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APPENDIX II Private Bag 11

INFORMATION SHEET

Researcher Introduction

Thank you for your interest in this proposed research project. I am Linda Chalmers, a Registered General & Obstetric Nurse who is currently a full time tertiary student completing a Master of Management (Health Service Management) through the Department of Management, College of Business, Massey University.

This qualitative research project aims at describing the experiences of Nurse Managers’ ethical conflict with their health care organizations, and replicates a study undertaken in Canada in 2002. The findings from this research will facilitate growth in both knowledge and understanding of the phenomenon that is of importance not only for the nursing profession but to other stakeholders in the health sector.

Participant Recruitment

Participants have been recruited with the support and assistance of two professional nursing bodies in New Zealand. Approximately 15 participants will be selected for study who will meet the following criteria:

• Current registration with the Nursing Council of New Zealand

• Current practising certificate issued by the Nursing Council of New Zealand

• At least 1 year experience as a nursing manager in a primary, secondary or tertiary health care organization

Whilst there may be benefits for you associated with reflections on ethical nursing management practice, it may be possible that you experience some psychological distress arising from your recollections and reflections of ethical conflict. If this occurs, then measures will be suggested to help you to cope with this distress.

Participants should be aware that the disclosure of information during interviews that relates to an illegal or unlawful act, may under certain circumstances be subject to referral to the appropriate legal or disciplinary entity.

Should you choose to be a participant in this research you may be reimbursed for the reasonable cost of travel which you incur to attend the research interviews.

Project Procedures

• You will be invited to complete a brief written biographical and professional questionnaire that will gather information required to broadly describe the biographical and professional characteristics of the study group.

• You will be invited to attend a personal interview with me lasting approximately 60-90 minutes. The interview will be tape recorded. The key questions that you will be asked during the interview will include: i) Describe any ethical conflict you have had with your health care organization in your role as a Nurse Manager.

ii) Describe the factors that eased the conflict. iii) Describe the factors that worsened the conflict.

iv) Describe the personal, professional and organizational outcomes resulting from that conflict.

• The tape recording of our interview will later be transcribed to written form by myself. This transcript will be posted to you for verification prior to data analysis.

• All data gathered from interviews or the written questionnaire will be treated with confidentiality. Each participant will be referred to throughout the project by pseudonym or letter. Your name and any other identifiable data or materials will not be available to anyone other than the researcher and the research supervisors identified below.

• A summary of the research will be made available to you at the end of the study.

• A masters thesis will be written from the completed research and may be followed by academic papers, articles or conference materials.

• Data or materials arising from the study will be maintained by the researcher in a secure place throughout the duration of the research project. Once the project is completed, research tapes will be returned to you should you desire or will be securely stored alongside all other research materials arising from data collection and analysis for a period of five years by the Department of Management, Massey University Palmerston North. After this period these materials will be destroyed following usual research protocols.

Participants Rights

You are under no obligation to accept this invitation. If you decide to participate, you have the right to:

• Decline to answer any particular question

• Withdraw from the study

• Provide information on the understanding that your name will not be used unless you give permission to the researcher

• Be given access to a summary of the project findings when it is concluded

• Ask for the audio tape to be turned off at any time during the interview Thank you for your interest in this research project and for taking the time to read this information sheet. If you would like to take part in this research, or you would like to discuss your participation in more detail, please contact me by phone or email at first instance using the following contact details:

Linda M Chalmers

Ph (09) 276 5844

Email: [email protected]

Should you need to, you may also contact the following research supervisors:

• Dr Craig Prichard (Senior Lecturer) Department of Management Ph (06) 3569099 Ext 2244

• Dr Denise Wilson (Senior Lecturer in Nursing/Albany Campus Co-ordinator)

School of Health Sciences

Ph (09) 414 0800 Ext 9070

Ethics Approval

This project has been reviewed an approved by the Massey University Human Ethics Committee: Southern A, Application 06/17. If you have any concerns about the conduct of this research, please contact Dr John O’Neill, Chair, Massey University Human Ethics Committee: Southern A, telephone (06) 350 5799 x 8635, email [email protected].

