- 1. Flinders University and Southern Adelaide Local Health
Network SOCIAL AND BEHAVIOURAL RESEARCH ETHICS COMMITTEE Research
Services Office, Union Building, Flinders University GPO Box 2100,
ADELAIDE SA 5001Phone: (08) 8201 3116Email: human.researchethics
@flinders.edu.auAPPROVAL NOTICEPrincipal Researcher:Mr Jamie
RanseEmail: [email protected]:School of Nursing
and MidwiferyProject Title:The lived experience of Australian
civilian nurses working in the out-of-hospitaldisaster
environmentApprovalApprovalProject No.:5423 10 October 2011 31
December 2015Date: Expiry Date:The above proposed project has been
approved on the basis of the information contained in
theapplication and its attachments.Please ensure that any
permission letters (item D8) that are required by the Committee
areforwarded as soon as possible. Additionally, for projects where
approval has also been soughtfrom another Human Research Ethics
Committee (item G1), please be reminded that a copy of theethics
approval notice will need to be sent to the Committee on receipt.In
accordance with the undertaking you provided in your application
for ethics approval for theproject, please inform the Social and
Behavioural Research Ethics Committee, giving reasons, ifthe
research project is discontinued before the expected date of
completion.You are also required to report anything which might
warrant review of ethical approval of theprotocol. Such matters
include: serious or unexpected adverse effects on participants;
proposed changes in the protocol (modifications); any changes to
the research team; and unforeseen events that might affect
continued ethical acceptability of the project.To modify/amend a
previously approved project please either mail or email a completed
copy ofthe Modification Request Form to the Executive Officer,
which is available for download
fromhttp://www.flinders.edu.au/research/info-for-researchers/ethics/committees/social-and-behavioural-research-ethics-committee/notification-of-committee-decision.cfm.
Please ensure that any new oramended participant documents are
attached to the modification request.In order to comply with
monitoring requirements of the National Statement on Ethical
Conduct inHuman Research (March 2007) an annual progress and/or
final report must be submitted. A copyofthepro formais available
from
http://www.flinders.edu.au/research/info-for-researchers/ethics/committees/social-behavioural.cfm.
2. Your first report is due on 10 October 2012 or on completion
of the project, whichever is theearliest. Please retain this notice
for reference when completing annual progress or final reports.
Ifan extension of time is required, please email a request for an
extension of time, to a date youspecify, to
[email protected] before the expiry date.Andrea
MatherExecutive OfficerSocial and Behavioural Research Ethics
Committee18 October 2011Cc: Prof Paul Arbon,
[email protected] Lynette Cusack,
[email protected] 3. Administrative Section1. TITLE
AND SUMMARY OF PROJECT1.1. Title1.1.1 What is the formal title of
this research proposal? The lived experience of Australian civilian
nurses working in the out-of-hospital disaster environment1.2.
Description of the project in plain language1.2.1 Give a concise
and simple description (not more than 400 words), in plain
language, of the aims of thisproject, the proposal research design
and the methods to be used to achieve those aims.The literature
pertaining to disaster health is growing. Similarly, the literature
specifically pertaining to nursesin the disaster health environment
is growing; however, this is primarily focused on [1] descriptive
accountsof disasters, [2] the development and implementation of
disaster competencies to guide education andtraining programs, and
[3] psychological topics, such as post-traumatic stress disorder
and post-traumaticgrowth. Historically, Australian nurses have been
active participants in the response and recovery to healthcare
disasters, both nationally and internationally. Initially, the
response to disasters was organized in ahaphazard manner, as
clinicians with little out-of-hospital experience were recruited as
responders to theseevents. With this in-mind, the process for
deploying Australian nurses to disaster has become more
rigorous.This is primarily due to the increasing impact of
disasters in the oceanic region. However, the experience
ofAustralian nurses who participate in disasters remains poorly
understood. Having a better understanding ofthe experience of
Australian nurses in disasters, may assist in the further
development of curriculum, policyand resources to support
nurses.Using a hermeneutic phenomenological methodology, this
project will explore the lived experience ofAustralian civilian
general registered nurses (division 1) working in the
out-of-hospital disaster environment.In particular, this project
will explore the transferability of nurses experience between the
in-hospital andout-of-hospital disaster environment. Participants
will be recruited by using a snowballing purposivesampling
technique. Data will be collected in individual in-depth interviews
and thematically analyzed.Commercial-in-Confidence Page 2 of 23 4.
3. RESOURCES3.1. Project Funding / Support3.1.1. Indicate how the
project will be funded3.1.1... Type of funding.[Please note that
all fields in any selected funding detail column (with the
exception of the code) will need tobe completed.] External
Competitive Sponsor By Researchers GrantDepartment
orOrganisationName of Grant / SponsorRoyal College ofFlinders
UniversityUniversity of Canberra Nursing, AustraliaAmount of
funding$10,000 $4,500 In-kindConfirmed / Sought
SoughtConfirmedConfirmedDetail in kind support If successful,
fundingThese funds arePrimarily in relation to will provide an
provided by Flinders time release and opportunity to attend
University as a stipend. administrative face-to-face interviews
These funds will infrastructure. See in the research provide
assistance in below (3.1.1.2) for participants city ofattending
regularmore details residence, and for thesupervisory meetings,
transcription of theseattendance at interviews. conferences to
present outcomes from this research, and to purchase a Flinders
University laptop computer.Indicate the extent to which the scope
of this This funding is alinged This funding is alinged This
funding is alingedHREC application and grant are aligned with the
scope of this with the scope of this with the scope of this
project.project.project.3.1.1... How will you manage a funding
shortfall (if any)? The funding shortfall will primarily be in the
area of research time and administrative infrastructure.Partial
time to conduct and complete this research will be provided by the
University of Canberra. As anacademic staff member of the
University of Canberra, research time is considered a part of the
researcherwork. As such, the researcher will undertake this work
during this research time. Additionally, theresearcher will utilise
personal time to complete this project.Similarly, administrative
infrastructure, such as printing, stationary and computer access
will be provided bythe University of Canberra.3.1.2 Will the
project be supported in other ways eg. in-kind support/equipment by
an Noexternal party eg. sponsor3.2. Duality of Interest3.2.1
Describe any commercialisation or intellectual property
implications of the funding/supportarrangement.Nil3.2.2 Does the
funding/support provider(s) have a financial interest in the
outcome ofNothe research?3.2.3 Does any member of the research team
have any affiliation with the provider(s) of Yesfunding/support, or
a financial interest in the outcome of the research?3.2.3...
