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PhD New York University
Certificate in Nurse-Midwifery University of Rhode Island
MSN Catholic University of America
BS College of St. Theresa

Contact Info:
Email: Marie_
Office: 3700 Worth Street Dallas, Texas 75246
Phone: 214.818.7084
Fax: 214.818.8692

View Publications on MedLine

Dr. Marie Hastings-Tolsma is a nurse-midwifery scientist who teaches in the graduate nursing program and is currently engaged in nurse-midwifery clinical practice. A U.S. Fulbright Faculty Scholar, Dr. Hastings-Tolsma spent 2012-13 in South Africa, teaching and conducting research with colleagues at the University of Johannesburg where she continues collaboration as a Visiting Professor (2014-17; 2017-20).

Dr. Hastings-Tolsma's research examines nurse midwifery outcomes with an interest in midwifery care practices during labor and birth and maternal-infant outcomes. This work is being collaboratively conducted with colleagues from the University of Johannesburg. Dr. Hastings-Tolsma is also working with U.S. colleagues to examine cervical remodeling for parturition. An interdisciplinary team is working to identify mechanisms underlying the onset of labor by examining metabolomic and microbiota data at term and other less desirable endpoints in varied populations. She has particular interest in study of novel interventions influencing cervical change across gestation and with the onset of labor, such as with use of rubus ideaus. This botanical - with potent antioxidant properties, influences parturition when used during pregnancy though the mechanism of action is unknown.

Dr. Hastings-Tolsma has published on best nurse midwifery practices, perineal trauma, and various safe and efficacious methods for promoting pre-induction favorability of the cervix, among other areas. She has also published on the nature and scope of midwifery practice following workforce studies, and has written on research methods, including a nursing research textbook.

Research (recent):

Co-I, The Reproductive Microbiome & Perinatal Health Outcomes, funded by the Discovery Foundation. (2015-2019)

Co-I, Meta-synthesis: Patient Birth Stories. Joint Project with University of Johannesburg. Unfunded project. (2017- )

Co-I, A Pilot Study: Identification of a Multi-omic Predictive signature for Preterm Birth in Obese African-American Women, funded by Collaborative Faculty Research Investment Program. (2016-17)

PI, Chinese Traditional Medicine: Reconsidering Nursing Care in the U.S., funded by URSA. (2016-17)

Co-I, 2015 Survey of Texas Professional Midwives, funded by the Texas Professional Midwives Association. (2015-17).

PI, 2015 Practice Survey of Certified Nurse-Midwives in Texas, funded by the Baylor University URSA grant and Consortium of Texas Certified Nurse-Midwives. (2015-17).

Co-I, Meta-synthesis: Compassion Fatigue: Joint Project with University of Johannesburg. Unfunded project. (2014-17).

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. (2014-15).

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

PI, Herb Use During Pregnancy and Birth in South Africa, research supported by a Fulbright Award. (8/2012-2014).

PI, Chemical Characterization of Rubus Ideaus. funded by the University of Colorado, College of Nursing Intramural Award. (2010-2012).

PI, Decision-making Processes of Medically At-risk Women Selecting Permanent Sterilization, funded by the ACNM Foundation/Conceptus, Inc. (2007-2008).

PI, Risk Factors in the Development of Chorioamnionitis, funded by the Colorado Chapter of the ACNM. (2008-2010).


