You are invited to be part of a research study. The researcher is a Master of Public Health (MPH) student at Monroe College. The information in this form is provided to help you decide if you want to participate. The form describes what you will do during the study and the risks and benefits of the study. If you have any questions or do not understand something in this form, you should ask the researcher. Do not sign this form unless the researcher has answered your questions and you decide that you want to be part of this study. The researcher wants to learn about nurses’ perceptions of restraint use differ by nurses’ work experience. You are invited to be in the study because you are a women age 18 and older and employed as a nurse in New York City.



If you do not meet the description above, you are not able to be in the study. Approximately 150 participants will be in this study. The researcher is not receiving funds to conduct this study. You do not have to pay to be in the study.



If you decide to be in this study, your participation will last about 15 minutes.



While you are in the study, you will be expected to:



Follow the instructions you are given.

Tell the researcher if you want to stop participating in the study at any time.

Participating in this study will not help you specifically. However, information from this study might help researchers help others in the future.



The researcher will keep the information you provide confidential. The researcher, researcher’s supervisor, and dissertation committee will have access to your study data. Additionally, Monroe College’s IRB, or its designees may review your research records.



Please contact the MPH student Anyelis Francisco at Afrancisco3329@monroecollege.edu/862-235-7509 if you have any other question(s) or concern(s) about this informed consent form which you need to have answered before signing it.



I have read this form, and I have been able to ask questions about this study. The researcher has spoken with me about this study. The researcher has answered all my questions. I voluntarily agree to be in this study. I agree to allow the use and sharing of my study-related records as described above. By signing this form, I have not given up any of my legal rights as a research participant.

OK