. American Journal of Public Health 2009; 99(9): 1-

Fojo T, Grady C. How Much Is Life Worth: Cetuximab, Non – Small Cell Lung Cancer, and the $440 Billion Question. Journal of the National Cancer Institute 2009, 101 (15): 1-

Lazovski J, Losso M, Krohmal B, Emanuel EJ, Grady C, Wendler D Benefits and burdens of participation in a longitudinal clinical trial. Journal of Empirical Research in Human Research Ethics 2009 Sep;4(3):89-97.