Describe affiliation(s) and/or interest(s). Jamie is a Fellow of
the Royal College of Nursing, Australia. Additionally, Jamie is the
Chair of the Disaster Faculty of the Royal College of Nursing,
Australia.3.2.3... Do you consider the relationship between the
research team and the funding/support
providerconstitutes:Commercial-in-Confidence Page 6 of 23 5. [X] no
ethical issue3.2.3... Provide an explanation. The competitive grant
at the Royal College of Nursing, Australia is assessed and ranked
by nursing academics and clinicians blinded from the applicant.
Additionally, staff at Royal College of Nursing, Australia have no
input into the outcome of the grant.3.2.4 Does any other individual
or organisation have an interest in the outcome of this
Yesresearch3.2.4... Indicate the interested party and describe the
interest.It is possible that a number of parties would be
interested in the conduct and outcome of this work. Theseparties
may include, but are not limited to: Commonwealth Department of
Health and Aging (Health Emergency Preparedness and Response),
Individual State or Territory government departments with a
responsibility for disaster preparedness,response and/or recovery,
Organisations involved in disaster health, such as Red Cross and St
John Ambulance, Associations, such as the College of Emergency
Nursing, Australasia, Individual clinical institutions and
clinicians with an interest or experience in disaster health.3.2.5
Are there any restrictions on the publication of results from this
research? NoCommercial-in-ConfidencePage 7 of 23 6. 4. PRIOR
REVIEWS4.1. Ethical review4.1.0. Duration and location4.1.0... In
how many Australian sites, or site types, will the research be
conducted?14.1.0... In how many overseas sites, or site types, will
the research be conducted?0Provide the following information for
each site or site type (Australian and overseas, if applicable) at
which the research is to be conducted4.1.0...Site / Site Type
14.1.0... Site / Site Type Name Australia4.1.0... Site / Site Type
Location Potential participants for this research will include
Australian nurses who have worked in the out-of-hospital disaster
environment. As such, potential participants for this research may
be located in any State or Territory in Australia. The researcher
will use face-to-face interviews to collect data relating to this
project, and will travel to the participants city of residence to
conduct these.4.1.0...Provide the start and finish dates for the
whole of the study including data analysisAnticipated start date
01/10/2011Anticipated finish date31/12/20154.1.0... Are there any
time-critical aspects of the research project of which an
HRECNoshould be aware?4.1.1 To how many Australian HRECs
(representing site organisations or the1researchers / investigators
organisation) is it intended that this research proposal
besubmitted?4.1.1...HREC 14.1.1... Name of HREC Social and
Behavioural Research Ethics Committee (EC00194)4.1.1...Provide the
start and finish dates for the research for which this HREC is
providing ethical review.Anticipated start date or date range
01/10/2011Anticipated finish date or date range31/12/20154.1.1...
For how many sites at which the research is to be conducted will
this HREC1provide ethical review?4.1.1...Site 14.1.1... Name of
siteAustralia4.1.1... Which of the researchers / investigators
involved in this project will conduct the research at thissite?
Principal Researcher(s) Associate Researcher(s)Mr Jamie Ranse4.1.2
Have you previously submitted an application, whether in NEAF of
otherwise, for Noethical review of this research project to any
other HRECs?4.3. Peer review4.3.1 Has the research proposal,
including design, methodology and evaluationYesundergone, or will
it undergo, a peer review process? NS 1.24.3.1... Provide details
of the review and the outcome. A copy of the letter / notification,
where available,should be attached to this application. In
undertaking this PhD program, the researcher has presented his
research proposal at a two research residential schools. The
participants of these schools (both PhD candidates and PhD prepared
academics) have provided feedback regarding the rigorous nature and
appropriateness of the proposed project. The researcher will be
presenting his proposal again at a scheduled HDR student
presentation forum at Flinders University in December this
year.Commercial-in-Confidence Page 8 of 23 7. Additionally, regular
meetings between the supervision team and researcher provide
ongoing feedback regarding the progress and appropriateness of the
research project.Commercial-in-ConfidencePage 9 of 23 8. Ethical
Review SectionSummaryApplicant / Principal Researcher(s) Mr Jamie
Ranse Qualifications: BNurs; GCClinicalEd; GCClinicalEpi;
MCritCareNurs Expertise: Disaster and mass gathering health;
pre-ambulance care. Experience: I have successfully completed
various research activities in the area of disaster and emergency
health which, in the past five years has resulted in 12
peer-reviewed publications, 8 non-peer-reviewed publications, and
31 presentations at national and internationals conferences (2 as a
keynote). Additionally, my in the last five years has been
supported by 11 competitive research grants. A list of my
publications is available at:
http://www.jamieranse.com/p/publications_30.html A list of my
presentations is available at:
http://www.jamieranse.com/p/presentations.html Potential conflicts
of interest NilOther Relevant Personnel Prof Paul Arbon
Qualifications: BSc, DipEd, GradDipHlthEd, MEd(Studies), PhD.
Relevant expertise: PhD supervision, phenomenology, disaster and
mass gathering health. Paul is the current President of the World
Association for Disaster and Emergency Medicine (WADEM), Director
of the Torrens Resilience Institute, Professor of Nursing and
Director of the Flinders University Research Centre for Disaster
Resilience and Health. Dr Lynette Cusack Qualifications: RN, PhD,
MHA, BN. Relevant expertise: Currently hold a Post Doctoral
Research Fellow (Population Health), Flinders University, Faculty
of Health Sciences, School of Nursing and Midwifery. Dr Cusack has
experience in research related to disaster preparedness and
response as well as professional nursing issues such as scope of
practice and regulation. Commercial-in-Confidence Page 10 of 23 9.
