Bluegrass Community and Technical College
Lactation Program Implementation Survey
Subject Informed Consent for Collection of Information/Data
Introduction and Background Information
You are invited to participate in a research study.  The study is being conducted by Peggy Rinehart, MSN, APRN, NNP-BC, a faculty member in the Nursing program.  Nancy York, PhD, RN, CNE, a faculty member in the doctoral program at Bellarmine University, is a Research Advisor for this project.  The study is sponsored by Bluegrass Community and Technical College (BCTC).  The study will take place at Bluegrass Community and Technical College.  This survey is open to all interested participants.
The purpose of this study is to evaluate the effectiveness of promotion of the new lactation support program for faculty, staff, and students at BCTC.  Information shared by study participants will be used to evaluate and improve the BCTC workplace lactation support program. 
If you decide to participate, you will complete a 12 question survey.  Survey completion takes 5-10 minutes.
Potential Risks
There are no foreseeable physical, psychological, or social risks associated with participation in this survey.
The information collected may not benefit you directly.  The information learned in this study may be helpful to others, and will be used to promote and support breastfeeding, and decrease barriers to continued breastfeeding for mothers who are employed or attending classes at BCTC. 

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