Supportive Care in Oncology

EONS RESEARCH GRANT 2014 Research Project Proposal

Welcome

I Your details

PRINCIPAL INVESTIGATOR:

Name: ______

Position: ______

Address: ______

City: ______

Postal Code: ______

Country: ______

Email ______

Phone (including country code): ______

Fax: ______

CO-INVESTIGATOR(S): [If more than one co-investigator, please copy this section and attach information on each]

Name: ______

Position: ______

Address: ______

City: ______

Postal Code: ______

Country: ______

Email ______

Phone (including country code): ______EONS Research Grant 2014 2

Fax: ______II Your Research Proposal

PROJECT TITLE

SUMMARY OF FUNDS REQUESTED (Provide details on page 4)

Type of funding requested: Primary Euro Supplementary (e.g. to an existing grant) Euro

A. PERSONNEL Euro B. EQUIPMENT Euro C. MATERIALS, SUPPLIES & OTHER Euro

TOTAL AMOUNT REQUESTED Euro

Please note: all grants will be paid in …Euro…………..

IV SIGNATURES

The undersigned agree to the general conditions governing the award of a grant, as set forth in the “Guidelines for Applicants”, on behalf of the applicant and the institution/agency which employs the applicant or with which the applicant is affiliated.

Principal Investigator:

Affiliated Institution/Agency Signatures:

Name: (Head of Department, School or Designate)

Title:

Signature: Date: EONS Research Grant 2014 3

RESEARCH APPLICATION CHECKLIST Applicant Office

1. Collect supplementary information  

2. Evidence of submission, or plan for submission, to Ethics committee for Human Study/Access to confidential records*  

3. Evidence of submission for approval to access subjects and/or facilities required (letter from clinical site, manager or   equivalent)*

4. Research Project Proposal , which should include:

4.1 Cover page – budget summary  

4.2 Page 2 – signatures obtained  

4.3 Page 4-6 budgetary breakdown  

4.4 Page 7 – Personal Data Form   Page 8- Description of the research team   4.5 Page 9 - Publications   4.5 Page 10 – complete proposal  

i. Abstract  

ii. Background  

iii. Aims and research Questions  

 Research design, Methods, Plan of Study    Sample and Setting    Data collection and analysis     v. Relevance to European Oncology Nursing  

vi. Suggested referees  

vii. References & Appendices  

Note: Items 1-4 REQUIRED for complete application.

* Formal ethics and management approval according to own country’s regulations are required before the project can commence but it is recognised that these may not be in place at the time of application. Evidence of the plan for application IS required at this stage. EONS Research Grant 2014 4

GRANT APPLICATION

Proposed Budget (NB Size of tables can be expanded or reduced as necessary)

PERSONNEL. List all personnel, including investigators, involved in the project, whether being paid from project funds or not. If individuals are not being paid, put N/A in the last two columns on right.

Name and Title (or if Rate of research staff not yet Project Contribution Time Commitment Pay per Estimated appointed, provide Hour Expenditure grade of staff member) Hrs. Wk. # of Wks

Subtotal: Euro

GRANT APPLICATION – Proposed Budget (Cont'd.) EONS Research Grant 2014 5

EQUIPMENT

Item Justification (items which are not self-explanatory) Estimated Expenditure

Subtotal: Euro

MATERIALS, SUPPLIES & OTHER

Item Justification (items which are not EONS Research Grant 2014 6

self-explanatory) Estimated Expenditure

Subtotal: Euro

Additional details of budget with any further justification of budget items.

Other Funds

Do any funds already exist to support this (or an earlier phase) of this project? □ Yes □ No List all sources of other funding: (Current and Applied for) for this project.

Name of Applicant(s) Amount Status Support Period Held Applied For EONS Research Grant 2014 7

DESCRIPTION OF RESEARCH TEAM. Please provide a short description of each member of the research team (i.e. all co- investigators), detailing their specific contribution. Focus on the expertise and experience each will bring to this project. EONS Research Grant 2014 8

Personal Data Form (CV). To be completed by each of the applicants and any other named research associates. 2 pages maximum for each investigator – please copy the following 2 pages as necessary

NAME: ______

WORK ADDRESS:

EDUCATION INCLUDING CLINICAL TRAINING

University or Institution Qualifications and Location Field of Study Year

RESEARCH AND/OR PROFESSIONAL EXPERIENCE

Dates (From - To) Institution Department Supervisor

ACADEMIC /CLINICAL POSITIONS HELD

Dates (From - To) Institutions Department Position/Title EONS Research Grant 2014 9

Current Grants (title, amount, funding body, dates. NB please state whether Principal Investigator or Co-Investigator):

Publications:

Total number (excluding abstracts):

List papers published during the past five years only, or any particularly relevant papers for this application. Include papers accepted for publication. EONS Research Grant 2014 10

GRANT APPLICATION

Abstract (200 words) EONS Research Grant 2014 11

Please copy all headings and complete all sections below using a maximum of 10 pages overall

1. Background (citing key references, searches used, etc.)

2. Aims and Research Questions

3. Research design, Methods, Plan of study (including proposed timetable)

4. Sample and Setting

5. Data collection and analysis

6. Justification of costs

7. Relevance to Oncology Nursing in Europe

8. Suggested Referees - Please supply the names, titles and email addresses of 2 possible reviewers who could review your application (although we will not necessarily approach them). Please note that reviewers should not be current or past collaborators.

9. References

NB appendices may be added, but these should not be essential elements of the proposal. All information for items 1-9 should be contained within the 10 pages EONS Research Grant 2014 12

EONS membership

Please note that you need to be / willing to become an EONS member (either through your National Society or as individual member) in order to participate in the research workshop.If you are a member of a National Oncology Nursing Society, please indicate the name of the society and your society membership number. If you are an individual member of EONS, please indicate your membership number

Comments:

AGREEMENT FORM

I (we) thereby agree that after completion of the study sponsored by the EONS Research Grant 2014, the study will first be presented at one of the EONS conventions (either ECCO or Spring convention). Submission of a paper for publication in the EONS official journal, the European Journal of Oncology Nursing, is expected. Any publication and/or presentation of the study must acknowledge the EONS Major Research Grant 2014.

Applicant's signature:

Signatures of all other investigators:

IMPORTANT:

This Research Project proposal should be submitted as a Word.doc attachment when completing the online application form at http://www.cancernurse.eu/awardsgrants/eons_research_grant.html