Joyce LeFever Kee, MS, RN, Associate Professor Emerita, School of Nursing, College of Health Sciences, University of Delaware, Newark, Delaware, Evelyn R. Hayes, PhD, MPH, FNP-BC, Professor, School of Nursing, College of Health Sciences, University of Delaware, Newark, Delaware and Linda E. McCuistion, PhD, RN, ANP, CNS, Professor, South University, Richmond Campus, Glen Allen, Virginia