One University Boulevard St. Louis, Missouri 63121-4499 Telephone: 314-516-6066 Email: [email protected]
Informed Consent for Participation in Research Activities
Empowering Nurses of Minority in the Face of Incivility and Bullying
Participant ---____Corrine Floyd MSN, RN______ HSC Approval Number __
Principal Investigator __Corrine Floyd MSN, RN_____ PI’s Phone Number _573- 721-3967
Summary of the Study
My name is Corrine Floyd MSN, RN, and I am completing this research study under the supervision of faculty advisor, Dr. Julie Bertram, at the College of Nursing at the University of Missouri-St. Louis.
I ask that you read this form and ask any questions you may have before agreeing to be in the research.
You are invited to participate in a research study about nurses who represent minorities. The study explores the experiences of empowerment in comparison to incivility and bullying in the workplace.
Your participation in this research is voluntary. You are free to withdraw at any time. The duration of this research is for two weeks. If you agree to participate, you will be contacted up to four times by email. The first email will be sent to confirm participation and to arrange an interview. You will complete one electronic survey (10-minutes), one interview (up to one hour), and will be contacted to verify information following the interview. There is a monetary incentive provided after completion of the interview in the form of a $20 e-gift card sent directly to the participant’s email by the Principal Researcher.
There is minimal risk associated with this research. The degree of discomfort is subjective and is likely to be low. There may be subjective discomfort in sharing personal and sensitive information and the potential for a breach of confidentiality. There are no direct
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benefits for participation. If you decide to participate, you are free to withdraw at any time. There are not alternative procedures for the study.
2. a)The total length of time for the study will be a two-week time period the following steps will be followed if you choose to participate in the study.
• You will receive an initial letter of invitation to the study
• At the end of the letter, a link to a 10-minute demographic and (WIS) is attached to the invitation. By clicking on the survey, you are consenting to take the survey. This is explained in the invitation letter and listed at the top of the survey. The survey is used as a screener to test participant’s for workplace incivility. • If you test positive for incivility in the workplace, you will be sent a calendar link to arrange a one-hour interview at your convenience, and a signed consent form to participate in the study and proceed with the interview.
• You will choose the date, time, and kind of interview per your preference. (You will pick choices in the first survey of face-to-face, Skype, Zoom, cellphone, cell phone texting, email, or by the United States Postal Service mail for the interview). Face-to-face, Skype, Zoom, or cell phone interviews will be recorded or videotaped for transcription purposes for the study. The interview will be a series of questions to ask the participant about their experiences of incivility, bullying, and empowerment in the workplace for approximately a one-hour duration based on the participant’s’ responses.
• The last contact will be through email with the conclusion of the study. As part of the data analysis method, the participant will voluntarily be able to confirm the transcription and conclusion of the study.
Approximately 15 people may be involved in this research at the University of Missouri- St. Louis.
b) The amount of time involved in your participation will be 10 minutes for the survey, one hour for the interview, 10 minutes for scheduling an appointment, and 30 minutes after the interview to complete a review of the themes. There is a monetary $20 e-gift card after the interview is completed.
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3. There is minimal risk associated with this research, which may include discomfort sharing experiences of incivility and bullying in the workplace. The degree of discomfort is subjective and is likely to be low. There may be subjective discomfort in sharing personal and sensitive information. Discomforts may be related to sharing experiences of incivility and bullying. If you become significantly uncomfortable with being interviewed, you may elect to stop participating in the study at any time. There may be potential for a breach of confidentiality using email or other researchers reading or viewing the recordings. Confidentiality will be strictly maintained during and after the study, and participant’s will remain anonymous during and after the study concludes.
4. There is a monetary incentive provided after completion of the interview in the form of a $20 e-gift card sent directly to the participant’s email by the Principal Researcher. Other possible benefits in this study are to help nurses improve the workplace for minority registered nurses and provide education, knowledge, and give a voice to minority nurses based on their experiences of incivility, bullying, and empowerment in the workplace. 5. In this study, there is no clinically relevant research result. As part of the data analysis method, using Colaizzi’s seven-step method, the participant’s will be given the opportunity to review the transcription and research results of the study, maintaining all participant’s’ confidential information as anonymous. The findings of the study will be available for the participant’s at the conclusion of the study.
