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Marie Hastings-Tolsma, PhD, CNM, FACNM



Marie Hastings-Tolsma is professor of nurse midwifery. She teaches in the nurse midwifery and doctoral nursing programs, and she practices in the University Nurse Midwifery Practice. Her research examines nurse midwifery outcomes and, in particular, alternative therapies used in cervical ripening. She has published on best nurse midwifery practices, perineal trauma, and various safe and efficacious methods for promoting favorability of the cervix, pre-induction. Hastings-Tolsma is currently studying the mechanism of action of red raspberry leaf tea on parturition when used during pregnancy. She was PI on a recent randomized clinical trial examining use of evening primrose oil as a labor pre-induction agent in a low-risk population and is currently PI on a project exploring decision-making processes used by medically at-risk morbidly obese women who decide to undergo sterilization. Finally, she has conducted research examining how individual diversity occurs. Theory-testing was consistent with Martha Rogers' model. Additional methodological study is underway to further validate the measure developed for the work.

Degree Awarding Institution Field of Study Graduation Date
Post-Master's Certificate University of Rhode Island,
Providence, Rhode Island
Nurse Midwifery
PhD New York University
New York, New York
Research/Theory Development  
MSN Catholic University of America Washington, DC Maternal-Child Nursing  
BS College of St. Teresa
Winona, Minnesota
Title Organization Year
U.S. Fulbright Scholar, South Africa
University of Johannesburg
J. William Fulbright Foreign Sholarship Board
Council for International Exchange of Scholars
Faculty Fellows American College of Nurse Midwives 2011
Chancellor's Teaching Award University of Colorado 2009
Excellence in Teaching Award American College of Nurse Midwives 2007
Tenure, Associate Professor University of Colorado Denver 2007
Doris Kemp-Smith Award University of Colorado Denver, College of Nursing 2006, 2014
Fundamentals of Nursing Research (3rd ed). Book of the Year Award American Journal of Nursing 2004
Fundamentals of Nursing Research (3rd ed.) Most Valuable Textbook Award American Journal of Nursing 2003
  1. Hastings-Tolsma M, & Nolte AGW. (in press). Reconceptualizing Failure to Rescue in Midwifery: A Concept Analysis. Journal of Midwifery. Available at
  2. Alfonso PM, Sakraida TJ, & Hastings-Tolsma M (2014). Bibliometrics: A Novel Method for Visualizing the Value of Nursing Research. Online Journal of Nursing Informatics (OJNI), 18(1). Available at
  3. Abumaria IM, Hastings-Tolsma M, & Sakraida, TJ (2014). Levine's Conservation Model: A Framework for Advanced Gerontological Nursing Practice. Nursing Forum, E-pub ahead of print. Available at
  4. Vincent D, Hastings-Tolsma M, & Stevens, KR (2013). Dissemination and Implementation Research: Intersection between Nursing Science and Health Care Delivery [Editorial]. Nursing Research & Practice, 2013. Article ID 802767.
  5. Hastings-Tolsma M. (2013). Systematic Review: Antenatal Perineal Massage Can Reduce Risk of Episiotomy and Postpartum Pain for Select Women Giving Birth Vaginally. Evidence Based Nursing. Published online 10/29/13. doi:10.1136/eb-2013-101451
  6. Nolte AGW, Hastings-Tolsma M & Harper TC. (2013). Parturition and Arthritis: A Midwifery Approach. British Journal of Midwifery, 21(8), 477-86.
  7. Hastings-Tolsma M, Bernard R, Gilbert Brody M, Hensley J, Koschoreck K, & Patterson E. (2013). Chorioamnionitis: Prevention and Management. MCN: The American Journal of Maternal Child Nursing.  48(4), 206-212.  E-pub ahead of print. doi:10.1097/NMC.0b013e3182836bb7
