Welcome to Texas Nurses Association’s (TNA) 18^th District’s Grant Program. TNA is a state-wide membership-based association of Registered Nurses (RNs).  Founded in 1907, TNA is the oldest professional nursing association in Texas.  Its members represent all segments of nursing practice, from bedside to administration, consulting to advanced practice, and education to legislation.  Members come from all practice settings: hospital, home and community health, public health, higher education, long-term care, school health, and policy. As divergent as they are, TNA members all share a common purpose: advancing excellence in nursing. It's a pursuit that requires commitment, involvement and leadership -- fortunately, inherent traits of a Registered Nurse. The mission of TNA is: Moving the nursing profession forward through leadership, advocacy and innovation.

The TNA’s 18^th District’s Grant Program is established to provide funding support and champion those nurses who are actively in pursuit of nursing growth, innovation, and leadership within TNA’s 18^th District. Currently there are two grants available to members.

Emerging TNA Leaders Grant

The Emerging TNA Leaders Grant provides funding for research/projects that will advance evidence based practices in healthcare settings located within TNA’s 18^th District. Grant money established for this endeavor is sponsored by TNA’s 18^th District. This year, 2010, all relevant topics will be considered.

TNA Scholars Grant

The TNA Scholars Grant is collaboration between Sigma Theta Tau, Iota Mu Chapter and TNA’s 18^th District. The mission of the Honor Society of Nursing, Sigma Theta Tau International is to support the learning, knowledge, and professional development of nurses committed to making a difference in health worldwide. Grant money established for this endeavor is sponsored by Iota Mu Chapter of Sigma Theta Tau International. This year, 2010, relevant topics will include qualitative or quantitative research or implementation of evidence based practice.

Application

Questions and/or concerns related to the grant program should be directed to:

Cindy Acton, RN, DNP, NEA-BC, TNA’s 18^th District’s Board & Practice, Work Place Issues, and Professional Services Committee, Chair

E-mail Address: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Quick Summary of Grants Information and Timeframe

Number of Anticipated Awards: No more than 5 Awards

Maximum Funds Available: $2,500.00

Open Invitation Begins: March 29, 2010

Application Deadline (Electronic): April 26, 2010 (5pm)

Recipient Notification: May 2010 (TNA Banquet)

Funding Begins: Immediately following Notification

Progress Reports Due: September 1, of every year

Final Report Due: No more than 24 months following notification

(Recipients of 2010 - May 2012)

Emerging TNA Leaders Grant Eligibility Criteria:

Priority will be given to those teams whose primary work requires direct patient care responsibilities.

The principal investigator/project manager must:

• Be a TNA’s 18^th District member.

· Be a Registered Nurse in the State of Texas.

· Submit all required documents.

· Be ready to or have already started the research/project.

· Not be currently serving or not have served in the immediate past two years on the board or committee of TNA’s 18^th District. (These members may serve as a consultant or team member).

Team requirements:

• All team members must be a TNA’s 18^th District member.

· One team member must be a first time or inexperienced nurse researcher/project manager. (One who has not received funding support for a study or project).

· Must have one member who is a Master’s prepared nurse or higher serving on the team.

TNA Scholars Grant Eligibility Criteria:

Priority will be given to those teams whose primary work requires indirect patient care responsibilities.

The principal investigator/project manager must:

• Be a member of TNA’s 18^th District and/or STTI-Iota Mu Chapter.

· Be a Registered Nurse in the State of Texas.

· Submit all required documents.

· Be ready to or have already started the research/project.

· Not be currently serving or not have served in the immediate past two years on either the board or committee of TNA’s 18^th District or STTI-Iota Mu Chapter. (These members may serve as a consultant or team member).

Team requirements:

• One team member must be a TNA’s 18^th District member.
• One team member must be a STTI Iota Mu member.
• All team members must be either a member of TNA’s 18^th District or STTI Iota Mu Chapter.
• Must have one member who is a Master’s prepared nurse or higher serving on the team.

Additional Requirements for All Grants:

· The research/project activities must be implemented within one of TNA’s 18^th District’s counties: Cochran, Crosby, Dickens, Floyd, Garza, Hale, King, Knox, Lamb, Lubbock, Lynn, Lockney, Terry and Yoakum.

· A letter of support from the organization(s) in which the research/project will be conducted is required.

