Informed Consent

Morningside College Consent to Participate in a NON-BIOMEDICAL Research Study 

Title:   Self-Reported Nutrition Counseling Among Nurse Practitioners in Primary Care Settings Across Nebraska, Utah, and South Dakota.

Faculty Sponsor Information: Dr. Dianna Sorenson
Email: sorensond@morningside.edu

Principal Student Investigator: Spencer Zimmerman BSN, RN
Contact Information:  Email: SZ0005@morningside.edu     Phone: (801) 623-9877                                                          

Introduction

You are invited to participate in a research study about nutrition counseling practices of Nurse Practitioners in primary care settings.  Any individual who is currently licensed as a Nurse Practitioner and practices in a primary care setting may participate. 

WHAT WILL HAPPEN DURING THIS STUDY?

The survey will contain 25 questions about demographics and nutrition counseling.  It should take no longer than 5-10 minutes to complete. If there are any questions that you would prefer to not answer, you are free to skip the question and continue with the remainder of the survey except the first question.  The survey will not be posted on the online chat group and no information that can be used to identify you will be collected.  The Survey Monkey questionnaire site does not collect or release any identifiable information.  

WHAT ARE THE RISKS AND BENEFITS OF THE STUDY?

There are minimum risks associated with participation.  The risks are not any higher than any electronically created and stored file.  Breaches to the website may occur and information could be released as a result.  Once again, this risk is not any greater than any protected website source.  The risks are minimized due to the survey not collecting any identifiable data and the large geographic area that the participants may reside in. 

You may not benefit personally from being in this study.  However, we hope that, in the future, other people might benefit from this study because the results may be used to provide better education on nutrition topics or promote reimbursement policies geared towards a disease prevention and health promotion model. 

PARTICIPATION AND CONFIDENTIALITY
Your participation is completely voluntary and may be discontinued at any time.  The records of this study will be kept confidential to the extent permitted by law.  In any report about this study that might be published, you will not be identified.  Your study record may be reviewed to the extent permitted by law and the Morningside College Institutional Review Board. An IRB is a group of people who review the research to protect your rights.  

WHOM MAY I CONTACT IF I HAVE QUESTIONS?

You may ask any questions you have now or later about this research. Please use the faculty sponsor and/or investigator contact information listed above to ask any questions you may have later.
 
If you have any questions regarding your rights as a participant in this research and/or concerns about the study, or if you feel under any pressure to enroll or to continue to participate in this study, you may contact the Morningside College Institutional Research Review Board and you may ask more questions about the study at any time. For questions please contact Dr. Jessica Pleuss, chair of the IRRB at irrb@morningside.edu or 712-274-5292.
 
-You may also call this number to discuss or report any problems, complaints, or concerns you have about this research study.

-You may also call this number if you cannot reach research staff, or you wish to talk with someone who is independent of the research team.
 
FINAL LIABILITY WAIVER STATEMENT

I have read and understand the above information.

By clicking on the "yes" button below, you are giving your implied consent and are willingly participating in this study, and can proceed to the questionnaire.

Question Title

* 1. By clicking "yes" you are giving your implied consent to participate in this study and are willingly participating in this study, and can proceed to the questionnaire.

Question Title

* 2. Are you a Nurse Practitioner in a primary care setting?

T