Advance Nursing Research: EBP GRAND PROPOSAL ASSIGNMENT

University - College PMHNP

Informed Consent to be in Mental Health.

Primary Iinvestigator: Manny

Overview

Please look through this form with care. You have been invited to be in an investigation study of looking at the role played by stigma or disgrace in influencing the mental health patients from seeking help and how this has affected the measures or programs created to help the mental health patients. You were selected to be in this study because you have the information we need. You are not eligible to participate if you are not comfortable giving any kind of information. You may ask any questions you have to any person you are comfortable with before you decide to participate. You will be given a copy of this consent sheet.

Intention of the investigation

The reason for undertaking this research investigation is to look at how far stigma or disgrace has influenced mental health patients from seeking help. This will be possible through looking at the measures or programs that have been put in place to help the patients and also finding out whether these programs are being used and also by finding out if there are people that more discouraged from seeking help due to stigma or disgrace.

What Will take place in the investigation?

If you decide to participate in this research investigation, we will require you to be present during the interview or give you questions to fill. The task will take place over two days. It will consist of two interviews and will take 30 minutes per interview. During this period, we will either call you to come at the scheduled place, Veteran Connection facility or come to you at your convenience time and place.

Benefits

Your participation will help in finding the answer to the research question. Also, the research could be used in the future to address the issue of stigma. There will be a level of awareness created especially among the participants regarding what the study is trying to address. There are no expected direct benefits to either the society or the participant.

Discomforts and risks associated with this Study

There will be no expected risks.

Payments

Your participation in this research will be voluntary and therefore there will be no any incentives for participating in the research investigation.

Costs

No cost will be used when participating in the research investigation.

Choosing to participate and Choosing to withdraw from the investigation

You have a right to choose whether you will participate in this research investigation. If you decide not to participate, it will not impact your future or current associations with Regis. You have a freedom to refuse to respond to any questions or withdraw at any point, for any reason. There will be no penalty for withdrawing or not being part of the study. Whether you are a student or an employee, if you decide to participate or not will not influence your academic or employment status. It is a right to choose whether to participate or not and therefore there will be no consequences if you withdraw at any moment.

Being Released from the research investigation

The investigator may discharge you from the investigation at any point due to the following reasons: (1) if you are distressed or have health issues (2) you have not obeyed the stated instructions, or (3) if you have an emergency that must be attended to.

Confidentiality

The information recorded will be kept with at most secrecy. Any information collected from you will be put away. The records will be put locked away and also any electronic records will be protected using a password to ensure security. Apart from the researcher, the research sponsor and the supervising lecturer will also be able to view the records. Upon completing the research fully, the records will be completely destroyed by incineration and any electronic information will be completely formatted. Instead of using names the information will contain numbers and therefore the responses will be anonymous to hide your identity. The responses will be combined with other participants’ data and therefore the information gathered is for the general participants. Also, in the case of publishing the reports, no information will make it possible for your identity to be revealed.

Questions and Contacts

The investigator doing this investigation is: Manny. The investigator will be present to respond to any questions about the investigation at Ph. 786.000.0000 and -------gmail.com. For any concerns or questions concerning your rights, you can communicate with the UNIVERSITY Institutional Review Board Chair:

Dr. Margarettttttt, PhD, RN

781-000-0000

[email protected]

Certificate of Consent

Grownup Participant Informed agreement

I have looked at this sheet (or have had it translated to me). I also have been urged to raise any questions. I have gotten responses to my questions. I agree to be in this investigation. I have gotten (or will get) a copy of this sheet. I recognize the discomforts and risks related to the above investigation and know that I may withdraw from the research investigation at any point without consequences.

Signature or Date

[Grownup Participant Informed Agreement]

Printed Name for the Participant: ____Karen ___

His or Her Signature: Karen Date: 02/21/2020

[translator for those Not speaking English]

Translator Printed Name: ___________________________________

Translator Signature: ___________________________________ Date: __________

[Authorized Representative for the Participant]

Participant’s Name (Printed): ___________________________________

Authorized Representative’s Name (Printed): ___________________________________

Authorized Representative’s Signature: ___________________________ Date: __________

Eyewitness’ Name (printed): ___________________________________

Eyewitness’ Signature: ___________________________________ Date: __________

FEEDBACK COMMENTS:

Feedback comments

Good work. 100/100 1. good overview 2. make sure to use 1-2 syllable words. 3. cover some potential questions or topics for the interviews should be provided.  4. all research has risks.  privacy? confidentiality?

References

University of Michigan. (2018). Informed Consent Guidelines & Templates. Retrieved from https://research-compliance.umich.edu/informed-consent-guidelines

World Health Organization. (2020). Templates for informed consent forms. Retrieved from https://www.who.int/ethics/review-committee/informed_consent/en/