5. PROJECT5.1. Type of Research5.1.1 Tick as many of the following
types of research as apply to this project. Your answers will
assistHRECs in considering your proposal. A tick in some of these
boxes will generate additional questionsrelevant to your proposal
(mainly because the National Statement requires additional ethical
matters to beconsidered), which will appear in Section 9 of
NEAF.This project involves: [X] Research using qualitative methods
NS 3.15.1.2 Does the research involve limited disclosure to
participants? NS 2.3No5.1.3 Are the applicants asking the HREC /
review body to waive the requirement ofNoconsent? NS 2.3.55.2.
Research plan5.2.1 Describe the theoretical, empirical and/or
conceptual basis, and background evidence, for the
researchproposal, eg. previous studies, anecdotal evidence, review
of literature, prior observation, laboratory oranimal studies (4000
character limit). NS 1.1Historically, Australian nurses have been
active participants in the response and recovery to health
caredisasters, both nationally (Cameron, et al., 2009; Ranse, et
al., 2010a) and internationally (Robertson, et al.,2005).
Initially, the response to disasters was organized in a haphazard
manner, as clinicians with littleout-of-hospital experience were
recruited as responders to these events. With this in-mind, the
process for deploying Australian nurses to disaster has become more
rigorous. This is primarily due to the increasing impact of
disasters in the oceanic regionFor the purpose of this research, a
disaster is defined as an event that interrupts the normal
functioning of acommunity, resulting in the need for external human
and/or physical resources to assist in a responsebeyond that of the
normal day-to-day operational capacity for that community
(TFQCDM/WADEM, 2002).The literature pertaining to disaster health
is growing. Similarly, the literature specifically pertaining to
nursesin the disaster health environment is growing; however, this
is primarily focused on [1] descriptive accountsof disasters, [2]
the development and implementation of disaster competencies to
guide education andtraining programs, and [3] psychological topics,
such as post-traumatic stress disorder and
post-traumaticgrowth.Descriptive accounts of disasters are
important to report, as they provide some insight into the event
andpossible lessons learnt for future responses. Since the Bali
Bombings [2002] and Sumatra-Andamanearthquake and tsunami [2004]
the literature is saturated with such accounts. Commonly, these
descriptionsrelate to the individual accounts, disaster medical
assistance teams experiences (Anderson, 2007; Kwak, etal., 2006;
Robertson, et al., 2005) or the experiences of field hospital teams
(Kreiss, et al., 2010), of whichnurses were a part of the broader
health response.In the United States, core competencies for nurses
in emergencies and disasters have been suggested(Gebbie &
Qureshi, 2002). Similarly, the World Health Organization and
International Council of Nurses havedeveloped a set of disaster
nursing competencies (WHO & ICN, 2009). Whilst the development
ofcompetencies to underpin disaster education and training is
important, it seems that the current disastereducation for nurses
is somewhat haphazard and fragmented requiring the further
development of a nationaldisaster education and training framework
for the Australian context (FitzGerald, et al., 2010). This
possiblyexists due to the mismatch or gap between our understanding
of the nursing role in disasters and theeducation nurses receive
(Ranse, et al., 2010a; Ranse, et al., 2010b).There is an abundance
of literature pertaining to the health and wellbeing of first
responders to disasters,highlighting that post traumatic stress
disorder is commonly diagnosed after responding to traumatic
events(Alexander & Klein, 2009; Palm et al, 2004).
Additionally, there is an increasing body of literature
suggestingthat there are positive outcomes resulting from
disasters, such as personal growth and resilience (Tedeschi&
Kilmer, 2005). However, this literature doesnt necessarily relate
to nurses.More recently, there has been a move from descriptive and
commentary style literature as described above,to research papers
with an aim at better understanding the clinical background, roles,
resources andtraining of nurses who participate in disasters
(Arbon, et al., 2006; Ranse, et al., 2010a). However, theexperience
of Australian nurses who participate in disasters remains poorly
understood.5.2.2 State the aims of the research and the research
question and/or hypotheses, where
appropriate.Commercial-in-ConfidencePage 11 of 23 10. Research
question: What is the lived experience of Australian civilian
registered general nurses (division 1), working in the unfamiliar
out-of-hospital disaster environment? Objectives: This research has
three broad objectives nested within the overarching research
question. These objectives are, to: 1) Explore the transferability
of nurses experience between the in-hospital and out-of-hospital
disaster environment, and 2) Explore the role of nurses in the
out-of-hospital disaster environment.5.2.3 Has this project been
undertaken previously? No5.3. Benefits/Risks5.3.0 Does the research
involve a practice or intervention which is an alternative to
aNostandard practice or intervention?5.3.2 What expected benefits
(if any) will this research have for the wider community? This
research will provide insight into the disaster experience of
civilian nurses, with a particular focus on nurses who normally
work in an in-hospital environment, and were working out-side these
institutions (for example, in a temporary field hospital) in the
disaster environment. Such information may inform policy,
curriculum design or practice pertaining to nurses who participate
in a disaster. Subsequently, this may result in the benefit to the
community by enhancing the preparation of nurses to participate in
disaster response and recovery activities.5.3.3 What expected
benefits (if any) will this research have for participants? NS 2.1
The research will provide an opportunity for the participant to
reflect on their participation in disasters.5.3.4 Are there any
risks to participants as a result of participation in this
researchYesproject? NS 2.15.3.5 Explain how the likely benefit of
the research justifies the risks of harm or discomfort to
participants.NS 1.6 Potentially, participants from this research
may have a negative emotional response associated with their
disaster participation. Participants who participate in this
research may evoke or highlight this response. From the researchers
experience in facilitating research regarding the nurses experience
and role in during the Black Saturday and Victorian Bushfire of
2009, this is unlikely to occur. However, if this does occur during
an interview. That interview will be ceased, and the participant
will be strongly encouraged to seek the support of their General
Practitioner or their hospital / health service employee assistance
program. A statement similar to this is included in the potential
participants invitation and information sheet [see attached]. If
the researcher believes that the emotional response requires a more
rapid intervention from a health professional, the researcher,
having a clinical, management and educator background in a
metropolitan emergency department has the necessary skills to
determine the appropriate level of care and referral for a research
participant (for example, to a case manager, emergency department
or mental health crisis assessment team).5.3.8 Are there any other
risks involved in this research? eg. to the research team, the
Noorganisation, others5.3.9 Is it anticipated that the research
will lead to commercial benefit for theNoinvestigator(s) and or the
research sponsor(s)?5.3.11 Is there a risk that the dissemination
of results could cause harm of any kind to Noindividual
participants - whether their physical, psychological, spiritual,
emotional,social or financial well-being, or to their employability
or professional relationships - orto their communities?5.4.