6. Your participation is voluntary, and you may choose not to participate in this research study or withdraw your consent at any time. You will NOT be penalized in any way should you decide not to participate or withdraw.
7. We will do everything we can to protect your privacy. Any information in the recordings or videos will be kept on a password-protected computer. During transcription, names will be replaced with pseudonyms such as “Respondent one” and “Respondent two,” and so forth before the analytic committee viewing the transcription. The participant’s confidential information will not be published nor in the final dissertation. The information includes emails, correspondence, recordings, and files; all will be preserved in locked storage and under a password-protected computer.
An email not linked to the participant’s organization or associations email is requested at the end of the WIS after it is completed to give the participant confidentiality to use private
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email to remain anonymous. All emails from participant’s to the Principal Researchers’ emails will be kept confidential and saved on a password-protected computer.
All interviews recorded through participant’s’ choice of face-to-face, Zoom, Skype, or cell phone will be kept confidential on the Principal Researchers password-protected computer. The interviews will be transcribed, and participant’s will be given numbered pseudonyms of respondent one, respondent two, etc. before the data analysis to protect personal identity. As part of this effort, your identity will not be revealed in any publication that may result from this study. In rare instances, a researcher's study must undergo an audit or program evaluation by an oversight agency (such as the Office for Human Research Protection) that would lead to the disclosure of your data as well as any other information collected by the researcher.
8. If you have any questions or concerns regarding this study, or if any problems arise, you may call the Investigator, Corrine Floyd 573-721-3967, [email protected], or Faculty Advisor, Dr. Julie Bertram [email protected]. You may also ask questions or state concerns regarding your rights as a research participant to the Office of Research at 314- 516-5897.
I have read this consent form and have been given the opportunity to ask questions. I will also be given a copy of this consent form for my records. I hereby consent to my participation in the research described above.
________________________________ _________________________
Participant’s Signature Date
_______________________________ _________________________ Signature of Investigator or Designee Date
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Appendix I: Introduction after the survey was completed and prior to the interview
Thank you for completing this survey. My doctoral dissertation study focuses on your experiences as a minority registered nurse of incivility, bullying, and empowerment experiences in the workplace. I am requesting your participation in an interview in the study titled “Empowerment of Nurses of Minority in the Face of Incivility and Bullying.” The feedback you provide in this study will allow me to give a voice to minority nurses experiencing incivility or bullying in the workplace and give insight to empowerment experiences that need to be shared, so we can support our minority nurses in the workplace.
It is estimated it will take an hour to complete the interview. I have provided a link to Doodle poll to coordinate calendars or you may contact me via email directly to arrange a time for the interview. The interview will be per your choice of phone, web conferencing, email, cell phone texting or mail. While every effort will be made to keep confidential all of the information you complete and share, it cannot be absolutely guaranteed. Individuals from the University of Missouri-St. Louis Institutional Review Board (a committee that reviews and approves research studies), the Principal Researcher and supervisor chair Dr. Julie Bertram PhD, RN, will protect your identity with the utmost caution. Recorded phone or video/web conferencing conversations are transcribed by the Principal Researcher and then a pseudonym replaces the name of each participant. Interviews may be pulled to ensure accuracy of the transcription, however; the identity of each participant is protected, and information will be deleted after five years of the study from the principal researchers password protected computer and files.
After the conclusion of the study you will be contacted one final time through email to read the concluded study to confirm it is accurate as part of the data analysis of the study. The final evaluation will also be voluntary, and the participant may opt out at any time.
If you have questions, please contact Corrine Floyd at (573) 721-3967 or
[email protected]. Dr. Julie Bertram is my faculty chair at the University of Missouri-St. Louis, and she may be reached at [email protected]. If you would like any follow-up information or results from this survey, you may contact me via my email address, as noted above.
Please sign the attached consent to participate in the interview for the study. Thank you, Corrine Floyd MSN, RN
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Appendix J: Instrument Scoring for Workplace Incivility Survey screener