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.