Episcopal Diocese of Southern Philippines

BRENT HOSPITAL AND COLLEGES INCORPORATED

R. T. Lim Boulevard, Zamboanga City

Dear Respondent,

Greetings of Peace and Prosperity!

I am conducting a study entitled, “The utilization of Learning Management

System (LMS) Among the Faculty in the College of Nursing: An Assessment”.
Respectfully, you have been chosen to be a part of this study if you consent us to do so.
The following are the details of the said study:

Purpose of the Study:

The primary purpose in conducting this study is to determine the relationship of the
demographic profile and the perceptions towards Learning Management System (LMS)
in terms of usefulness and ease of use of Brent Hospital and Colleges Incorporated
Nursing faculty as flexible online education may serve a challenge to nurse educators in
providing and delivering their academic materials.

Risks and Inconveniences: There are no perceived risks in the conduct of this
study as no active intervention will be done other than the utilization of an online survey
questionnaire through Google Forms or with the use of a hard copy survey if the
respondents choose to do so. Also, there are no perceived inconveniences because the
survey will be conducted depending on the availability of the respondent’s schedule. Rest
assured that the participants will not spend any monetary expenses in the conduct of this
study, for this study shall be conducted in their respective homes or in their academic
institutions.

Possible Benefits of the Study: The nurse educators, administration, and the
academe shall benefit from the output of this study because this will assist in developing
a better framework and to innovate strategies for the improvement of academics and
teaching that will heighten the graduate and post graduate programs.

Compensation: There will be no monetary compensation for your participation

of this study.

Voluntariness of Participation: Your participation in this study as a nurse

educator is purely VOLUNTARY and you may DECLINE & WITHDRAW anytime
even if you consented to participate in the study. It will take roughly 15 minutes or more
to complete the survey.

Confidentiality: All data recorded and obtained will be kept confidential. Results
of this study will be provided to the respondents as a group data as soon as possible,
either in a mail or data will be provided to the institutions concerned.

If you have other inquiries, you may contact the researcher to the following
contact information;

09957825502
shanabelamide20@gmail.com

Thank you and God bless.

Prenza Delien A. Belamide, RN

Master of Arts in Nursing
Major in Nursing Management
Researcher
 Republic of the Philippines
Western Mindanao State University
COLLEGE OF NURSING
Nursing Graduate School Program
Zamboanga City

PARTICIPANT’S CONSENT

I, the undersigned, confirm that (please tick box as appropriate):

1. I have read and understood the information about the research, as provided
in the Information Sheet dated. (Nabasa ko at naintindihan ko ang mga 
bagay-bagay ukol sa pananaliksik na ito ayon sa mga nakasulat sa unang
pahina.)
2. I have been given the opportunity to ask questions about the research and
my participation. (Ako ay nabigyan ng pagkakataon upang maitanong ang 
aking mga katanungan ukol sa pananaliksik na ito at ang aking
pakikilahok ukol ditto.)
3. I voluntarily agree to participate in the research. (Ako ay boluntaryong 
makikilahok sa pananaliksik na ito.)
4. I understand I can withdraw at any time without giving reasons and that I
will not be penalized for withdrawing nor will I be questioned on why I
have withdrawn. (Naintindihan ko na maari kong baguhin ang aking 
desisyon ukol sa pagsali sa pananaliksik na ito kahit hinde ako nagbigay
ng kaukulung rason at hinde ako mapaparusahan o tatanungin ukol sa
aking pagtanggi sa pagsali sa pananaliksik na ito)
5. The procedures regarding confidentiality have been clearly explained (e.g.
use of names, pseudonyms, anonymisation of data, etc.) to me. (Ang mga
proseso ukol sa kumpidensyalidad ng pananaliksik na ito at lubos na 
naipaliwanag saakin gaya ng pagggamit ng pangngalan, sagisag at iba
pa.)
6.
The use of the data in research, publications, sharing and archiving has
been explained to me. (Ang paggamit ng mga datos mula sa pananaliksik 
na ito sa anumang plataporma gaya ng pahayagan, libro o ano pa man ay
naipaliwanag saakin. )
7. 
I understand that other researchers will have access to this data only if they
agree to preserve the confidentiality of the data and if they agree to the
terms I have specified in this form. (Naintidahan ko na ang mga sumali sa
pananaliksik na ito ay maaring humingi ng kopya ng resulta nito kung
magkakaisa sila na itatago nila ang mga resulta o iingatan mula sa
 pagkakasiwalat sa publiko.)
8.
I was informed that the results data of this study will be guaranteed to be
handled with strict confidentiality and to avoid leakage of personal data
and exposure of private documents and information to uninvolved
agencies and group. The respondent’s rights will be given the highest
priority during the implementation of this research. (Ako ay a
napaliwanagan na ang mga resulta ng pananaliksik na ito ay 
siguradong papangalagaan ng mabuti at iiwasang magkaroon ng ano
mang uri ng pagkakasiwalat lalong lalo na ang mga impormasyong
personal lalong lalo na sa mga grupong hinde kasali sa pananaliksik na
ito. Ang kapakanan ng mga kasali sa pananaliksik na ito ay bibigyan ng
pinakamataas na prioridad lalong lalo na sa implementasyon ng
pananaliksik na ito. )
10. Select only one of the following:

I would like my name used and understand what I have said or written as
part of this study will be used in reports, publications and other research
outputs so that anything I have contributed to this research can be
recognized. (Binibigyan ko ng pahintulot na gamitin ang aking pangalan 
kung ano man ang kailganan para sa pananaliksik na ito at ito’y maaring
gamitin sa iba pang panananaiksik, pahayagan o sa ano pa mang
plataporma sa gayon ang aking contribusyon sa pananaliksik na ito ay
makilala.)

I do not want my name used in this research. (Hinde ako pumapayag na


gamitin ang aking pangalan sa pananaliksik na ito.)

11. I, in witness of the Researcher/s, agree to sign and date this informed
consent form. (Ako, sa harap ng mga mananaliksik ay pumapayag na 
pirmahan itong kasunduan na itio.)

Participant:

_____________________________ ______________________ _______________

Name of Participant (Optional) Signature/Thumbmark Date

Primary Researcher:

Prenza Delien A. Belamide , RN ___________________ ______________

Researcher Signature Date