Hastings-Tolsma M, Nolte AGW & Temane A. Birth stories from South Africa: Voices unheard. (2017). Women and Birth, pii: S1871-5192(16)30127-5. doi: 10.1016/j.wombi.2017.06.015. [Epub ahead of print]

Fairchild E, Roberts L, Zelman K, Michelli S & Hastings-Tolsma M. (2017). Implementation of Robert’s Coping with Labor Algorithm© in a large tertiary care facility in the USA:  A quality improvement program. Midwifery, 50, 208-218. doi:

Greathouse L, Faucher MA & Hastings-Tolsma M. (2017). The gut microbiome, obesity, and weight control in women’s reproductive health. Western Journal of Nursing Research, 39(8), 1094-1119. doi: 10.1177/0193945917697223

Spies LA, Garner SL, Faucher MA, Hastings-Tolsma M, Riley C, Millenbruch J, Prater L & Conroy S. (2017). A model for upscaling global partnerships and building nurse and midwifery capacity. International Nursing Review, Online First 5 March 2017. doi: 10.1111/inr.12349

Nolte AGW, Downing C, Temane A & Hastings-Tolsma M. (2017). Compassion fatigue in nurses: A Meta-Synthesis. Journal of Clinical Nursing, 000, 1-15. doi: 10.1111/jocn.13766

Hastings-Tolsma M, Brucker MC, Nodine P, Purcell S, Wilcox SL, Camune BD, Burpo RH & Griggs J. (2017, Jan 27). Parallel online survey of two professional midwifery groups in one U.S. state. SAGE Methods Research Cases. Online ISBN: 9781526404275 doi:

Nodine P, Leiferman J, Cook P, Matthews E & Hastings-Tolsma M. (2016). The impact of physical activity on sleep during pregnancy: A secondary analysis. Clinics in Mother and Child Health, 13(2), 245. doi:10.4172/2090-7214.1000245

Downing C & Hastings-Tolsma M. (2016). An integrative review of Albertina Sisulu and Ubuntu - relevance to caring and nursing. Health SA Gesondheid – Journal of Interdisciplinary Health Sciences, 21, 214 -217.

Crisp-Micsunescu C, Hastings-Tolsma M & Jonscher K. Mindfulness-based stress reduction for military women with chronic pelvic pain: A feasibility study. Military Medicine, 181(9), 982-989. doi:10.7205/MILMED-D-15-00270

Faucher MA, Hastings-Tolsma M, Song JJ, Willoughby D & Bader SG. (2016). Gestational weight gain and preterm birth in obese women: A systematic review and meta-analysis. British Journal of Obstetrics & Gynecology,123(2), 199-206.

Balouchi A, Rahnama M, Hastings-Tolsma M, Shoja MM & Bolaydehyi E. (2016). Knowledge, attitude and use of complementary and integrative health strategies: A preliminary survey of Iranian nurses. Journal of Integrative Medicine, 14(2), 121-127. doi:10.1016/S2095-4964(16)60245-5.

Fullerton, J, Sipe TA, Hastings-Tolsma M, McFarlin BL, Schuiling K, Bright CD, Havens LB & Krulewitch CJ. (2015). The midwifery workforce: ACNM 2012 and AMCB 2013 core data. Journal of Midwifery & Women's Health, 60(6), 751-761. doi: 10.1111/jmwh.12405.

Hastings-Tolsma M, Tanner T, Hensley J. Anderson JL, Patterson E. Dunemn K & Purcell S. (2015). Trends in practice patterns and perspectives of Colorado certified nurse-midwives. Policy, Politics, & Nursing Practice, 16, 97-108.

Hoffecker L, Hastings-Tolsma M, Vincent D & Zuniga H. (2016). Selecting an open access journal for publication: Be cautious. OJIN: The Online Journal of Issues in Nursing, 21(1). doi: 10.3912/OJIN.Vol21No01PPT03

Vincent D, Hastings-Tolsma M, Gebhart S & Alfonzo P. (2015). Nurse practitioner clinical decision-making and evidence-based practice. The Nurse Practitioner Journal, 40(5), 47-54.

