Cecilia McVey1, Judith A Vessey, Carole A Kenner, Jana L Pressler. 1. Author Affiliations: Associate Director of Nursing/Patient Care Services (Ms McVey), VA Boston Healthcare System Center; Lelia Holden Carroll Professor in Nursing (Dr Vessey), Boston College William F. Connell School of Nursing, and Nurse Scientist, VA Boston Healthcare System, West Roxbury, Massachusetts; Former Dean, Professor, School of Nursing, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts (Dr Kenner); Assistant Dean, College of Nursing, University of Nebraska, Lincoln, (Dr Pressler).