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Note: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. However, we would like to acknowledge the American Organization for Nursing Leadership™ Foundation and the Versant Center for the Advancement of Nursing for their funding support of the original research study. Additionally, The National Database of Nursing Quality Indicators (NDNQI) data were supplied by Press Ganey Associates, Inc. Press Ganey Associates, Inc. specifically disclaims responsibility for any analyses, interpretations, or conclusions. Primary author and researcher was not employed with the Versant Center for the Advancement of Nursing during the time of the grant or any of the related research.