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Armstrong', 'raw_affiliation_strings': ['Disclaimer: The contents do not represent the views of the U.S. Department of Veterans Affairs or the United States Government.', 'Ethical approval: This work was reviewed and approved by the Dartmouth College Committee for the Protection of Human Subjects (STUDY00030300).', 'Funding/Support: This material is based on work supported by the Health Foundation and the Robert Wood Johnson Foundation and included the use of facilities and material at the White River Junction VA in White River Junction, Vermont, and at the Louise Stokes Cleveland VA Medical Center.', 'G. Ogrinc is senior associate dean for medical education and professor of medicine and of the Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.', 'G.E. Armstrong is associate professor, University of Colorado College of Nursing, Aurora, Colorado.', 'M.A. Dolansky is associate professor, Case Western Reserve University, Frances Payne Bolton School of Nursing, and Department of Veterans Affairs Louis Stokes Medical Center, Cleveland, Ohio.', 'Other disclosures: None reported.', 'This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.'], 'affiliations': [{'raw_affiliation_string': 'G.E. Armstrong is associate professor, University of Colorado College of Nursing, Aurora, Colorado.', 'institution_ids': ['https://openalex.org/I189774192']}, {'raw_affiliation_string': 'Disclaimer: The contents do not represent the views of the U.S. Department of Veterans Affairs or the United States Government.', 'institution_ids': ['https://openalex.org/I1322918889']}, {'raw_affiliation_string': 'This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.', 'institution_ids': ['https://openalex.org/I4210120668']}, {'raw_affiliation_string': 'Other disclosures: None reported.', 'institution_ids': []}, {'raw_affiliation_string': 'M.A. Dolansky is associate professor, Case Western Reserve University, Frances Payne Bolton School of Nursing, and Department of Veterans Affairs Louis Stokes Medical Center, Cleveland, Ohio.', 'institution_ids': ['https://openalex.org/I4210110978', 'https://openalex.org/I58956616']}, {'raw_affiliation_string': 'Ethical approval: This work was reviewed and approved by the Dartmouth College Committee for the Protection of Human Subjects (STUDY00030300).', 'institution_ids': ['https://openalex.org/I107672454']}, {'raw_affiliation_string': 'Funding/Support: This material is based on work supported by the Health Foundation and the Robert Wood Johnson Foundation and included the use of facilities and material at the White River Junction VA in White River Junction, Vermont, and at the Louise Stokes Cleveland VA Medical Center.', 'institution_ids': ['https://openalex.org/I46968129']}, {'raw_affiliation_string': 'G. 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Dolansky', 'raw_affiliation_strings': ['Disclaimer: The contents do not represent the views of the U.S. Department of Veterans Affairs or the United States Government.', 'Ethical approval: This work was reviewed and approved by the Dartmouth College Committee for the Protection of Human Subjects (STUDY00030300).', 'Funding/Support: This material is based on work supported by the Health Foundation and the Robert Wood Johnson Foundation and included the use of facilities and material at the White River Junction VA in White River Junction, Vermont, and at the Louise Stokes Cleveland VA Medical Center.', 'G. Ogrinc is senior associate dean for medical education and professor of medicine and of the Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.', 'G.E. Armstrong is associate professor, University of Colorado College of Nursing, Aurora, Colorado.', 'M.A. Dolansky is associate professor, Case Western Reserve University, Frances Payne Bolton School of Nursing, and Department of Veterans Affairs Louis Stokes Medical Center, Cleveland, Ohio.', 'Other disclosures: None reported.', 'This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.'], 'affiliations': [{'raw_affiliation_string': 'M.A. Dolansky is associate professor, Case Western Reserve University, Frances Payne Bolton School of Nursing, and Department of Veterans Affairs Louis Stokes Medical Center, Cleveland, Ohio.', 'institution_ids': ['https://openalex.org/I4210110978', 'https://openalex.org/I58956616']}, {'raw_affiliation_string': 'Disclaimer: The contents do not represent the views of the U.S. Department of Veterans Affairs or the United States Government.', 'institution_ids': ['https://openalex.org/I1322918889']}, {'raw_affiliation_string': 'This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.', 'institution_ids': ['https://openalex.org/I4210120668']}, {'raw_affiliation_string': 'Other disclosures: None reported.', 'institution_ids': []}, {'raw_affiliation_string': 'Ethical approval: This work was reviewed and approved by the Dartmouth College Committee for the Protection of Human Subjects (STUDY00030300).', 'institution_ids': ['https://openalex.org/I107672454']}, {'raw_affiliation_string': 'Funding/Support: This material is based on work supported by the Health Foundation and the Robert Wood Johnson Foundation and included the use of facilities and material at the White River Junction VA in White River Junction, Vermont, and at the Louise Stokes Cleveland VA Medical Center.', 'institution_ids': ['https://openalex.org/I46968129']}, {'raw_affiliation_string': 