RESEARCH GRANT AGREEMENT. DIRECTIONS: Complete and sign this agreement document and submit with full grant application.

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SIGMA THETA TAU INTERNATIONAL SOCIETY OF NURSING, INC. Research Grants and Awards Committee School of Nursing The University of Akron Akron, OH 44325-3701 RESEARCH GRANT AGREEMENT DIRECTIONS: Complete and sign this agreement document and submit with full grant application. If my proposal is approved for fund, I agree to: 1. Accept responsibility for the scientific conduct of this study. 2. Expend the funds as described in the proposal, and return unused funds to the treasurer of. 3. Submit a progress report (annually) until the study is complete. 4. Send a written final copy of the research abstract to the Chairman, Research Grants and Recognition Awards Committee. 5. Acknowledge the grant support of of Sigma Theta Tau International, Inc. in the publication or presentation of the research. 6. Publish or present findings of the research in a program sponsored by Delta Omega Chapter if invited to do so. Signature of Principal Investigator Date TITLE OF STUDY: Expected Date of Data Collection: Expected Date of Data Completion:

SIGMA THETA TAU INTERNATIONAL SOCIETY OF NURSING, INC. Research Grants and Awards Committee Application for Research Funds APPLICATION CHECKLIST Please include all of the below listed materials in your application packet: Checklist Application Form and Budget Page Research Grant Agreement 5 page Narrative (Purpose, Significance, Methods) References, Appendices

SIGMA THETA TAU INTERNATIONAL SOCIETY OF NURSING, INC. Research Grants and Awards Committee Application for Research Funds DATE: NAME: PROFESSIONAL CREDENTIALS: MAILING ADDRESS: PHONE: (BUSINESS) (HOME) STATUS: Member of Sigma Theta Tau? Yes No. Chapter(s): Member ID# Are you a student? Yes No If yes, what program of study are you currently following? MSN PhD Other What is the name of your Faculty Advisor? TITLE OF RESEARCH PROPOSAL: IDENTIFY ALL COMMITTEES THAT HAVE REVIEWED YOUR PROPOSAL AND THE STATUS OF THEIR DECISION. Release of grant funds is pending appropriate institutional approval to conduct the specified research project. Thesis or Dissertation Committees: Institution/Advisor Name yes no Approval date: Health Care Facility IRB: Institution Name yes no Approval date: University Institutional Review Board (IRB): University Other Review: yes no Approval date:

Sigma Theta Tau, International Guidelines for Submission Of Nursing Research Proposal Revised 6-2010 The Research Committee of Sigma Theta Tau, is committed to assisting researchers to develop quality proposals that contribute to the body of nursing science. Should you have questions regarding proposal development, we extend an invitation to contact the research committee chairman to discuss ideas and issues related to the proposal development process. Please refer to the website to determine the current committee chairman. The research proposal is to follow the format described below. 1. Electronically email the grant proposal to the Chair of the Nursing Research Committee of by the dates designated on the website (Fall & Spring submission) for consideration. 2. The research proposal should not exceed 5 single-spaced typed pages excluding references. Use only letter quality print in Font Style Times New Roman, Arial, or Calibri, font size 12. Margins are to be 1 inch. Use APA format for references. 3. Cover Page should list the following: a. Title b. Name, position, and contact number of the Principal Investigator (PI). c. Health care facility/research institution with complete address. d. Identify whether the research proposal is a full scale or pilot project. e. For the remainder of the proposal, follow the format and incorporate the subheadings specified: 4. Abstract: Provide an elementary review of the proposal content (significance and relevance to practice, specific aims, design, & method). The abstract is to be 200 words or less. 5. Specific Aims: Summarize the objectives of the planned research, including questions to be addressed and/or hypotheses to be tested. 6. Background/Preliminary Studies: Discuss the relevant background studies and if available, any preliminary studies that support the proposed study. 7. Significance: Describe the significance of the proposed research to nursing and the health care system including patients.

8. Methods: 9. Eligibility. a. Describe the study design. Provide rationale for why the design is appropriate to answer the posed research questions. Identify the dependent and independent variables if appropriate. Address protection of human subjects, informed consent, and IRB approval information. b. Describe the sample and if appropriate provide sample justification information (power analysis). Include inclusion and exclusion criteria. c. Describe data collection methods. Include a description of instruments. Printed copies of the instruments are to be included in the appendices. d. Plans for analysis of data described in enough detail to give the reader an understanding of how you will answer the study questions or test the hypotheses. a. To be eligible for support under this solicitation, the PI must be a nurse and a current member of Sigma Theta Tau, International. b. Funding preference will be given to members of. 10. Investigator Qualifications. a. Create abbreviated curriculum vitae (CV) or resume for each investigator of no more than 4 pages per investigator. b. Describe in detail each investigators contribution in grant development and the role each investigator will play if the grant is funded. c. Include a personal statement briefly describing why your experience and qualifications are particularly well suited for your role in this project. d. Include in the CV/resume: educational information; no more than 5 publications where possible relevant to your proposed research. e. List current grant submissions to other funding agencies and status of these applications. 11. Budget. a. Provide an itemized budget with a detailed justification for items listed. b. If funding has been requested from multiple sources, identify how SST funding will be distinct from other budgets submitted. c. Note: Usually funding for grants ranges between $500 and $2500. Budget requests in the past have covered reasonable travel costs pertaining to data collection, consultant fees, and specialized computer software that is directly related to the project. Equipment that is not readily available from other sources and supplies related to the research are also covered. What has typically not

been covered by funding are costs related to research dissemination, e.g., travel to conferences and materials needed for poster and paper presentation, transcription fees, equipment that is commonly available from other sources. 12. Attachments. Attachments include: references (APA format), support letters, and study instruments. 13. IRB Approval. Prior to funding, a letter of approval from the appropriate Institutional Review Board (IRB) must be submitted. 14. Investigator Responsibility. Investigators are to complete an annual report until the study is completed describing study progress and dissemination of findings. At the end of the study, a final written abstract is to be submitted to the Chair of the Research and Awards Committee.