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This informed consent form is for the caregivers caring for the elderly
either at home or in a healthcare facility (home for the aged) based in Quezon
Phenomenological Study”.
Introduction
invite you to be a part of this research. Kindly read and answer the questions
and adhere to the terms and conditions regarding your participation in this
study.
of the lived experiences of nurses and caregivers who provide elderly care at
from the target population of nurses and caregivers caring for the elderly and
Participant Selection
Since this study will utilize a qualitative research design, sample size is
design will be used following inclusion criteria: (1) a nurse or caregiver who
has experience of direct care to elderly either at the elderly’s own home or
within a healthcare facility (home for the aged); and (2) shows willingness to
Voluntary Participation
The nurses or caregivers are invited to take part in this study and their
their choice whether to participate or not. The choice that they will make will
have no bearing to any aspects of the personal and professional life. They
may change their mind later and withdraw their participation even if they
agreed earlier.
to the research study. The study procedures will be discussed thoroughly, the
duration of the study, as well as the risks and benefits of the study.
Afterwards, questions will be entertained in connection with the study for the
the consent form if they are willing to participate in the study in the absence
of coercion or threat. If they will voluntarily sign the consent and participate
which they will answer questions relating to the purpose of the study.
Duration
This research study will take place from August 2019 until December
2019. Accomplishing the instrument will only require at least (1) one to (1 ½)
Risks
respective elderly patients/ clients. They do not have to answer any questions
in the instrument if you don’t wish to do so, and that is also fine. They do not
Benefits
They will not be provided any incentive for taking part in this research.
Confidentiality
All information that will be provided in this research study will be kept
confidential and will be used only for the conduct of the research. All
information will stay put on the researcher and no other people will have
the research will only be used for the purpose of partial fulfillment of
Science in Nursing program under the College of Nursing and Allied and
the name of the facility and the names of participants will not be shared in
Results of the study will be explained to you and a copy of the study
will be given to the participants as per their request. Likewise, we will also
provide the elderly facilities in Quezon Province a copy of our results and
research. Confidential information will not be shared. The results of the study
will likewise not be shared on any social media platform. A copy of the study
will only be provided for our research adviser and the four (4) panelists during
our thesis defense as well as a copy for the College of Nursing and Allied
not be shared outside of the College of Nursing and Allied Health Science and
Right to Refuse
The nurses and caregivers may not participate in this research if they
do not feel comfortable to do so and refusing to participate will not affect any
aspect of their personal and professional life. They will still enjoy and have
the benefits and privileges that they have despite of not partaking in this
study. They may also withdraw their participation in this research study in
any phase or any time that they feel like uncomfortable without losing any of
Who to Contact
If you have any questions, you can ask me now or feel free to contact
task is to make sure that research participants are protected from harm.
Part II: Certificate of Consent
Likewise, I have read and understand the foregoing information thus; it was
read and explained to me by Ms. Siena Kathleen V. Placino and Mr. Joshua
ask questions about this study and all questions I had asked has been
Date: ________________________
respondent, and to the best of my ability made sure that the respondent
questions about the study, and all questions asked by the respondent have
been answered correctly to the best of my ability. I also confirm that the
individual has not been coerced upon giving consent, and the consent has
been given freely and voluntarily. Thus, a copy of this informed consent form
_______________________
Date: ___________________________
_______________________
Date: ___________________________