'G. Ogrinc is senior associate dean for medical education and professor of medicine and of the Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.', 'institution_ids': ['https://openalex.org/I126688049']}, {'raw_affiliation_string': 'G.E. Armstrong is associate professor, University of Colorado College of Nursing, Aurora, Colorado.', 'institution_ids': ['https://openalex.org/I189774192']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5089631499', 'display_name': 'Mamta Singh', 'orcid': 'https://orcid.org/0000-0001-8235-4272'}, 'institutions': [{'id': 'https://openalex.org/I4210110978', 'display_name': 'Louis Stokes Cleveland VA Medical Center', 'ror': 'https://ror.org/01vrybr67', 'country_code': 'US', 'type': 'healthcare', 'lineage': ['https://openalex.org/I1322918889', 'https://openalex.org/I2799886695', 'https://openalex.org/I4210110978', 'https://openalex.org/I4210127612']}, {'id': 'https://openalex.org/I58956616', 'display_name': 'Case Western Reserve University', 'ror': 'https://ror.org/051fd9666', 'country_code': 'US', 'type': 'education', 'lineage': ['https://openalex.org/I58956616']}, {'id': 'https://openalex.org/I1322918889', 'display_name': 'United States Department of Veterans Affairs', 'ror': 'https://ror.org/05rsv9s98', 'country_code': 'US', 'type': 'government', 'lineage': ['https://openalex.org/I1322918889']}, {'id': 'https://openalex.org/I4210120668', 'display_name': 'Creative Commons', 'ror': 'https://ror.org/02ed4cj64', 'country_code': 'US', 'type': 'nonprofit', 'lineage': ['https://openalex.org/I4210120668']}, {'id': 'https://openalex.org/I107672454', 'display_name': 'Dartmouth College', 'ror': 'https://ror.org/049s0rh22', 'country_code': 'US', 'type': 'education', 'lineage': ['https://openalex.org/I107672454']}, {'id': 'https://openalex.org/I46968129', 'display_name': 'Robert Wood Johnson Foundation', 'ror': 'https://ror.org/02ymmdj85', 'country_code': 'US', 'type': 'nonprofit', 'lineage': ['https://openalex.org/I46968129']}, {'id': 'https://openalex.org/I126688049', 'display_name': 'Dartmouth Institute for Health Policy and Clinical Practice', 'ror': 'https://ror.org/0511yej17', 'country_code': 'US', 'type': 'healthcare', 'lineage': ['https://openalex.org/I126688049']}, {'id': 'https://openalex.org/I189774192', 'display_name': 'Colorado College', 'ror': 'https://ror.org/03tg3h819', 'country_code': 'US', 'type': 'education', 'lineage': ['https://openalex.org/I189774192']}], 'countries': ['US'], 'is_corresponding': False, 'raw_author_name': 'Mamta K. Singh', 'raw_affiliation_strings': ['Disclaimer: The contents do not represent the views of the U.S. Department of Veterans Affairs or the United States Government.', 'Ethical approval: This work was reviewed and approved by the Dartmouth College Committee for the Protection of Human Subjects (STUDY00030300).', 'Funding/Support: This material is based on work supported by the Health Foundation and the Robert Wood Johnson Foundation and included the use of facilities and material at the White River Junction VA in White River Junction, Vermont, and at the Louise Stokes Cleveland VA Medical Center.', 'G. Ogrinc is senior associate dean for medical education and professor of medicine and of the Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.', 'G.E. Armstrong is associate professor, University of Colorado College of Nursing, Aurora, Colorado.', 'M.K. Singh is assistant dean, Health Systems Science, and associate professor of medicine, Case Western Reserve University School of Medicine and Department of Veterans Affairs Louis Stokes Medical Center, Cleveland, Ohio.', 'Other disclosures: None reported.', 'This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.'], 'affiliations': [{'raw_affiliation_string': 'M.K. Singh is assistant dean, Health Systems Science, and associate professor of medicine, Case Western Reserve University School of Medicine and Department of Veterans Affairs Louis Stokes Medical Center, Cleveland, Ohio.', 'institution_ids': ['https://openalex.org/I4210110978', 'https://openalex.org/I58956616']}, {'raw_affiliation_string': 'Disclaimer: The contents do not represent the views of the U.S. Department of Veterans Affairs or the United States Government.', 'institution_ids': ['https://openalex.org/I1322918889']}, {'raw_affiliation_string': 'This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.', 'institution_ids': ['https://openalex.org/I4210120668']}, {'raw_affiliation_string': 'Other disclosures: None reported.', 'institution_ids': []}, {'raw_affiliation_string': 'Ethical approval: This work was reviewed and approved by the Dartmouth College Committee for the Protection of Human Subjects (STUDY00030300).', 'institution_ids': ['https://openalex.org/I107672454']}, {'raw_affiliation_string': 'Funding/Support: This material is based on work supported by the Health Foundation and the Robert Wood Johnson Foundation and included the use of facilities and material at the White River Junction VA in White River Junction, Vermont, and at the Louise Stokes Cleveland VA Medical Center.', 'institution_ids': ['https://openalex.org/I46968129']}, {'raw_affiliation_string': 'G. Ogrinc is senior associate dean for medical education and professor of medicine and of the Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.', 'institution_ids': ['https://openalex.org/I126688049']}, {'raw_affiliation_string': 'G.E. 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