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PERNYATAAN KESEDIAAN MENJADI RESPONDEN PENELITIAN
Dengan menandatangani lembar ini, saya:
Nama :
Alamat :
Memberikan persetujuan untuk menjadi responden dalam penelitian yang berjudul
“Hubungan Antara Sikap dan Kepatuhan Perawat dalam Penggunaan APD di Masa
Pandemi Covid 19 Di RSUD R. Ali Manshur Tuban Tahun 2021” yang akan dilakukan
oleh Agus Indrayana mahasiswa Program Studi Program Studi Sarjana Keperawatan
Fakultas Keperawatan Dan Kebidanan Institut Ilmu Kesehatan Nahdlatul Ulama
Tuban
Saya telah dijelaskan bahwa jawaban kuesioner ini hanya digunakan untuk keperluan
penelitian dan saya secara suka rela bersedia menjadi responden penelitian ini.
Tuban, 2021
Yang menyatakan
( )

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Pernyataan kesediaan menjadi responden penelitian

  • 1. PERNYATAAN KESEDIAAN MENJADI RESPONDEN PENELITIAN Dengan menandatangani lembar ini, saya: Nama : Alamat : Memberikan persetujuan untuk menjadi responden dalam penelitian yang berjudul “Hubungan Antara Sikap dan Kepatuhan Perawat dalam Penggunaan APD di Masa Pandemi Covid 19 Di RSUD R. Ali Manshur Tuban Tahun 2021” yang akan dilakukan oleh Agus Indrayana mahasiswa Program Studi Program Studi Sarjana Keperawatan Fakultas Keperawatan Dan Kebidanan Institut Ilmu Kesehatan Nahdlatul Ulama Tuban Saya telah dijelaskan bahwa jawaban kuesioner ini hanya digunakan untuk keperluan penelitian dan saya secara suka rela bersedia menjadi responden penelitian ini. Tuban, 2021 Yang menyatakan ( )