(HSSREC)
APPLICATION FOR ETHICS APPROVAL For research with human participants
INFORMED CONSENT Information Sheet and Consent to Participate in Research Date: 10th October 2019
Greeting: Good Day.
My name is Subashnee Ramiah from the University of KwaZulu Natal. I am currently a student at the University of KwaZulu Natal who is exploring organisational culture across Africa.
You are being invited to consider participating in a study to explore and understand how African organisations define and understand the different dimensions of organisational culture and how this compares to Schein’s model of organisational culture. The study is expected to enroll (an minimum of 15 particpants, within the financial industry, medical industry and retail industry within the African continent). It will involve the following a qualitative interview. The duration of your participation if you choose to enroll and remain in the study is expected to be 2 hours – an initial 1 hour interview with the potential for a follow up interview should one be needed.
Participating in this study will not expose you to any risks however should you wish to stop the interview at any time due to discomfort, you may do so. Participating in this study will provide no direct benefits to participants. We hope that the study will provide us with the necessary insight to develop an understanding of an African organisational culture model.
This study has been ethically reviewed and approved by the UKZN Humanities and Social Sciences Research Ethics Committee (approval number HSS/1465/016D)
In the event of any problems or concerns/questions you may contact the researcher at (provide contact details) or the UKZN Humanities & Social Sciences Research Ethics Committee, contact details as follows:
HUMANITIES & SOCIAL SCIENCES RESEARCH ETHICS ADMINISTRATION Research Office, Westville Campus
Govan Mbeki Building Private Bag X 54001 Durban
4000
KwaZulu-Natal, SOUTH AFRICA
Tel: 27 31 2604557- Fax: 27 31 2604609 Email: [email protected]
Participation in this research is voluntary and that you may withdraw your participation at any point. In the event of refusal/withdrawal of participation from this project, you will not incur penalty or loss as a result. .
Participation in this study is free and the project leads will bear all costs related to conducting interviews. There are no monetary or other reimbursements for participation in the study.
CONFIDENTIALITY
Your responses to this interview will be anonymous. Every effort will be made by the researcher to preserve your confidentiality including the following:
• Assigning code names/numbers for participants that will be used on all research notes and documents
• Keeping notes, interview transcriptions, and any other identifying participant information in a locked file cabinet in the personal possession of the researcher.
Participant data will be kept confidential except in cases where the researcher is legally obligated to report specific incidents. These incidents include, but may not be limited to, incidents of abuse and suicide risk.
VOLUNTARY PARTICIPATION
Your participation in this study is voluntary. It is up to you to decide whether or not to take part in this study. If you decide to take part in this study, you will be asked to sign a consent form.
After you sign the consent form, you are still free to withdraw at any time and without giving a reason. Withdrawing from this study will not affect the relationship you have, if any, with the researcher. If you withdraw from the study before data collection is completed, your data will be returned to you or destroyed.
STORAGE OF DATA
Data will transcribed and stored in a safe and secure space for a period of 5 years, after which it will be destroyed.
CONSENT (Edit as required)
I ___________________________ have been informed about the study for Person Centered Care by (_______________________________.
I understand the purpose and procedures of the study.
I have been given an opportunity to answer questions about the study and have had answers to my satisfaction.
I declare that my participation in this study is entirely voluntary and that I may withdraw at any time without affecting any of the benefits that I usually am entitled to.
I have been informed about any available compensation or medical treatment if injury occurs to me as a result of study-related procedures.
If I have any further questions/concerns or queries related to the study I understand that I may contact the researcher at (provide details).
If I have any questions or concerns about my rights as a study participant, or if I am concerned about an aspect of the study or the researchers then I may contact:
HUMANITIES & SOCIAL SCIENCES RESEARCH ETHICS ADMINISTRATION Research Office, Westville Campus
Govan Mbeki Building Private Bag X 54001 Durban
4000
KwaZulu-Natal, SOUTH AFRICA
Tel: 27 31 2604557 - Fax: 27 31 2604609 Email: [email protected]
Additional consent, where applicable I hereby provide consent to:
Audio-record my interview / focus group discussion YES / NO
____________________ ____________________
Signature of Participant Date
____________________ _____________________
Signature of Witness Date (Where applicable)
____________________ _____________________
Signature of Translator Date (Where applicable)
Name
Gender Age
Nationality
Country you working in Race
Profession Business Sector
Where are you in the hierarchy of your organization? [1=Bottom, 7=Top]