Dear Fellow Emergency Department Nurse:
Affiliation/Purpose/Voluntary Nature
I am a doctoral candidate at Seton Hall University, College of Nursing in New Jersey and I would like to invite you to participate in a voluntary study I am conducting about the relationship between moral distress and coping in Emergency Department (ED) nurses. Your responses will add new and important information to understanding the effect that coping has on moral distress in ED nurses.

The survey consists of three surveys the first is a short questionnaire pertaining to demographic and work-related items. The second survey Moral Distress Scale Revised (MDS-R) survey, which is a 21 -item Likert-type scale with one optional open-ended question and two yes and no questions (Hamric, Borcehers & Epstein, 2012). The third is the COPE Inventory, which is a 60 item-Likert-style scale (Carver, Scheier & Weintraub, 1989). You should be able to complete these surveys in approximately 20 minutes and submit them electronically within Survey Monkey©.

The risks to you participating in this study are no more than the risks of every day nursing practice, but if you feel uncomfortable in any way after completion of the survey, please contact your hospital’s Employee Assistance Program (EAP) or your primary care provider. You will not receive any compensation for participating in this study and the only alternative is to not participate in the study.

The Survey Monkey format is designed to ensure that your data will be confidential and submitted anonymously. Submitted data will not be able to be traced back to participants. To ensure further confidentiality of all responses, the data submitted will be stored only on a memory key and kept in a locked, secure file cabinet in my home office. It will only be available to my research assistant and myself. If you have any questions or concerns, you can contact me at and/or via my cell number, at 732-567-6936.

I hope you decide to participate in this research. If you decide to participate, please click on the link at the bottom of this message. This will provide access to the study materials. Please try to complete the study materials in a one session however, if an interruption is necessary, just, “save and return” and use the same link to access your survey to complete at a later time. Your consent to participate in this study will be implied by your completing and submitting the online survey materials.

Contact Information
Thank you for your time and consideration in helping with this important work! In return for your participation in this study, you will be given access to the study results after completion of the study.
Kathleen Evanovich Zavotsky MS, RN, CCRN, CEN, ACNS-BC
PhD Student
Seton Hall University
South Orange, NJ