MonitoringRefer to NS 3.3.19 - 3.3.255.4.1 What mechanisms do the
researchers / investigators intend to implement to monitor the
conduct andprogress of the research project? NS 5.5 The researcher
will meet monthly with the supervisory team. The purpose of these
meetings are to monitoring the progress and conduct of the
researchers work and to provide guidance.Commercial-in-Confidence
Page 12 of 23 11. 6. PARTICIPANTS6.1. Research participants6.1.1The
National Statement identifies the need to pay additional attention
to ethical issues associated with research involving certain
specificpopulations.This question aims to assist you and the HREC
to identify and address ethical issues that are likely to arise in
your research, if its design willinclude one or more of these
populations. Further, the National Statement recognizes the
cultural diversity of Australias population and theimportance of
respect for that diversity in the recruitment and involvement of
participants. Your answer to this question will guide you to
additionalquestions (if any) relevant to the participants in your
study.6.1.1 Tick as many of the following types of research
participants who will be included because of theproject design, or
their inclusion is probable, given the diversity of Australias
population. If none apply,please indicate this below.a) Primary
intent of researchNone apply [X]6.1.2 Please detail why none of
these categories apply to the proposed researchPotential
participants will include Australian civilian registered general
nurses (division 1) who have workedin the out-of-hospital disaster
environment. As such, this research does not aim to specifically
recruit andinclude participants from the above mentioned groups.
However, nurses may coincidentally fit into one of theabove
mentioned groups, such as: People whose primary language is other
than English (LOTE), or Aboriginal and/or Torres Strait Islander
people.6.2. Participant description6.2.1 How many participant
groups are involved in this research project?16.2.2 What is the
expected total number of participants in this project at all sites?
10-156.2.3. Group 16.2.3... Group name for participants in this
group Australian civilian nurses who have worked in the
out-of-hospital disaster environment6.2.3... Expected number of
participants in this group 10-156.2.3... Age range Adults6.2.3...
Other relevant characteristics of this participant group The
characteristics of this group include Australian registered general
nurses who: Normally work in an in-hospital clinical capacity, Have
worked in the out-of-hospital disaster environment, Were deployed
in a civilian (non-defence) capacity, and Where this deployment was
in the previous five years.6.2.3... Why are these characteristics
relevant to the aims of the project?These characteristics are of
relevance to the project, as this project aims to explore, describe
and interpretthe experience of people within this group.6.3.
Participation experience6.3.1 Provide a concise detailed
description, in not more than 200 words, in terms which are
easilyunderstood by the lay reader of what the participation will
involve.Participation in this research will involve two
face-to-face interviews with the researcher at a mutuallyagreeable
time, at a mutually agreeable location.Each interview will: Take
place in the participants city of residence, Last approximately 60
90 minutes per interview, and Be digitally recorded.It is
anticipated that the two interviews will take place within the same
week. The first interview will focus onexploring information about
the participants broad experience in disaster health, and aim to
build rapportCommercial-in-ConfidencePage 13 of 23 12. with the
participants. The second interview will explore in more detail the
personal experiences of theparticipant in disaster health.6.4.
Relationship of researchers / investigators to participants6.4.1
Specify the nature of any existing relationship or one likely to
rise during the research, between thepotential participants and any
member of the research team or an organisation involved in the
research.It is unlikely that the researcher will have an existing
relationship with any of the potential participants.Similarly, it
is unlikely that a relationship will arise during this research.
Additionally, the researcher iscurrently employed by an academic
institution (University of Canberra) which does not have a
foreseeabledependent relationship with any potential
participants.6.4.2 Describe what steps, if any, will be taken to
ensure that the relationship does not impair participantsfree and
voluntary consent and participation in the project.It is perceived
that a decision to, or not to participate in this research will not
result in an impairment of any foreseeable relationships between
potential or real participants and the researcher. It will be
emphasised throughout the research and consent process that
participation is voluntary, and the participant may withdraw at any
time with no consequence.6.4.3 Describe what steps, if any, will be
taken to ensure that decisions about participation in the
researchdo not impair any existing or foreseeable future
relationship between participants and researcher /investigator or
organisations.Potential research participants who do not wish to
participate in the research will not be known to theresearcher.
Therefore, a decision to participate or not, will not impact on any
forseeable relationship with theresearcher, the researchers
organisation and the potential participants.6.4.4 Will the research
impact upon, or change, an existing relationship
betweenNoparticipants and researcher / investigator or
organisations.?6.4.5 Is it intended that the interview transcript
will be shown or made available to Noparticipants? 3.1.156.5.
Recruitment6.5.1 What processes will be used to identify potential
participants? It could be argued that potential participants for
this research may be difficult to locate. This is due to a number
of factors such as: Transient nursing population within Australia,
Lack of record keeping by organisations of persons deployed in
disasters, and Nurses responding as individuals not associated or
affiliated with a registered organisation / relief agency, and are
therefore not recorded in anyway.As such, potential participants
for this research will be identified using a purposive sampling
technique.Snowballing, a subtype of purposive sampling will be used
to identify, locate and recruit potentialparticipants.6.5.2 Is it
proposed to screen or assess the suitability of the potential
participants for Yesthe study?6.5.2... How will this be done?
