Font size:


York University Informed Consent

Date of publication: June 2 2021, 04:59


Project Title 

Accommodation To include students with disability in placement Sites (AcTinSite): An interdisciplinary toolbox 

Principle Investigator/s

Iris Epstein, Assistant Professor,School of Nursing, Faculty of Health, York University
Lindsay Stephens, Assistant Professor, University of Toronto, Geography
Nastaran Dadashi, Professor, George Brown College, Design
Melanie Baljko, Associate Professor, York University, Engineering
Paula Mastrilli, Chair George Brown College, Nursing
Nazilla Khanlou– Chair Women Mental Health York University
Maria Parzanese, Nursing Education Lead, Sunnybrook
Karen Swartz, Associate Director, Student Accessibility Services, York University
Bonnie Fleming-Caroll – Associate Chief, Nursing & Interprofessional Education, SickKids Learning Institute


You are being asked to take part in an interdisciplinary research study to support health professional students who identify with disability and who participate in clinical placements. We will include a sample of 25 participants (e.g., clinical staff; management; students who identify with a disability). Study results will be available in early 2023 and will be disseminated through workshops, social media and academic papers. If you are interested a postcard summarizing results will be emailed to you.  Participants are under no obligation to participate and are free to withdraw at any time.

Sponsor: York University

This research has been approved by the Human Participants Review Subcommittee (HPRC) of York University for compliance with York University Senate Ethics policy. 

Purpose of the Study

The purpose of the study is to help students who identify with disabilities (SWD) succeed in placement. We will design, develop, and evaluate an interdisciplinary resource toolbox to support students who identify with disability, clinical instructors and preceptors before, during and after placements experiences.  

What You will be Asked to Do in the Study?

You will be invited to attend a three-day design charrette (DC) (workshop) to explore design options and help identify needed tools and resources. This workshop will include three separate teams of 8 (8×3=24). You will be asked to participate in ONE team and meet at the same time (synchronized meeting) (for example, day 1- we will meet for up to 4 hours; day 2 -we will meet up to 4  hours and day 3 we will meet up to 5 hours). Each team will include students who identify with disability; clinical instructors; clinical placement management and educational leaders. Each team will be given a charrette handbook in advance. This will include an agenda, example of scenarios to be discussed during the event, possible tools that team members can use during the event and desired deliverables (e.g., small tasks to complete).

The workshop will be conducted remotely in a password protected platform such as Zoom, TEAM and Slack to guide the data collection and facilitate focus groups and discussions. Each participants team will include 3-4 members of the research team such as (1) a  technical support person; (2) a note taker who will audio/video record conversation and team members interactions and keep the time and (2) an observer and (3) a facilitator. Participants will be asked to collaborate and create resources, solutions to challenging scenarios. The research team will collect data such as processual artifacts (i.e., sketches, doodles) and conduct both observation and informal interviews during the events. Data that is collected with personal identifiers (eg video) will be securely stored in a password protected format and identifiers will be removed and data will be anonymized before it is used or published beyond the research team. All participants will be compensated for their time.


There is no cost to you for taking part of this study. You will receive a token of appreciation (e.g.,80$ worth gift card a day) for your time and effort to participate in this study. You will still be entitled to receive compensation, should you choose to withdraw from the study.

Voluntary Participation

Participation in this study is completely voluntary. The decision to participate is entirely up to you. You may refuse to answer any questions you do not want to answer. 

Risks and Discomforts

When describing experiences, some participants might share negative feelings and experience discomfort. If you feel uncomfortable or become tired, you can take a break whenever you want. If necessary we will connect you with counsellors at the Students Accessibility Services for more support. 

Withdrawal from Study

You can stop participating in the study any time you want, for any reason you want.  If you decide to withdraw, you do not need to give a reason, and it will not prejudice your future relations with the research team or York University or clinical institutions.  You will still be entitled to receive compensation should you choose to withdraw from the study. In the event that you withdraw from the study, you can request that all associated data collected about you will be immediately destroyed wherever possible.  

Confidentiality and Privacy

The interview is confidential and any identifying information you provide in your responses to the interview will be removed for confidentiality and will not be found in the transcripts and research results and dissemination. The data will be destroyed by March 30 2024 after the conclusion of the study. Your name will not be identified in any records and outputs such as reports or presentations that may arise from this study. Your name will never be used in connection with any of the data we collect.  Your signature below indicates that you are willing for any of the information we get from you to be used in an article or lecture as long as your name or any other identifiable information is not revealed. Your data will be safely stored on a double locked system that only the principal investigators will have access to. Your confidentiality will be maintained to the extent allowed by law.

Limits of confidentiality

If you contact the researcher your email will not be linked in any way to the interview responses. Your email will only be used to respond to your questions about the research. Any identifying information collected from you for the purposes of conducting the interview or which arises during the interview will be removed and kept separately from the data itself and will not be shared beyond the research team or in any dissemination processes.

If you share any information with the research team that could indicate that you are at risk of imminent harm to yourself or others; if you disclose current abuse of a minor; or the abuse of yourself or another individual by a regulated health professional, the researchers have a professional duty to break confidentiality and report the information to legal authorities. 

Note that zoom video conferencing will be used. Your Internet Protocol (IP) address can be tracked through zoom. No member of the research team will be collecting this information. 

In addition, when researchers use the internet to transmit or receive participant data, they should be aware that while in transmission, data may be subject to access by third parties as a result of various security legislation now in place in many countries. REB and regulatory authorities will also have access to the data for purposes of monitoring.


There is no direct benefit to you. Your participation will facilitate an improved understanding of how to support communication about accommodation with students who identify with a disability in placement. Your participation will inform the development of a resource toolbox that will be disseminated to individual students, instructors, preceptors and institutions.


The study is funded by The Social Sciences and Humanities Research Council (SSHRC) Insight.

Conflict of Interest

The investigators have no conflict of interest to declare.


Project Title: Project Title: 

Accommodation To include students with disability in placement Sites (AcTinSite): An interdisciplinary toolbox.

Questions or concerns

If you have any questions or concerns about the research in general or about your role in the study, please feel free to contact the principal investigators, Dr. Iris Epstein, either by phone at (416)736-2100 x 22108 or by e-mail (

Iris Epstein Ph.D.
Principal Investigator

Legal Rights and Signatures

You will receive a copy of this informed consent if requested. You are not waiving any of your legal rights by signing this form. Your signature below indicates that you agree to participate in this study. 

This research has been reviewed by the Human Participants in Research Committee, York University’s Ethics Review Board and approved the protocol for compliance with Senate ethics policy. If you have any questions about this process, or about your rights as a participant in the study, please contact the Manager of Research Ethics for York University at the Office of Research Ethics, 5th Floor Kaneff Tower, York University (telephone 416-736-5914).