PROYECCIÓN DE LA POBLACIÓN (Millones de habitantes)

Participant ---_______________________________________HSC Approval Number ________

Principal Investigator __Shawne M. Manies__________ PI’s Phone Number 636-357- 7769

Why am I being asked to participate?

You are invited to participate in a pilot study about student nurses of English Language Learner (ELL) populations, and your experiences in taking National Council Licensure Examination for Registered Nurses (NCLEX-RN) style questions. You are currently an undergraduate student in a nursing program. We ask that you read this form and ask any questions you may have before agreeing to be in the research. Your participation is voluntary and will not affect your current or future relations with the university. If you decide to participate, you are free to withdraw at any time without affecting that relationship.

What is the purpose of this research?

The purpose of the research study is to learn how you as a student nurse of an ELL population, experience NCLEX-RN style questions in the United States.

What procedures are involved?

If you agree to participate in this research, you can expect:

● You will be asked to participate in an in-person one-on-one interview.

● The interviewer will ask you questions about your experiences while answering NCLEX-RN style questions.

● The interview will last from around 15 minutes to an hour or so, depending on what you have to say. You are free to end the interview at any time.

● An example of some of the questions that will be asked: Can you think of a time when you were answering a NCLEX-RN style question and struggled to

understand what it was asking? Can you walk me through your process of answering a NCLEX-RN style question?

● Your voice will be recorded during the interview, and this is required to participate in the study

What are the potential risks and discomforts?

There are certain risks and discomforts that may be associated with this research. They include:

● Psychological or emotional discomfort may occur after talking about your thoughts and feelings surrounding your experience.

● There is a risk that your confidentiality will be broken, although I will do everything in my power to keep your identity secure and confidential.

Are there benefits to taking part in the research?

There are no direct benefits to you from being in this study.

What about privacy and confidentiality? Will my information be kept private?

The data for this study will be kept confidential to the extent allowed by federal and state law. No published results will identify you, and your name will not be associated with the findings. Under certain circumstances, information that identifies you may be released for internal and external reviews of the project. Reports of intentions to harm yourself or others must be reported by law.

● Each person that participates in the study will be given another name by the interviewer so that you can remain anonymous

● Any information with your name on it and your voice recording will be kept separately from the de-identified written form of the interview

● The interview will be transcribed by an experienced transcriptionist, who will take out the names and places or identifying information. Before each interview, you will be asked for permission to record the interview

● The voice recordings will be kept on a password-protected computer in the home of the primary investigator until the interview is transcribed and checked for accuracy by the PI.

● The de-identified transcribed interviews will be kept in a locked cabinet in the home of the primary investigator

● The following people will have access to the voice recordings and typed anonymous interview:

All researchers and research staff (Shawne Manies, Roxanne Vandermause, other professionals in hermeneutic analysis, and the transcriber). When we tell other people or write the study’s

findings, we will not include your name. The voice recording for this study will be destroyed immediately after transcription is completed and verified. The anonymous paper copies will be kept indefinitely for further learning purposes. The only people who will know that you are a research subject are members of the research team. No information about you, or provided by you during the research, will be disclosed to others without your written permission, except:

● If necessary to protect your rights or welfare (for example, if you are injured and need emergency care or when the University of Missouri-St Louis Institutional Review Board monitors the research or consent process); or

● If required by law.

When the results of the research are published or discussed in conferences, no information will be included that would reveal your identity. If photographs, videos or audiotape recordings of you will be used for educational purposes, your identity will be protected or disguised. Any

information that is obtained in connection with this study, and that can be identified with you, will remain confidential and will be disclosed only with your permission or as required by law. Do you already have contact restrictions in place with UM-SL? [ ] Yes [ ] No

(Example: no calls at home, no messages left for you, etc.)

Please specify any contact restrictions you want to request for this study only.

What if I am injured as a result of my participation?

If you suffer an injury in the presence of the investigator, the investigator will assist you in seeking emergency services. If you suffer an injury in the absence of the investigator, you are responsible for seeking emergency services. You or your third-party payer, if any, will be responsible for payment of treatment.

What are the costs for participating in this research?

None