The data were coded and categories and themes were constructed (Henning 2004) using TAMS Analyzer (Weinstein 2012). The quotations used here reflect common themes. To honor our obligation to consider risks and benefits that may derive from participation in our research (Maurstad 2002, Carruthers and Neis 2011) we provided sufficient information to allow participants to give free and informed consent by explaining the research process in writing.