Suzanne M. Keep, PhD, RN, is an Assistant Professor of Nursing, McAuley School of Nursing, University of Detroit Mercy, Detroit, Michigan. Alice Reiffer, RN, NP-C, is an Adjunct Professor of Nursing, McAuley School of Nursing, University of Detroit Mercy, Detroit, Michigan. Thomas E. Bahl, PhD, is an Associate Professor, Biology Department, Aquinas College, Grand Rapids, Michigan.