  8. Hastings-Tolsma M & Vincent D.  (2013). Decision-Making for Use of Complementary and Alternative Therapies by Pregnant Women and Nurse Midwives during Pregnancy: An Exploratory Qualitative Study. International Journal of Nursing and Midwifery.  5(4), 76-89.
  9. Vincent, D (Lead Guest Editor); Hastings-Tolsma M (Guest Editor), Stone P (Guest Editor) & Stevens KR (Guest Editor). Nursing Research & Practice, special issue:  Dissemination and Implementation Research: Intersection between Nursing Science and Health Care Delivery. Publication date:  April 2013.  
  10. Hastings-Tolsma & Nolte, AGW. (2013, April - June). Two Countries, One Lens: Midwifery Collaboration between the USA & the RSA. Sensitive Midwifery, pp. 46-48. 
  11. Hastings-Tolsma M, Matthews E, Nelson J & Schmiege S.  (2013). Comparative Effectiveness Research: Nursing Science & Health Care Delivery. Western Journal of Nursing Research, 35(6), 683-702. Epub ahead of print 29 Jan 2013. doi:10.1177/0193945912474501
  12. Hastings-Tolsma M & Goodman S. (2012). Midwives, Labor Induction & the Wooden Spoon Award, Part II. The Practising Midwife, 15(4), 26-29.
  13. Hastings-Tolsma M, Emeis C, McFarlin B, Schmiege S. (2012). 2012 Task Analysis:
    A Report of Midwifery Practice. Linthicum, MD: American Midwifery Certification Board. 
  14. Hastings-Tolsma M & Goodman S. (2012). Midwives, Labor Induction & the Wooden Spoon Award, Part I. The Practising Midwife, 15(3), 22-27.
  15. Hastings-Tolsma M (2012). Maternal Obesity: Improving Pregnancy Outcomes. The American Journal of Maternal Child Nursing. 37(2), 110-115. doi: 10.1097/NMC.0b013e3182430296
  16. Castillo-Mancilla J, Allshouse A, Collins C, Hastings-Tolsma M, Campbell TB & Ma Whinney S. (2012). Differences in Sexual Risk Behavior and HIV/AIDS Risk Factors among Foreign-born and US-born Hispanic Women. Journal of Immigrant and Minority Health, 14(1), 89-99.
  17. Vincent D, Hastings-Tolsma M & Effken J. (June, 2010). Data Visualization and Large Nursing Datasets. Online Journal of Nursing Informatics (OJNI),14 (2). Available at
  18. Hastings-Tolsma M, Clark L, Nodine P & Teal S. (2010). Sterilization Decision-Making Among Medically At-Risk Obese Pregnant Women. Qualitative Health Research. 20(6), 743-54. doi:10.1177/1049732310364626.
  19. Hastings-Tolsma M. & Terada M. (2009). Complementary Medicine Use by Nurse Midwives in the U.S Complementary Therapies in Clinical Practice. 15, 212-129. doi: 10.1016/j.ctcp.2009.06.016
  20. Hastings-Tolsma M., Wilson C & Terada M. (2009, May 21-27) Oral versus Vaginal Evening Primrose Oil and Cervical Ripening. American College of Nurse-Midwives 54th Annual Meeting. Seattle, WA.
  21. Vincent D & Hastings-Tolsma M. (2009). Data Visualization in the Use of a Large Dataset. Symposium: Research 2.0 Social Networking Tools for Researchers. [Abstract] Western Institute for Nursing, Communicating Nursing Research Conference Proceedings, 42.
  22. Hastings-Tolsma M. (2009). Use of Select Proteomic Technologies. Symposium: Use of Laboratory Assays: Re-engineering the nursing research enterprise. [Abstract] Western Institute of Nursing. Communicating Nursing Research Conference Proceedings, 42.
  23. Hastings-Tolsma, M. (2008). Measurement of Time Experience. Visions: The Journal of Rogerian Nursing Science. 15(2), 91-95.
  24. Hastings-Tolsma, M. Chapter 2. Prenatal Environment: Effect on Neonatal Outcome (7th ed.). Handbook of Neonatal Intensive Care. Elsevier Press. In press.
  25. Hastings-Tolsma, M., Burton, A.O. & Morales, C. (2008).Reactive Arthritis in Pregnancy: A Case Study. British Journal of Midwifery, 16(10), 644-48.
  26. Hastings-Tolsma, M., Davis, K., & Heppler, B. (2008, September) Urethral diverticulum in pregnancy. [case report]. The Female Patient. 33, 27-29. 