Participants will be assessed on their suitability for
participation in this research. Such screening will give
consideration to the aim of this research, ensuring the potential
participant is: A nurse who primarily works as a clinician in the
in-hospital environment, Has participated in the health response
and/or recovery to a disaster in the last five years (2007 2011),
Responded with a civilian (non-military) organisation / association
/ group, and The response involved working in the out-of-hospital
environment.6.5.3 Describe how initial contact will be made with
potential participants.It is anticipated that a traditional
snowballing technique of participant recruitment will commence
within theresearchers existing professional networks. As such,
initial contact with a potential participant is likely to be made
from the researcher, or from a colleague or associate of the
researcher who forwards a copy of the researcher invitation and
information sheet.Once a potential participant receives an
invitation and information from a colleague or associate of
theresearcher, and they wish to participate in this research, they
will contact the researcher using the contactdetails provided on
the invitation and information sheet.6.5.3... Do you intend to
include both males and females in this study? Yes6.5.3... What is
the expected ratio of males to females that will be recruited into
this study and does thisratio accurately reflect the distribution
of the disease, issue or condition within the general community?
This research is inclusive of both males and females. This research
does not aim to have a specific ratio
ofCommercial-in-ConfidencePage 14 of 23 13. males to females.
However, given that nursing is a female dominated profession, it
would be reasonable toassume that more females would participate
when compared to males.6.5.4 Is an advertisement, e-mail, website,
letter or telephone call proposed as the form Noof initial contact
with potential participants?6.5.5 If it became known that a person
was recruited to, participated in, or was Noexcluded from the
research, would that knowledge expose the person to anydisadvantage
or risk?6.6. Consent process6.6.1 Will consent for participation in
this research be sought from all participants? Yes6.6.1... Will
there be participants who have capacity to give consent for
themselves?Yes6.6.1... What mechanisms/assessments/tools are to be
used, if any, to determine each of these participantscapacity to
decide whether or not to participate? No tools will be used, as it
is anticipated that potential participants will have the capacity
to decide whether or not to participate based on the information
provided on the invitation and information sheet. Additionally,
potential participants will have an opportunity to contact the
researcher, to clarify any issues or concerns, prior to agreeing to
participate in this research. This will be possible as this
researchers contact details will be provided on the invitation and
information sheet.6.6.1... Are any of the participants children or
young people? No6.6.1... Will there be participants who do not have
capacity to give consent for Nothemselves?6.6.1... Describe the
consent process, ie how participants or those deciding for them
will be informed about,and choose whether or not to participate in,
the project. Information about the research project will be
provided to potential participants on the invitation and
information sheet [see attached]. This information sheet will
outline the research project, participant participation
requirements and ethics relating to the project. Additionally, a
consent form will be provided to each potential participant, after
sceening [see attached]. Similar to the invitation and information
sheet, the consent form will outline the participant requirements
and ethics relating to the project.6.6.1... If a participant or
person on behalf of a participant chooses not to participate, are
there specificconsequences of which they should be made aware,
prior to making this decision? 4.6.6 - 4.6.7No, there is no
perceived consequence / risk as a result of not participating in
this research. The researcherwill ensure this is clearly
communicated during the recruitment process.6.6.1... Might
individual participants be identifiable by other members of their
group, and if so could thisidentification expose them to risks? It
is unlikely that a potential participant would be identifiable by
other participants or the wider nursing community, unless the
potential participant had previously voluntarily disclosed their
information to other potential participants, or the wider
community.6.6.1... If a participant or person on behalf of a
participant chooses to withdraw from the research, are
therespecific consequences of which they should be made aware,
prior to giving consent?No, there is no perceived consequence as a
result of withdrawing from this research at any point throughoutthe
research process.6.6.1... Specify the nature and value of any
proposed incentive/payment (eg. movie tickets, food vouchers)or
reimbursement (eg travel expenses) to participants. Nil. There are
no incentives or payments associated with participating in this
research.6.6.1... Explain why this offer will not impair the
voluntary nature of the consent, whether by participants orpersons
deciding for their behalf. NS 2.2.10 - 2.2.11 Not applicable, as no
incentives or payments will be offered to real or potential
participants as part of this research project.6.6.3 Do you propose
to obtain consent from individual participants for your use
ofNotheir stored data/samples for this research project?6.6.3...
Give justification Not applicable - this project will not obtain
any biological / pathological findings from
participants.Commercial-in-Confidence Page 15 of 23 14. 8.
CONFIDENTIALITY/PRIVACY8.1. Do privacy guidelines need to be
applied in the ethical review of this proposal?8.1.1 Indicate
whether the source of the information about participants which will
be used in this researchproject will involve:[X] collection
directly from the participant8.1.1... Information which will be
collected for this research project directly from
theparticipant8.1.1... Describe the information that will be
collected directly from participants. Be specific whereappropriate.
Please see the attached interview schedules.8.1.1... The
information collected by the research team about participants will
be in the following form(s).Tick more than one box if applicable.
[X] individually identifiable8.1.1... Give reasons why it is
necessary to collect information in individually identifiable or
re-identifiableform. Due to the nature of interviews, it is likely
that the researcher will be able to identify individuals and their
associated interview transcripts. However, all information
presented in the final publications and/or presentations will only
include de-identifiable information. The process of de-identifying
the participant narrative will occur once the data analysis stage
of this project is completed.The participant narrative will be
transcribed verbatim from the recorded conversation. This
transcription islikely to be undertaken by a third party. The
chosen third party will be a professional transcription
company,with experience in research manuscript transcription that
adhere to the Australian Commonwealth PrivacyAct. Such companies
include: www.pasificsolutions.com.au OR www.transcribeonline.com
ORwww.escribe.com.au8.1.1... Consent processYou have indicated that
you will be varying the conditions of or waiving consent. See
questions in section 6.68.1.1... Will consent be specific or
extended or unspecified? NS 2.2.14 - 2.2.18 Specific8.1.1...
