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Nursing Research Networking
1.
NYU Rory Meyers College of Nursing Nursing Research Networking Study Consent Form for IRB-FY2019-3013
You have been invited to take part in a research study to learn more about the structure, process, and outcomes of nursing research and translation conducted by members of a U.S. regional nursing research society. This study will be conducted by Robin Klar, NURSING - College of Nursing (NURSING), Rory Meyers College of Nursing, New York University
If you agree to be in this study, you will be asked to do the following:
• Review the study flyer
• Read the consent form
• Consent to participate in the study
• Complete an on-line or paper and pencil survey
• Push submit button for on-line survey or deposit in locked box if participating in paper and pencil survey.
Participation in this study will involve 10 minutes. There are no known risks associated with your participation in this research beyond those of everyday life..
Although you will receive no direct benefits, this research may help the investigator understand the structure, process, and outcomes of nursing research and translation conducted by members of a U.S. regional nursing research society. .
Confidentiality of your research records will be strictly maintained by The on-line survey is password protected and the researcher is the only person with the password. The paper and pencil survey, once completed, will be placed into a locked box by the participant. The locked box will remain in the custody of the researcher. Information not containing identifiers may be used in future research, shared with other researchers, or placed in a data repository without your additional consent.
Participation in this study is voluntary. You may refuse to participate or withdraw at any time without penalty. For interviews, questionnaires, or surveys, you have the right to skip or not answer any questions you prefer not to answer.
If there is anything about the study or your participation that is unclear or that you do not understand, if you have questions or wish to report a research-related problem, you may contact Robin Klar at 212-992-7013, rtk3@nyu.edu, 433 1st Avenue, New York, NY 10010.
For questions about your rights as a research participant, you may contact the University Committee on Activities Involving Human Subjects (UCAIHS), New York University, 665 Broadway, Suite 804, New York, New York, 10012, at ask.humansubjects@nyu.edu or (212) 998-4808. Please reference the study # (IRB-FY2019-3013) when contacting the IRB (UCAIHS).
You have received a copy of this consent document to keep.