Her research is focused on improving cancer care, especially patient-provider communication, and psychosocial outcomes. She serves as an oncology nurse practitioner in New Hampshire and travels to Honduras to improve the health of the Honduran people through the organization of healthcare clinics in remote villages. She is also involved in oncology nursing nationally and globally through education and research initiatives with the Oncology Nursing Society and the American Society of Clinical Oncology. She is an associate editor for the Clinical Journal of Oncology Nursing and the author of numerous articles, chapters, and books.