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INACSL Research Instrument Repository Upload Request Form
Please use this form to request additions or changes to the INACSL Instrument Repository. Contact Deniz N. Dishman, PhD, CRNA with any questions at
Deniz.N.Dishman@uth.tmc.edu
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Please insert the citation for upload
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Please identify the placement category for the citation:
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Choose
Skill Performance
Learner Satisfaction
Knowledge/Learning
Critical thinking/ Clinical judgement
Self-confidence/ Self-efficacy
Debriefing
Please list searchable keywords for your citation:
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Your answer
Would you be willing to have your instrument published in the Repository? If yes, please email a copy of your instrument to
tbreymier1@udayton.edu
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Yes
No
Would you be willing to mentor other researchers on the use of this instrument?
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No
Please include your name and corresponding email address:
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