Provide reasons why this form of consent has been chosen. You may
need to revise your answer at6.6.1.1.3 to provide details on the
consent process Consent provided by participants of this research
project will be considered valid and appropriate for this project
only. Any additional projects will require a new ethics
application, recruit process and consent from participants.8.2.
Using information from participants8.2.1 Describe how information
collected about participants will be used in this
project.Information collected during this project will only be used
for the purpose stated in the aims.8.2.2 Will any of the
information used by the research team be in identified
orYesre-identifiable (coded) form?8.2.2... Indicate whichever of
the following applies to this project:[X] Information collected
for, used in, or generated by, this project will not be used for
any other purpose.8.2.4 List ALL research personnel and others who,
for the purposes of this research, will have authority touse or
have access to the information and describe the nature of the use
or access. Examples of others are:student supervisors, research
monitors, pharmaceutical company monitors .Only the researcher will
have access to the raw data. The supervisors of this project will
be provided withde-identified transcriptions of the participants
narrative.8.3. Storage of information about participants during and
after completion of the project8.3.1 In what formats will the
information be stored during and after the research project? (eg.
paper copy,computer file on floppy disk or CD, audio tape,
videotape, film)The digitally recorded interviews and subsequent
transcribed data from this research will be
electronicallystored.8.3.2 Specify the measures to be taken to
ensure the security of information from misuse, loss,
orunauthorised access while stored during and after the research
project? (eg. will identifiers be removed andat what stage? Will
the information be physically stored in a locked
cabinet?)Commercial-in-ConfidencePage 16 of 23 15. The researcher
will ensure electronic data will be stored in a password-protected
computer in a password-protected file, only accessible to the
researcher. Identifying elements of the participants narrative and
subsequent transcriptions will be removed at the completion of the
data analysis stage.Given the this research involves a proposed
waiver of consent and the intent of exposing illegal activity [see
NS 4.6.1] the HREC must be satisfiedthat your response to this
question has justified that there is sufficient protection of the
privacy of the participants.8.3.5 The information which will be
stored at the completion of this project is of the following
type(s). Tickmore than one box if applicable.[X]
non-identifiable8.3.6 For how long will the information be stored
after the completion of the project and why has this periodbeen
chosen?Seven years following the completion of the research
project.8.3.7 What arrangements are in place with regard to the
storage of the information collected for, used in, orgenerated by
this project in the event that the principal researcher /
investigator ceases to be engaged atthe current organisation? This
is unlikely to occur, however hypothetically if this did occur, the
data and research documents will be made available to the research
supervisors.8.4. Ownership of the information collected during the
research project and resulting fromthe research project8.4.2 Who is
understood to own the information resulting from the research, eg.
the final report or publishedform of the results? The researcher
and research supervisors, with due acknowledgement to Flinders
University, University of Canberra and any funding bodies of this
research.8.4.3 Does the owner of the information or any other party
have any right to imposeNolimitations or conditions on the
publication of the results of this project?8.5. Disposal of the
information8.5.1 Will the information collected for, used in, or
generated by this project be Nodisposed of at some stage?8.6.
Reporting individual results to participants and others8.6.1 Is it
intended that results of the research that relate to a specific
participant be Yesreported to that participant?8.6.1... Specify in
what form the results will be reported to participants. The final
results from this research will be disseminated to the participants
in the form of the final thesis, subsequent publications and
presentations resulting from this project.8.6.1... How will the
results be communicated to participants? eg telephone call,
individual letter, copy ofpublication, consultation with a medical
practitioner or other Participants will be provided with a website
link [http://bit.ly/JamiesPhD] that will contain all publications
and presentations resulting during and following the completion of
this project.8.6.1... Who will be responsible for communicating the
project results to participants? The researcher will be responsible
for communicating the results of this project to the
participants.8.6.2 Is the research likely to produce information of
personal significance toYesindividual participants?8.6.3 Will
individual participants results be recorded with their personal
records? No8.6.4 Is it intended that results that relate to a
specific participant be reported to Noanyone other than that
participant?8.6.5 Is the research likely to reveal a significant
risk to the health or well being of Nopersons other than the
participant, eg family members, colleagues8.6.6 Is there a risk
that the dissemination of results could cause harm of any kind
toNoindividual participants - whether their physical,
psychological, spiritual, emotional,social or financial well-being,
or to their employability or professional relationships - orto
their communities?8.6.7 How is it intended to disseminate the
results of the research? eg report, publication, thesis It is
anticipated that the results of this research will be presented at
various conferences relating to disaster and emergency health.
Additionally, the findings will be submitted for publication in a
peer-reviewed journal and written-up in the researchers final
thesis.Commercial-in-Confidence Page 17 of 23 16. 8.6.8 Will the
confidentiality of participants and their data be protected in
theYesdissemination of research results?8.6.8... Explain how
confidentiality of participants and their data will be protected in
the dissemination ofresearch results Information pertaining to an
individual participant in any presentation and publication will be
de-identified. However, if information is likely to identify a
particular participant, that particular piece of information will
be withheld from the publication and/or
presentation.Commercial-in-ConfidencePage 18 of 23 17. 9.
