This work was supported by the Robert Wood Johnson Executive Nurse Fellows Program, Mayo Clinic, and grant 1 UL1 RR024150-01* from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and the NIH Roadmap for Medical Research. Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NCRR or NIH. Lastly, the project could not have been executed without the support and partnership of the teachers (Kathy Barnes, Ashley Hartman; Margaret Jensen, Marcia Jorgensen, Paula Kuisle, Cara Malone, Lisa Moreno, Paula Sherman, Edie Schultze; principals (Paul Ehling, Jacque Peterson); and the PHN (Colleen Zufelt).