This project was supported by the Health Resources and Services Administration (HRSA) under grant number D09HP286181-01-01, “Innovative Strategies to Enhance Advanced Public Health Nursing Education and Practice in Hawaii”, in the amount of $1,902,606.00. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.