To my parents, friends, and family members, I am so appreciative for your support while I pursued this work. The deepest parts of my heart are grateful for the care, encouragement, and enormous love that my husband, Chris, and my children, Elizabeth, Jacob, and Justin, have always provided as I have chased my dreams. Whenever I did not believe I could do something you convinced me I could. Whether it was 26.2 miles, a new career pursuit, or a doctorate, you have never stopped cheering me on. Thank you. I love you. 4 Dedication Page My work is dedicated to those students who have struggled on the way to becoming nursing professionals. I believe the privilege of our practice carries special meaning for having taken the longer road to serve the patients whose lives we touch. I honor your persistence and resilience. AND To my husband of 35 years, Christopher Douville. I tell my students all the time that if it had not been for my undergraduate course failure, you and I may have never met. You were with me when I fell back then, and you have been by my side ever since. My partner in life and a cherished and valuable thought partner in my doctoral work. I am enormously proud to share all of it with you.