COMMUNICATING NURSING RESEARCH Volume 51 TRANSFORMING HEALTH THROUGH ADVANCES IN NURSING RESEARCH, PRACTICE, AND EDUCATION

COMMUNICATING NURSING RESEARCH Volume 51 TRANSFORMING HEALTH THROUGH ADVANCES IN NURSING RESEARCH, PRACTICE, AND EDUCATION An annual publication of the Western Institute of Nursing containing the proceedings of the Communicating Nursing Research Conference and WIN Assembly held April 11-14, 2018 at the Davenport Grand Hotel in Spokane, Washington. WESTERN INSTITUTE OF NURSING SN-4S 3455 SW US VETERANS HOSPITAL ROAD PORTLAND, OR An Affirmative Action/Equal Opportunity Employer Spring 2018 2 COMMUNICATING NURSING RESEARCH issues previously published: Volume 1: The Research Critique Volume 2: Problem Identification and the Research Design Volume 3: Methodological Issues in Research Volume 4: Is the Gap Being Bridged? Volume 5: The Many Sources of Nursing Knowledge Volume 6: Collaboration and Competition in Nursing Research Volume 7: Critical Issues in Access to Data Volume 8: Nursing Research Priorities: Choice or Chance Volume 9: Nursing Research in the Bicentennial Year Volume 10: Optimizing Environments for Health: Nursing’s Unique Perspective Volume 11: New Approaches to Communicating Nursing Research Volume 12: Credibility in Nursing Science Volume 13: Directions for the 1980’s Volume 14: Health Policy and Research Volume 15: Nursing Science in Perspective Volume 16: The Image of Nursing Research: Issues and Strategies Volume 17: Advancing Nursing Science: Qualitative and Quantitative Approaches Volume 18: Influencing the Future of Nursing Research through Power and Politics Volume 19: The Winds of Change: New Frontiers in Nursing Research Volume 20: Collaboration in Nursing Research: Advancing the Science of Human Care Volume 21: Nursing: A Socially Responsible Profession Volume 22: Choices within Challenges Volume 23: Nursing Research: Transcending the 20th Century Volume 24: Partnerships: Putting It All Together Volume 25: Silver Threads: 25 Years of Nursing Excellence Volume 26: Scholarship in Practice Volume 27: Research, Practice, and Education within the Health Care Agenda Volume 28: Innovation and Collaboration: Responses to Health Care Needs Volume 29: Advancing Nursing through Research, Practice, and Education Volume 30: Nursing: Changing the Environment Volume 31: Quality Research for Quality Practice Volume 32: Nursing Research: For the Health of Our Nation Volume 33: Building on a Legacy of Excellence in Nursing Research Volume 34: Health Care Challenges Beyond 2001: Mapping the Journey for Research and Practice Volume 35: Health Disparities: Meeting the Challenge Volume 36: Responding to Societal Imperatives through Discovery and Innovation Volume 37: Hallmarks of Quality: Generating and Using Knowledge Volume 38: Looking Ahead: Innovations in Nursing Science, Practice, and Education Volume 39: Building Knowledge for Practice Volume 40: 50 Years of Advancing Nursing in the West 1957 – 2007 Volume 41: The Circle of Nursing Knowledge: Education, Practice and Research Volume 42: Networks in Nursing Science: Creating our Future Volume 43: Nursing Science: Informing Practice and Driving Policy Volume 44: Transitions: Unifying Practice, Education, and Research to Improve Health Volume 45: Advancing Scientific Innovations in Nursing Volume 46: Creating a Shared Future of Nursing: Research, Practice, and Education Volume 47: Taking It Global: Research, Practice, and Education in Nursing Volume 48: Equity and Access: Nursing Research, Practice, and Education Volume 49: Innovations in Engagement through Research, Practice, and Education Volume 50: 50 Years of Leadership: Continuing the Vision The Cumulative Index of the Communicating Nursing Research Conference Proceedings, Volumes 1 to 25, () was published in 1992. COMMUNICATING NURSING RESEARCH has been published annually by the Western Institute of Nursing. Each volume contains the addresses and abstracts of papers presented at the annual Communicating Nursing Research Conference.