School of Nursing, St Francis Xavier University, Antigonish, Nova Scotia, Canada (Dr Whitty-Rogers); and Faculty of Nursing, University of Alberta, Edmonton Alberta, Canada (Drs Caine and Cameron).

Correspondence: Joanne Whitty-Rogers, PhD, RN, St Francis Xavier University, School of Nursing, PO Box 5000, Antigonish, NS B2G 2W5, Canada ([email protected]).

This is the first author's PhD dissertation. The first author thanks her coauthors Drs Vera Caine and Brenda Cameron, who were her supervisors for this study, and Dr Fay Fletcher, for being a valuable member of her committee. She received funding from Atlantic Aboriginal Health Research Program at Dalhousie University, the Canadian Nurses Foundation for scholarship funding, and St Francis Xavier University. The first author thanks the Mi'kmaq women and their First Nations communities for their contributions and support to this study. She also thanks Charlotte Jesty, an Aboriginal community health nurse, colleague, and long-time friend.The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.