LOCUS OF CONTROL ORIENTATION AND LEVEL - Drake University

I am an employee of Mcrcy Iiosp~bl Medical Center as an instructor at Mercy School of
Surs~ng and a graduatc student in the Division of Nursing at Urakc Univcrsiiy in Dcs Molncs,
Iowa 11s a part of rny gr~duatc program I am ajnduc~inp, 3 s~udy to bcttcr understand what
factors conurbutc to a person's perception of pain rclief.
I am requesung your participation in this s~udy. You have been selected as a potential
pamclpant because you have undergone abdominal surgcry and rcceived cpidural analges~a
post-opcrat~vcly.
'rhe goal of this study is to investigate ~f Lhcre are differences in pcrcepuon of paln rclief
w~th epidural analgesia dependent on a persons beliefs about factors lhat cffecr human
cxistcncc. I'l~c informat~on
~ n to d Irrlprove lhc~r at~ility to assist and support ihcse ~ndividuals
to be collcctcd will assist nurses LO undcrsrand pstlcnls In pain
Pan~clpating In th~s study involves cornplcbng the enclosed hlu1i1-dl~ncns~onal 1 Ioallh Locus
of Control qucsuonnatrc. It should take you approx~matcly IO minutcs LO complete. In
addition, I am asking your permission to review your hospltal record for lnformauon regarding
your age, gender. 1llc type of surgical procedure, and information Jcscr~f~lng your pain
cxpenencc. 11 stamped sclf-addressed envelope for ihe rcturn of rhc qucsuonnairc is included.
Cornplction and rcwrn of the questionnaire wi tl indicate your consent lo panicipare.
'Ihcrc arc no risks in participating in this study. Your idcnt~ly w~ll 11c protcctcd by strict
confidcn~iality. 'I'hc questionnaire is coded with a number by which you will bc identified
exclusively throughout he study. 'fl~is number will allow me to rnaich your questionnaire
wtrh the ~nforrnauon regarding your pain cxpcrtencc from your hosp~~al rccord. At no Lime
w~ll sour name appear with rcfercncc to this study. l'articipauon In the swdy is voluntary.
You may decline answering the qucstionnairc and your decision will bc rcspcctcd.
I would like to thank you for taking the time to read this letter and considcr my rcqucst for
partlcipauon In this study, if you havc any questions or comrncnts pleasc lccl frcc to conlact
rnc at thc addrcss ~ndicaicd below
Julianne M. Sarcone
4816 Westwood Drive
West Des kloines, Iowa 50265
(5 15) 223-8726