My research focuses on methods of patient-reported outcomes (PROs) and quality of life measurement, and the intersections of spirituality, religiosity, culture, and other sources of diversity in various healthcare contexts, including those for people with chronic life-limiting conditions. I have particular interest in examining the implications of population heterogeneity with respect to individuals’ self-reports about their health status and quality of life. My current research includes studies about a palliative approach in nursing, the use of computerized assessment systems, methods for the measurement of quality of life in longitudinal studies, spiritual and religious diversity in healthcare, educational approaches for patients with colorectal cancer, and patients' experiences with knee surgery. My clinical background is in palliative care and medical nursing care. I have been part of the School of Nursing faculty at TWU since 2002 and have taught in undergraduate courses on nursing research, medical and surgical nursing, nursing care of older adults, and health assessment. I teach courses on knowledge synthesis and quantitative research methods in the Master of Science in Nursing Program.