CENTRO ESCOLAR UNIVERSITY- MANILA

SCHOOL OF NURSING
Consent to Participate in a Research Study

Title of the Study: Sleep Quality among Nursing Students during the
COVID- 19 Pandemic
Dear Respondents,
Good day!
You are being asked to participate in a research study of Sleep Quality
among Nursing Students during the COVID-19 Pandemic. You were
selected as a participant because you fit in the inclusion criteria set by the
respondents. The inclusion criteria are the following: Level 1-4 nursing students
from universities around University belt, currently enrolled in the School year
2020- 2021 to their respective universities, consented to participate in the
study, and must not have any existing disease condition nor sleep problem prior
to the studyWe ask that you read this form and ask any questions that you may
have before agreeing to be in the study.
The purpose of this study is to assess the overall sleep quality of
nursing students during the COVID-19 Pandemic. If you agree to be in this
study, personal information such as name, age, sex, year level, type of residence,
and companions will be asked from you. You are also asked to fill out the
questionnaire honestly as possible.
Your identity will be disclosed in the material that is published. However,
you will be given the opportunity to review and approve any material that is
published about you. Your participation is voluntary and maybe withdrawn
anytime without any penalty.
Thank you so much.
Sincerely Yours,
Davo, Angela Lynne Margarette M. Golez, Charla Vivien R.
Prado, Glyzza Mae B. Forca, Gerard
Santos, Marcus Juwann SJ.

Noted by:
Erljohn C. Gomez, MAN, RN
Research Adviser
PROCESS

An informed consent will be provided to the involved subjects and

assured that confidentiality and anonymity of data will be maintained. For the
underage respondents, informed consent to the parents will be sent. The
informed consent will be given through google forms that composes the purpose
of the study, procedures, how long will the data gathering take, and the option of
the subject to refuse and withdraw from the study.
The participants will complete a survey questionnaire using Google
Forms, which will be given by the researchers and will be processed
automatically by the browser once they have completed the questions. They can
skip any of the survey's questions and move on to the next one if they don't want
to answer any of them. The participants can freely ask questions via Email to the
researchers.

Participant Selection

The researchers set the following criteria that the respondents should
meet before they would be included in the study:

Participants should be: Level 1-4 nursing students from universities

around the University belt, are currently enrolled in the School year 2020-2021
to their respective universities Consented to participate in the study and must
not have any existing disease condition nor sleep problem prior to the study.

The total number of respondents is 280.

Note: The participation of the nursing students in this study is voluntary.

Foreseeable circumstances and reasons under which participation in the

study may be terminated:
1. The participant was not able to finish answering the questionnaire provided
in due time.

2. The participant disclosed information obtained from the study.

Duration

The survey questionnaire will be given through Google Forms. The Google
forms will be available in a span of 3 days from the time of informed consent
form given. Each participant shall allot 30 minutes to answer the survey
questionnaire.
Risks

The researchers are asking the participants to share some information or

experiences that can contribute to the study. The researchers will not force or
ask any further information of why the participants refuse.

Benefits

There will be no monetary compensation for the participants, but the

study will serve as evidence-based research that could contribute to more
knowledgeable and patient care.

Confidentiality

The personal information gathered will be kept in a private folder that

only the researchers can access until the paper is successfully defended to the
panelists. The information gathered from the respondents will be kept until the
research is done and will be properly deleted right after the research. To prevent
anyone from obtaining the data, people who are not identified as a part of this
research study will have no access.

Right to Refuse or Withdraw

Participants are not obligated to participate in this study if they do not

wish to. Participants have the option to stop participating in the study at any
time. It is entirely up to the participants, and all of their rights will be upheld.

Participants have the right to review any material that will be published
about them and may request necessary changes if there is any incorrect
information. Only the necessary data will be disclosed in the paper. However,
access to study information will be limited as it will weaken the integrity of the
research.
WHO TO CONTACT:
PI: Marcus Juwann SJ. Santos
Email: santos18012513@ceu.edu.ph

The CEU IERB has approved the study, and may be reached through the
following contact for information regarding rights of study participants,
including grievances and complaints:

Address: First District, #9 Mendiola St, San Miguel, Manila, 1008 Metro
Manila
Email: ierb@ceu.edu.ph
Tel: (+63)2 8735-68-61 to 71 loc.228

STATEMENT OF CONSENT

❏ I have read and understood the above description of the research

study and have been given the opportunity to consider and ask questions
on the information regarding the involvement in this study. I have been
assured that any concerns I may have will be dealt with accordingly.
Therefore, I hereby voluntarily agree to participate.

Printed Name and Signature of the Participant

10/21/2021

Date