Joyce D. Cappiello, PhD, FNP, FAANP, Assistant Professor of Nursing, University of New Hampshire, Durham, New Hampshire, Jeffrey A. Eaton, PhD, NP, Nurse Practitioner, Great Works Family Practice of York Hospital, South Berwick, Maine; Associate Professor, University of Southern Maine, Portland, Maine and Gene E. Harkless, DNSc, FNP-BC, CNL, FAANP, Chair, Associate Professor and Family Nurse Practitioner, Department of Nursing, University of New Hampshire, Durham, New Hampshire