What is the Prevalence of Burnout Among Nurse Practitioners?

Morningside College Consent to Participate in a

BIOMEDICAL Research Study

Title:   What is the Prevalence of Burnout Among Nurse Practitioners in Iowa?

Principal Investigator: Michaela Anderson

Contact Information:            Phone: 402-321-5150 Email: Andersonmi@morningside.edu

Faculty: Dianna Sorenson, PhD Phone: 605-201-4159 Email: sorensond@morningside.edu                                                                         Statement of Research

It is a principle of biomedical research that a subject who is to participate in the research investigation of biomedical research must give his or her informed consent to such participation.  This consent must be based on the understanding of the nature and risks of the treatment, equipment used, and procedures.  This document provides information important for this understanding. Please take your time to make your decision. If at any time you have questions, please ask.


You are invited to be in a research study that examines the prevalence of burnout among nurse practitioners.


You are being invited to participate in this study because you are an ARNP.  You must hold an active license to participate.  If you hold a higher degree of learning or additional degrees you may still participate as long as your nurse practitioner license remains active.  You are not eligible for this study if you are under 18 years old.

How long will I be in the study?

The time for your participation in the study takes approximately ten minutes.  Your contribution is through an online, anonymous survey.  Your contribution ends when you either withdraw from the survey or complete the survey.

What will happen during the study?

 During this study you will be asked 35 questions.  The first five questions will be about your work life such as hours worked, patients seen per shift.  The remaining 30 questions are a questionnaire that will measure burnout and compassion fatigue, called the Professional Quality of Life Elements Theory and Measurement. The survey will be conducted through Survey Monkey®, which is able to keep your information anonymous.  Survey Monkey® is an independent site from where you received the invitation to participate in this study.  This means that none of the answers will appear on the website, the results will be collected and sent directly to the researcher.  The researcher will have no way to identify who completed the survey or where the results came from.  There are no experimental procedures in this study.  If you feel uncomfortable answering any of the questions, you may skip.  Please answer the questions to the best of your ability. You may withdraw from the study at any time.

What are the risks of the study?This study has minimal risk, as there are no foreseeable risks to you in this study.  There will be no financial, occupational, or professional risk for you.  Your employment will not be affected as there is no information related to your location or place of employment that would indicate your identity.  You affiliation with Iowa Nurse Practitioner Society will not be affected by this study.


What are the benefits of this study?

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 nurse practitioners as a whole are understudied in burnout, and this population is well deserving of their own research due to the unique background of the nurse practitioner.

Is being in this study voluntary?

Your participation is voluntary. You may refuse to participate or you may discontinue your participation at any time without consequence.  Your decision whether or not to participate will not affect your current or future relations with Morningside College or Iowa Nurse Practitioner Society.

Will my records be kept confidential?

The records of this study will be kept confidential to the extent permitted by law.  If any report about this study is published, you will not be identified.  Your study record may be reviewed to the extent permitted by law and by 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 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 Internal 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 am willingly participating in this research. I have read the above information and understand that by completing this questionnaire, my consent to participate is implied. By clicking on the yes button on the first question, I agree to participate in this study and can begin the questionnaire.

Question Title

* 1. I have read the above information and understand that by completing this questionnaire, my consent to participate is implied, and I am willingly participating in this research. By clicking on the “yes” button below, I am giving my implied consent to participate in this study and can proceed complete the questionnaire.

Question Title

* 2. I am a licensed nurse practitioner