Appreciation is extended to Dr. Boyd Applegarth who encouraged my initial exploration in a doctoral program. Through his advice and constant support, and by providing me with the time to learn and grow, I was able to accept the challenges of the doctoral program. I am grateful to Barbara Wiegele and Pati Sluys. Their professional standards in preparing the final manuscript were appreciated. Finally, my heartfelt appreciation must be extended to my husband, Jim. His love and constant support, encouragement, and understanding motivated me to complete this study.