  27. Hastings-Tolsma, M., Tasaka, Y., Burton, A., Goodman, S., Emeis, C.L., Patterson, E., Bennett, P., Koschoreck, K., Ruyak, S., Tanner, T., Vaughn, T., & Williams, A (2008). A Profile of Colorado Nurse Midwives: Implications for Health Care. Western Journal of Nursing Research. July. E-pub ahead of print.
  28. Hastings-Tolsma, M., Vincent, D., Park, J.H, & Pan, D. Treatment Patterns and Outcomes in a Low-Risk Nurse Midwifery Practice. Applied Nursing Research. In press.
  29. Hastings-Tolsma M., Clark L & Teal S. (2008). Decision-making processes regarding permanent sterilization by medically at-risk women. [Abstract] Communicating Nursing Research Conference Proceedings. 41:486.  
  30. Hastings-Tolsma, M., Rosen, G., Bawden, H. & Mancuso, P. (2008). 2007 Task Analysis: A Report of Midwifery Practice. Linthicum, MD: American Midwifery Certification Board.
  31. Bennett, P., Emeis, C., Patterson, E., Hastings-Tolsma, M., Burton, A., Goodman, S., Koschoreck, K., Ruyak, S., Vaughn, T., Williams, A. (2007). Colorado nurse midwives: practice profiling for health policy impact. [Abstract]. Nurse Managed Health Centers: Policy Solutions to Improving Health Care for All. p.16.
  32. Hastings-Tolsma, M. & Vincent, D. (2007). Best birth outcomes in a low-risk nurse midwifery practice. [Abstract]. Communicating Nursing Research Conference Proceedings. 40:537.
  33. Hastings-Tolsma, M., Nodine, P., Teal, S., & Embry, J. (2007). Pregnancy outcome following transcervical hysteroscopic sterilization. Obstetrics & Gynecology.110(2, Part 2):504-506
  34. Hastings-Tolsma, M., Vincent, D., Emeis, C., &, Francisco, T. (2007). Getting through birth in one piece: Protecting the perineum.  MCN The American Journal of Maternal Child Nursing. 32(3):158-164.
  35. Park, J.H., Vincent, D., & Hastings-Tolsma, M. (2007). Disparity in prenatal care among women of colour in the USA. Journal of Midwifery. 23(1):28-37. [Epub 2006 Jul 13]
  36. Hastings-Tolsma, M. (2006, Nov.). Toward a theory of diversity of human field pattern. Visions: The Journal of Rogerian Nursing Science. 14(2):34-47.
  37. Hastings-Tolsma, M., Nodine, P., & Teal, S. (2006). Essure: Hysteroscopic sterilization. Journal of Midwifery and Women' Health. 50(6):510-514.
  38. Hastings-Tolsma, M. (2006) Crossing the Rubicon [Editorial]. Biological Research for Nursing, 7(3), 161-2.
  39. Vincent, D., Hastings-Tolsma, M., & Park, J.H (2004). Down the rabbit hole: Examining outcomes of midwifery care Journal of Nursing Care Quality,19(4):352-358.
  40. Brockopp, D. Y., & Hastings-Tolsma, M. (2003). Fundamentals of nursing research (3rd ed.). Boston, MA: Jones & Bartlett.
  41. Brockopp, D. Y., & Hastings-Tolsma, M. (2003). Fundamentals of nursing research: An instructor' manual (3rd ed.). Boston: Jones & Bartlett.
  • Co-PI, Mindfulness-based Stress Reduction for Military Women with Chronic Pelvic Pain: A Feasibility Study, funded by Doris Kemp-Smith Award, University of Colorado College of Nursing. (2014).


  • PI, 2014 Practice Survey of Colorado Nurse-Midwives, funded by the American Midwifery Certification Board. (2013- ).


  • PI, Herb Use during Pregnancy and Birth in South Africa, research supported by a Fulbright Award. (8/2012- ).


  • PI, Chemical Characterization of Red Raspberry Leaf, funded by the University of Colorado, College of Nursing Intramural Award. (9/1/10-12/31/11).


  • PI, Decision-making Processes of Medically At-risk Women Selecting Permanent Sterilization, funded by the ACNM Foundation/Conceptus, Inc. (01/01/07 - 11/01/08).


  • PI, Risk factors in the Development of Chorioamnionitis, funded by the Colorado Chapter of the ACNM. (09/08 - 02/10).
  • Engaged in full-scope nurse midwifery practice with the University Nurse Midwifery Faculty Practice. Provide care to a largely diverse, underserved population.