APPENDIX IV DEPARTMENT OF MANAGEME Private Bag 11 222 Palmerston North New Zealand Telephone: 64 6 356 9099 Facsimile: 64 6 350 5661

NURSE MANAGERS’ ETHICAL CONFLICT WITH THEIR HEALTH CARE ORGANIZATIONS

PARTICIPANT CONSENT FORM

This consent form will be held for a period of five (5) years by the Department of Management, College of Business, Massey University, Palmerston North.

I have read the Information Sheet and have had the details of the study explained to me. My questions have been answered to my satisfaction, and I understand that I may ask further questions at any time.

I agree/do not agree to the interview being audio taped. I wish/do not wish to have my tapes returned to me.

I am aware that disclosure of information during interviews that relates to an illegal or unlawful act, may under certain circumstances be subject to referral to the appropriate legal or disciplinary entity.

I agree to participate in this study under the conditions set out in the Information Sheet.

Signature: ………. Date:………..

Full Name – printed:

APPENDIX V Private Bag 11 222 Palmerston North New Zealand Telephone: 64 6 356 9099 Facsimile: 64 6 350 5661.

Nurse Managers Ethical Conflict with their Health Care Organizations

Biographical and Professional Data of Research Participants

Dear Research Participant,

Thank you for volunteering to participate in this research project and for providing me with your written informed consent to do so. Please complete the following biographical and professional data collection form, and return to the researcher on the day of your personal interview. The information will be utilized to broadly describe the biographical and professional characteristics of the group of participants under study. Please be assured that any unique characteristics that my identify you or your employer will not be included in data analysis, the research report or any other research publication. If you have any questions or concerns about this data collection form or any other aspect of the research please do not hesitate to contact me.

Thank you.

Linda M Chalmers.

(Please complete the form using a biro).

1. Title of your current nursing position and area of practice: ... (position will not be reported).

2. Gender: (please specify)...

3. Age (tick

;

one box): Under 30 years

…

31 - 40 years

…

41- 50 years

…

Over 51 years

…

4. Nursing Qualification(s) (tick

;

one or more boxes):

RGON

…

R Comp Nurse

…

Diploma of Nursing

…

Bachelor of Nursing

…

Other (please specify)………

5. Other completed tertiary qualifications (tick

;

one or more boxes): Bachelors Degree

…

(please specify

type)………

Post graduate certificate

…

(please specify type)………

Post graduate diploma

…

(please specify type)………

Masters Degree

…

(please specify type)………...

Other (please specify)... 6. Please specify any tertiary qualifications that you are currently enrolled in and working towards... 7. How many years in total have you practiced as a registered nurse (tick

;

one box):

Under 5 years

…

6-10 years

…

11-15 years

…

16-20 years

…

21-25 years

…

26-30 years

…

31-35 years

…

36-40 years

…

Over 40 years

…

8. Please list the Nurse Manager positions you have held, including any currently held, the areas of nursing practice of those positions, and how long you have held or had held that position (e.g. - Charge Nurse

Manager, Critical Care, 3 years 6 months; Team Leader, Medical Nursing, 2 years)( you need only specify your last 3 different Nurse Manager positions):

i) Title:...Area of practice:...Years held:...

ii) Title:...Area of practice:...Years held:...

iii)Title:...Area of practice:...Years held:...

9. Please specify the total number of years experience you have as a Nurse Manager:...

APPENDIX VI

Private Bag 11 222 Private Bag 11 222 Palmerston North New Zealand

Telephone: 64 6 356 9099 Facsimile: 64 6 350 5661

NURSE MANAGERS ETHICAL CONFLICT WITH THEIR HEALTH CARE ORGANIZATIONS

INTERVIEW SCHEDULE

Participants will be interviewed utilizing a semi-structured and an open- ended method based on the following four questions:

1).Describe any ethical conflict you have or have had with your health care organization in your role as a Nurse Manager.

2) Describe the factors that eased the conflict. 3) Describe the factors that worsened the conflict.

4) Describe the personal, professional and organizational outcomes resulting from that conflict.

The definition of ethical conflict provided for participants if required will be:

• Any situation where the nurse managers’ values differed from or clashed with those of the health care organization and the nurse manager experienced conflict as a result (Gaudine & Beaton, 2002).

Gaudine, A. P., & Beaton, M.R. (2002). Employed to go against one’s values: Nurse managers’ accounts of ethical conflict with their organizations. Canadian Journal of Nursing Research, 34, (2):17-34.