DECLARATIONS AND SIGNATURES9.1 Project TitleThe lived experience of
Australian civilian nurses working in the out-of-hospital disaster
environment9.2 Human Research Ethics Committee to which this
application is made Social and Behavioural Research Ethics
Committee (EC00194)9.3 Signatures and undertakingsApplicant /
Principal Researchers (including students where permitted)I/we
certify that:- All information is truthful and as complete as
possible.- I/we have had access to and read the National Statement
on Ethical Conduct in Research InvolvingHumans.- the research will
be conducted in accordance with the National Statement.- the
research will be conducted in accordance with the ethical and
research arrangements of theorganisations involved.- I/we have
consulted any relevant legislation and regulations, and the
research will be conducted inaccordance with these.- I/we will
immediately report to the HREC anything which might warrant review
of the ethical approval ofthe proposal NS 5.5.3 including: -
serious or unexpected adverse effects on participants; - proposed
changes in the protocol; and - unforseen events that might affect
continued ethical acceptability of the project.- I/we will inform
the HREC, giving reasons, if the research project is discontinued
before the expecteddate of completion NS 5.5.6 see NS 5.5.8(b);-
I/we will adhere to the conditions of approval stipulated by the
HREC and will cooperate with HRECmonitoring requirements. At a
minimum annual progress reports and a final report will be provided
to theHREC.Applicant / Chief Researcher(s) / Principal
Researcher(s)Mr Jamie Ranse__________________________________
____/____/______Flinders University SignatureDateSupervisor(s) of
student(s)I/we certify that:- I/we will provide appropriate
supervision to the student to ensure that the project is undertaken
inaccordance with the undertakings above;- I/we will ensure that
training is provided necessary to enable the project to be
undertaken skilfully andethically.Prof Paul Arbon
__________________________________ ____/____/______SignatureDateDr
Lynette Cusack __________________________________
____/____/______SignatureDateHeads of departments/schools/research
organisationI/we certify that:- I/we are familiar with this project
and endorse its undertaking;- the resources required to undertake
this project are available;- the researchers have the skill and
expertise to undertake this project appropriately or will
undergoappropriate training as specified in this
application.Commercial-in-Confidence Page 19 of 23 18. _________
__________________ ________________________________ Title First
name Surname ________________________________
________________________________ Position Organisation name
____/____/____ ________________________________ Date
SignatureCommercial-in-ConfidencePage 20 of 23 19. 10.
ATTACHMENTSThis page and all pages that follow dont need to be
submitted to your HREC. 10.1 List of AttachmentsCore
AttachmentsAttachments which may
berequired/appropriate.Recruitment/invitationCopy of advertisement,
letter of invitation etcParticipant Information Copy or script for
participantCopy or script for parent, legal guardian or person
responsible asappropriateConsent FormCopy for participantFor
parent, legal guardian or person responsible as appropriateFor,
optional components of the project eg. genetic sub studyPeer review
Copy of peer review report or grant submission outcomeHREC
approvalsCopy of outcome of other HREC reviewsAttachments specific
to Attachments which may beproject or
participantrequired/appropriate.groupResearch conducted in the
workplace Evidence of support/permission from workplace where
research will beor possibly impacting on
workplaceconductedrelationships Commercial-in-Confidence Page 21 of
23 20. 10.2 Participant information elementsCore ElementsProvision
of information to participants about the following topics should be
considered for all research projects. Core ElementsIssues to
consider in participant information About the projectFull title and
/ or short title of the projectPlain language description of the
projectPurpose / aim of the project and research methods as
appropriateDemands, risks, inconveniences, discomforts of
participation in theprojectOutcomes and benefits of the
projectProject start, finish, duration About the investigators /
organisation Researchers conducting the project (including whether
studentresearchers are involved)Organisations which are involved /
responsibleOrganistions which have given approvalsRelationship
between researchers and particpants and organisations Participant
descriptionHow and why participants are chosenHow participants are
recruitedHow many participants are to be recruited Participant
experience What will happen to the particant, what will they have
to do, what willthey experience?Benefits to individual, community,
and contribution to knowledgeRisks to individual,
communityConsequences of participation Participant
optionsAlternatives to participationWhether participation may be
for part of project or only for whole ofprojectWhether any of the
following will be provided: counselling, post researchfollow-up, or
post research access to services, equipment or goods Participants
rights and responsibilities That participation is voluntaryThat
participants can withdraw, how to withdraw and what consequencesmay
followExpectations on participants, consequences of non-compliance
with theprotocolHow to seek more informationHow to raise a concern
or make a complaint Handling of informationHow information will be
accessed, collected, used, stored, and to whomdata will be
disclosedCan participants withdraw their information, how,
whenConfidentiality of informationOwnership of
informationSubsequent use of informationStorage and disposal of
information Unlawful conduct Whether researcher has any obligations
to report unlawful conduct ofparticipant Financial issues How the
project is fundedDeclaration of any duality of
interestsConspensation entitlementsCosts to participantsPayments,
reimbursements to participantsCommercial application of results
ResultsWhat will particpants be told, when and by whomWill
individual results be providedWhat are the consequences of being
told or not being told the results ofCommercial-in-Confidence Page
22 of 23 21. Core ElementsIssues to consider in participant
informationresearchHow will results be reported /
publishedOwnership of intellectual property and commercial benefits
CessationCircumstances under which the participation of an
individual might ceaseCircumstances under which the project might
be terminatedResearch Specific ElementsProvision of information to
participants about the following topics should be considered as may
be relevant to theresearch project.Commercial-in-Confidence Page 23
of 23 22. In vita tio n a n dIn fo rm a tio n THE LIVED EXPERIENCE
OF AUSTRALIAN CIVILIAN NURSESWORKING IN THE OUT-OF-HOSPITAL
DISASTER ENVIRONMENTINVITATION AND INFORMATIONAre you a nurse who
primarily works as a clinician in a hospital?Have you participated
in the health response and/or recovery to a disaster, in the last
five years?Did you respond with a civilian (non-military)
organisation, association, group or health service?Did your
response involved working in the out-of-hospital environment?If you
have answered yes to all of the above, you are invited to
participate in this research project that willexplore your
experience of working in the out-of-hospital environment during
disasters.OverviewHistorically, Australian nurses have been active
participants in the response and recovery to healthrelated
disasters, both nationally and internationally. However, the
experience of Australian nurses whoparticipate in disasters remains
poorly understood. Having a better understanding of the experience
ofAustralian nurses in disasters, may assist in the further
development of curriculum, policy and resourcesto support
nurses.AimThis project aims to explore the lived experience of
Australian civilian registered general nurses (division1), who have
worked in the out-of-hospital disaster environment. In particular,
this project will explore thetransferability of nurses experience
between the in-hospital and out-of-hospital disaster
environment.Your participationParticipation in this research will
involve two face-to-face interviews with the researcher at a
mutuallyagreeable time, at a mutually agreeable location. Each
interview will:Take place in your city of residence,Last
approximately 60 90 minutes per interview, andBe digitally
recorded.It is anticipated that the two interviews will take place
within the same week. Participation in this research isvoluntary.
