Jennifer J. Yeager, PhD, RN, Assistant Professor, Director of the Graduate Nursing Program, Department of Nursing, Tarleton State University , Member of The Texas A&M University System, Mary Beth Winton, PhD, RN, APRN, ACNP-BC, Linda E. McCuistion, PhD, RN, ANP, CNS, Professor, South University, Richmond Campus, Glen Allen, Virginia and Kathleen DiMaggio, RN, MSN, Assistant Professor of Nursing, Our Lady of Holy Cross College, Department of Nursing