Gayle Shanholtz, DNP, RN, PMH-BC, NEA-BC, was a doctorate student for this project and was a nurse educator for neurology and oncology specializing in performance improvement, education, and outcome reviews to improve patient care. The school of nursing and southern hospital-site IRBs approved this project. Currently, she is the chief of acute care nursing services at the Martinsburg Veterans Affairs Medical Center in West Virginia.

Franz Henryk Vergara, PhD, DNP, RN, CENP, CCM, ONC, was the doctoral capstone chairman and he was the supervising faculty of Dr. Shanholtz. Currently, Dr. Vergara is a principal consultant at Nurse Atbp LLC, Columbia, Maryland.

Katheryne Tifuh Amba, PhD, DNP, RN, ACNP-BC, CCRN, is nurse scientist at SSM Health Cardinal Glennon Children's Hospital, St Louis, Missouri.

Mary Dioise Ramos, PhD, RN, is associate professor at WellStar College of Health and Human Services, Kennesaw State University, Kennesaw, Georgia.

Address correspondence to Franz Henryk Vergara, PhD, DNP, RN, CENP, CCM, ONC, 7206 Sleep Soft Circle, Columbia, Maryland, 21045 ([email protected]).

The authors report no conflicts of interest.