During the interviews you do not have to answer any question/s that
you do not wish to answer,and you may withdraw any comments from
the research at any point in time. 23. About the researcherJamie
Ranse is a PhD student at the Flinders University Disaster Research
Centre. He is a RegisteredNurse with a background in Emergency and
Intensive Care nursing. Jamie has an interest in disasterhealth,
from a nursing perspective. Jamies PhD research is being supervised
by Professor Paul Arbon andDr Lynette Cusack.If at any time you
have queries about this project, I may contact either:Mr Jamie
Ranse (PhD candidate / researcher): [email protected] or
+61 2 6201 5380Professor Paul Arbon (supervisor):
[email protected] or +61 8 8201 3558Emotional
wellbeingPrior to, during or following your interview with the
researcher, you may experience an emotional responserelating to
your experience. You are encouraged to seek the support of your
General Practitioner or yourhospital / health service employee
assistance program if this occurs.ResultsFollowing completion of
this research project, the findings will be submitted in thesis
format, as part of therequirements of the researchers PhD.
Additionally, the results may be published in a journal and
presentedat a conference. Any publications and/or presentations
will not individually identify you. All publications
orpresentations relating to this project can be found at:
http://bit.ly/JamiesPhDEthicsApproval to undertake this research
has been obtained from the Flinders University Social and
BehaviouralResearch Ethics Committee . Should you have anyproblems
or queries about the way in which the research is being conducted,
and you do not feelcomfortable contacting the research staff, you
may contact: Executive Officer, Research Services Office E-mail:
[email protected] Phone: +61 8 8201 3116 Fax:
+61 8 8201 2035Indicate your interest to participation in this
researchIf you wish to participate in this research, please
contact:Mr Jamie RansePhD CandidateE-mail:
[email protected]: +61 2 6201 5380Please circulate
this invitation and information sheet to your colleagues and
associates that may beinterested in participating in this research.
24. Co n s e n t Fo rm THE LIVED EXPERIENCE OF AUSTRALIAN CIVILIAN
NURSESWORKING IN THE OUT-OF-HOSPITAL DISASTER ENVIRONMENTI
________________________________________ have read the research
project invitation andinformation sheet, and hereby consent to
participate in this research. I am aware that: Participation in
this project will involve two face-to-face interviews of
approximately 1 hours each,in my home city. The data will be
digitally recorded, de-identified and securely stored throughout
and upon completionof the project. Participation in this project is
voluntary, I may withdraw at any stage and I do not have to answer
anyquestion I do not wish to answer. The results of the project
will be submitted for publication in a journal, presented at a
conference andsubmitted to Flinders University as part of the
requirement for the researcher PhD candidature. I may not directly
benefit from taking part in this research. If at any time I have
queries about this project, I may contact either:Mr Jamie Ranse
(PhD student / principal researcher): [email protected]
or 02 6201 5380Professor Paul Arbon (supervisor):
[email protected] or 08 8201 3558 Approval to undertake
this research project has been obtained from the Flinders
University Socialand Behavioural Research Ethics Committee. Should
I have any problems or queries about the wayin which the research
was conducted, and I do not feel comfortable contacting the
research staff, Iam aware that I may contact:Executive Officer,
Research Services OfficeE-mail:
[email protected]: 08 8201 3116By signing
this consent form, I agree to participate in this research project.
I have read and understoodthe information provided and I have had
the opportunity to ask any questions.Signature ParticipantPrint
NameDate ResearcherPrint NameDate 25. In te rvie w S c h e d u le s
THE LIVED EXPERIENCE OF AUSTRALIAN CIVILIAN NURSESWORKING IN THE
OUT-OF-HOSPITAL DISASTER ENVIRONMENTInterview one:
semi-structuredThis interview will focus on obtaining information
about the participants broad experience indisaster health, and aim
at building rapport with the participant.Time Activity 0 10 mins
Introduction of research student and supervisory team Reiterate
information on invitation and information sheet andconsent form
Ensure consent form has been signed 10 85 mins Ice breaker
questions: How long have you been nursing? What is your nursing
background?Previous nursing experience questions: What areas /
specialties within nursing have you associated with? What roles
have you undertaken in these areas?Disaster nursing experience
questions: Tell me about your experience of working in a
disaster?Prompting questions relating to disaster nursing
experience: How many disaster events have you been involved with?
Can you tell me about the disaster event/s you have been involved
in the last five years? What was your role/s during these
disasters? Who did you work with? Did your training adequately
prepare you for your role/s? What have you gained from your
in-hospital nursing experience, which contributed to making your
disaster involvement a success? What factors could have enhanced
your involvement? Is there anything that you would like to add? 85
90 mins Conclusion and thank youKey phrasesExploring Can you tell
me more about ?Validating So, is what you are saying ? 26.
Interview two: unstructuredThe aim of this interview is to explore
in more detail the personal experiences of the participant.Time
Activity 0 5 mins Introduction to interview two Reiterate
information on invitation and information sheet andconsent form
Discuss any emotional response that the participant may
haveexperienced since the previous interview 5 55 minsUnstructured
questioning, with an aim to: Clarifying previous statements from
interview one Exploring and expanding on statements from interview
one Allow participant to provide additional statements that were
not previously explored in interview one 55 60 mins Conclusion and
thank-youKey phrasesExploring Can you tell me more about
?Validating So, is what you are saying ?