selected publications academic article Improving self-directed learning/intercultural competencies breaking the silence. Nurse Educator. 40:46-50. 2015 A Pilot Study: The Effect of Healing Touch on Anxiety, Stress, Pain, Pain Medication Usage, and Physiological Measures in Hospitalized Sickle Cell Disease Adults Experiencing a Vaso-Occlusive Pain Episode. Journal of Holistic Nursing. 31:234-247. 2013 A pilot study to reduce risk for antepartum depression among women in a public health prenatal clinic. Issues in Mental Health Nursing. 31:355-364. 2010 Barriers to seeking help and treatment suggestions for prenatal depressive symptoms: Focus groups with rural low-income women. Issues in Mental Health Nursing. 29:3-19. 2008