· If existing study/project is submitted, proof of Institutional Review Board Approval (IRB) approval.

Invitation Procedure:

All TNA’s 18^th District members are encouraged to apply. If you are not an experienced researcher/project manager, but you are interested in conducting a nursing research/project, TNA’s 18^th District’s Board & Practice, Work Place Issues, and Professional Services Committee will assist you in obtaining a consultant for your research/project.

Application Procedure:

· Applications and supporting forms can be found electronically on the TNA’s 18^th District’s web site. All applications and supporting material must be electronically submitted. Handwritten or printed applications are not acceptable.

· It is the responsibility of the applicant to submit a completed application along with all supporting materials by the designated deadline.

· Required documents include:

o Cover Sheet

o Application Form: completed, signed, and dated,

o Grant Program Agreement: signed and dated,

o Biographical Sketch: of each member identified on the grant. (May substitute personal CVs and Resumes),

o Proposal Form: completed,

§ Instrument/questions if utilized in the study/project

§ IRB Approval, if existing study/project

o Budget Form: completed, and

o Letter of support.

· Applicants will receive a notice via e-mail from the TNA’s 18^th District’s Board & Practice, Work Place Issues, and Professional Services Committee acknowledging receipt of the application.

· All applications and their accompanying materials become the property of the TNA’s 18^th District and will not be returned.

Review Process:

· All completed applications and supporting material will be submitted for review, to the TNA’s 18^th District’s Board & Practice, Work Place Issues, and Professional Services Committee.

· The Research Chair of Iota Mu will assist in determining the recipient of the TNA Scholars Grant.

· Allocation of funds for 2010 is based on research/projects that:

o Has the highest impact in advancing evidence based practices in healthcare settings located within TNA’s 18^th District and

o Teams who most represent diverse employers and work environments.

· In the event, clarification or suggested revisions by the committee is warranted, applicants will be notified in writing. Any resubmission must be submitted by the corresponding deadline to be considered.

· Applicants will be notified of the committee's decision by the notification deadline.

IRB, Reports, and Publications Requirements:

IRB Approval

· IRB approval must be on file with the TNA’s 18^th District’s Board & Practice, Work Place Issues, and Professional Services Committee prior to the awarding of funds.

· If IRB does not exist at the institution, the TNA’s 18^th District’s Board & Practice, Work Place Issues, and Professional Services Committee will assist the team in obtaining IRB approval.

o If the primary investigator/project manager leaves the district or conditions of the original intent of the study/project changes, the TNA’s 18th District’s Board & Practice, Work Place Issues, and Professional Services Committee must be notified in writing.

o If the study/project is not completed, funds must be returned to the TNA’s 18^th District unless there is a clear plan to continue. This plan must be submitted in writing to TNA’s 18^th District’s Board & Practice, Work Place Issues, and Professional Services Committee.

Reports

· Grant recipients must submit progress reports until the study has been completed. If reports are not received by the designated deadline, funds must be returned.

· A final report must be submitted no later than 24 months after notification that the grant is awarded. If reports are not received, funds must be returned.

Publication

· Mention of the funding source for both grant is required in all publications and presentations.

o Emerging TNA Leaders Grant: “Supported by TNA’s 18^th District”

o TNA Scholars Grant: “Supported by TNA’s 18^th District and STTI- Iota Mu Chapter”

· A copy of any publications based on this work must be submitted to TNA’s 18^th District’s Board & Practice, Work Place Issues, and Professional Services Committee.

Please submit the required documents below to:

Cindy Acton, RN, DNP, NEA-BC, TNA’s 18^th District’s Board & Practice, Work Place Issues, and Professional Services Committee, Chair

E-mail Address: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

______ Cover Sheet

Indicate which Grant applying for:

______ Emerging TNA Leaders Grant or

______ TNA Scholars Grant

______ Application Form: completed, signed, and dated,

______ Grant Program Agreement: signed and dated,

______ Biographical Sketch: of each member identified on the grant. (May substitute personal CVs and Resumes),

______ Proposal Form: completed,

______ Instrument/questionnaires if utilized in the study/project

______ IRB Approval, if existing study/project

______ Budget Form: completed, and

______ Letter of support

Title of Project:

Primary Investigator/ Project Manager Contact Information

Name:

Address: City, St, Zip:

Phone: (H) (W) E-mail address:

Employer Institution:

Address: City, St, Zip:

Primary Investigator’s/ Project Manger Eligibility

Texas Registered Nurse: ___ YES ___ NO License Number:

TNA’s 18^th District Member: ___ YES ___ NO TNA Membership Number:

STTI-Iota Mu Chapter Member: ___ YES ___ NO

Currently or previously served on the TNA’s 18^th District Board of Directors or Committees: ___ YES ___ NO

If yes, dates of term:

Currently or previously served on the STTI-Iota Mu Chapter Board of Directors or Committees: ___ YES ___ NO

If yes, dates of term:

Highest Degree:

Team Member Requirements
Names	Roles 1) Co-investigator/project manager; 2) Team member; or 3) consultant	TNA Member Yes/No	Iota Mu Member Yes/No	Highest Degree	Years of Research/Project Experience

Research/Project Requirements

The research/project location is in which TNA’s 18^th District’s county (ies): _______________________

(Cochran, Crosby, Dickens, Floyd, Garza, Hale, King, Knox, Lamb, Lubbock, Lynn, Lockney, Terry, and/or Yoakum).

Proposal Previously Approved by Institutional Review Board? ___ YES ___ No

If yes, submit proof of IRB approval.

Payment Directives

To whom should the grant check be made payable (complete one)

Name of Institution: Employer Identification Number:

Or

Name of Self: Social Security Number:

Primary Investigator/Project Manager Signature Date

If my proposal is approved for funding, I agree to:

· Assume responsibility for the scientific conduct of the study/project.

· Submit a copy of IRB approval to the TNA’s 18^th District’s Board & Practice, Work Place Issues, and Professional Services Committee prior to receiving funds.

· Use the grant funds for the purposes described in the proposal and budget.

· Submit reports as requested by TNA’s 18^th District’s Board & Practice, Work Place Issues, and Professional Services Committee.

o Report any deviations in the study/project to the TNA’s 18^th District’s Board & Practice, Work Place Issues, and Professional Services Committee.

o Submit one copy of the final report no later than 24 months after notification that the grant is awarded.

· Disseminate the research/project findings (e.g., publication or presentation).

· Acknowledge support of funding in all presentations/publications:

o Emerging TNA Leaders Grant: “Supported by TNA’s 18^th District”

o TNA Scholars Grant: “Supported by TNA’s 18^th District and STTI- Iota Mu Chapter”

Primary Investigator/Project Manager Signature Date

(A biographical sketch is required of every member on the research/project team. Members MAY submit curriculum vitae or resume in place of the biographical sketch).

Name:

Education:

Dates Institution Degree/Major

Professional Work Experience:

Dates Position Employer

National/Board Certifications:

Date Received-Expires Title of Certification Organization Deeming Certification

Honors/Professional Accolades:

Date Received Title of Honor Organization Deeming Honor

Scholarly Activities: (Include RELATED publications, presentations, and research/projects).

Publications

Presentations

Research/Projects (If recipient of any research/project funds, list amount and source).

Please provide a three (3) page proposal that addresses: 1. Significance to TNA; 2. Purpose/ Aims of the research or project; and 3. Methods (design, subjects, setting, procedures, data analysis or evaluation, time frame of project). At the discretion of the committee, proposals that exceed the double spaced, 3 pages limit may be disqualified. Attach any instrument/questionnaires used in the activity. These will not be counted in the page limit.

Budget information must clearly identify: 1. Itemization of all expenses associated with the research/project; 2. Expenses that the applicant is requesting to be funded by TNA’s 18^th District Grant Program; and 3. Justification of all items. Applicants may use other spreadsheets that are more favorable. If using, supplied table, add columns and rows as needed.

1. Funds are not available for:

o completed research/projects ,

o salaries,

o indirect costs,

o standard office equipment i.e. telephones, computers, word processors, typewriters, fax machines , and

o duplicate funding. Supplemental funding from other organizations is permissible, as long as funds are not used to pay for the same item twice.

Request TNA Grant Program Funding Yes/No	Expense/Cost	Items	Justification
	$
	$
	$
	$
	$
	$

$ _________________ Total TNA’s 18^th District Requested Funds

$ _________________Supplemental Funding

$ _________________ Total Expense of research/project