1 Constance Cottrell is a nurse scientist in the Cleveland Clinic's Office of Nursing Research and Innovation in Cleveland, Ohio. Melanie Adlesic is an assistant nurse manager on the observation unit at Cleveland Clinic South Pointe Hospital in Warrensville Heights, Ohio. Nancy Albert is the associate CNO for the Cleveland Clinic's Office of Nursing Research and Innovation, within the Zielony Nursing Institute; a clinical nurse specialist in Cleveland Clinic's George M. and Linda H. Kaufman Center for Heart Failure Treatment and Recovery in the Heart, Vascular & Thoracic Institute; and consultative staff in the Lerner Research Institute in Cleveland, Ohio.