First and foremost, I would like to thank the eight students who participated in this study. Each of them shared their experiences, stories, hopes, fears, and goals. They are incredibly motivated, talented, and insightful adults. I thoroughly enjoyed my time with each of them and wish them the best with their personal, educational, and professional goals. I would also like to thank the faculty and students with whom I had the pleasure of taking classes for my doctoral coursework. Faculty provided engaging and challenging experiences in which I felt as though we were truly "partners in learning." As we progressed through the program, my cohort and I experienced many of life's ups and downs. I am forever grateful to Chris, Wes, Elena, Shanna, Freddy, David, Deb, Michael, Tammy, and Joan for their friendship, support, and unconditional acceptance. While in the process of completing my doctoral coursework and dissertation, I worked full-time as an assistant director for the Health Care Ethics graduate program at Creighton University. I could not have asked for a more supportive and intellectually engaging atmosphere in which to work while pursuing my degree. My supervisor and colleagues offered an environment that truly encouraged collegiality, scholarship, critical thinking, and social justice. Special thanks to my supervisor Amy Haddad who encouraged a work-life balance and to Helen Chapple who served as an anthropological sounding board as I wrote my dissertation. While pursuing my doctorate, I experienced several life changes along the way, some of which were quite significant. I would like to thank my family for their unconditional support through everything. I am especially grateful to my partner, Richard, who has vii selflessly offered his time, help, and humor when I needed a break or was feeling overwhelmed. I would also like to acknowledge the educational journey of my brother, David. My recollection of his experiences as a child provided additional context for me. Finally, I would like to thank the members of my dissertation committee whose feedback and perspective helped me to refine my research. My appreciation is extended to Linda Hagedorn, Carol Heaverlo, Robert Reason, and Carl Smith for their time, expertise, and helpful insights. Extra special appreciation is extended to my committee chair, Larry Ebbers, who has been a wonderful mentor throughout my entire journey. I have been extremely fortunate to have Dr. Ebbers as my chair and cannot thank him enough for all that he has done for me, professionally and personally, as a higher education professional and a doctoral student.