Nolte AGW, Hastings-Tolsma M & Hoyte F. (2015). Midwifery management of asthma and allergies during pregnancy, birth, and the postpartum. British Journal of Midwifery, 23(4), 260-267. doi: 10.12968/bjom.2015.23.4.260

Downing C, Hastings-Tolsma M & Nolte AGW. (2015). A critical evaluation on a Fulbright experience. Nursing Forum, 51(2), 117-24. Available at doi: 10.1111/nuf.12130

Hastings-Tolsma M & Nolte AGW. (2014). Re-conceptualizing failure to rescue in midwifery: A concept analysis. Midwifery, 30(6), 585-94. Available at

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

Abumaria IM, Hastings-Tolsma M & Sakraida TJ. (2014). Levine's conservation model: A framework for advanced gerontological nursing practice. Nursing Forum, 50(3), 179-188.

Nodine P, Arruda J & Hastings-Tolsma M. (2014). Chapter 2. Prenatal environment: Effect on neonatal outcome. In Handbook of Neonatal Intensive Care (8th ed). Merenstein GB & Gardner SL (Eds.). C.V. Mosby.

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.

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, 17(3), 77. doi: 10/1136/eb-2013-101451

Nolte AGW, Hastings-Tolsma M & Harper TC. (2013). Parturition and arthritis: A midwifery approach. British Journal of Midwifery, 21(8), 477-86.

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. doi:10.1097/NMC.0b013e3182836bb7

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.

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.

Hastings-Tolsma M & Nolte AGW. (2013, April-June). Two countries, one lens: Midwifery collaboration between the USA & The RSA. Sensitive Midwifery, pp. 46-48.

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. doi:10.1177.0193945912474501

Hastings-Tolsma M & Goodman S. (2012). Midwives, labor induction & the Wooden Spoon Award, Part II. The Practising Midwife, 15(4), 26-29.

Hastings-Tolsma M, Emeis C, McFarlin B & Schmiege S. (2012) Task Analysis: A Report of Midwifery Practice. Linthicum, MD: American Midwifery Certification Board.

Hastings-Tolsma M & Goodman S. (2012). Midwives, labor induction & the Wooden Spoon Award, Part I. The Practising Midwife, 15(3), 22-27.

Hastings-Tolsma M. (2012). Maternal obesity: Improving pregnancy outcomes. The American Journal of Maternal Child Nursing, 37(2), 110-115. doi: 10.1097/NMC.0b013e182430296

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.

Vincent D, Hastings-Tolsma M & Effken J. (2010, June). Data visualization and large nursing datasets. Online Journal of Nursing Informatics (OJNI), 14(2). Available at

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:101177/1049732310364626.

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.

Hastings-Tolsma M, Tasaka Y, Burton A, Goodman S, Emeis CL, Patterson E, Bennett P, Koschoreck K, Ruyak S., Tanner T, Vaughn T & Williams A (2009). A profile of Colorado nurse midwives: Implications for health care. Western Journal of Nursing Research,31(1), 24-43. doi: 10.1177/0193945908319989

Hastings-Tolsma M, Vincent D, Park JH & Pan D. (2009). Treatment patterns and outcomes in a low-risk nurse midwifery practice. Applied Nursing Research. 22(1), 10-17.

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.

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.

Hastings-Tolsma M. (2008). Measurement of time experience. Visions: The Journal of Rogerian Nursing Science. 15(2), 91-95.

Nodine P, Arruda J & Hastings-Tolsma M. (2009). Chapter 2. Prenatal environment: effect on neonatal outcome. In Handbook of Neonatal Intensive Care (7th ed). Merenstein GB & Gardner SL (Eds.) C.V. Mosby.

Hastings-Tolsma M, Burton AO & Morales C. (2008). Reactive arthritis in pregnancy: A case study. British Journal of Midwifery, 16(10), 644-48.

Hastings-Tolsma M, Davis K & Heppler B (2008, September) Urethral diverticulum in pregnancy. (case report). The Female Patient. 33, 27-29.

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.

Hastings-Tolsma M, Rosen G, Bawden H & Mancuso P. (2008) 2007 Task Analysis: A Report of Midwifery Practice. Linthicum, MD: American Midwifery Certification Board.

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.

Hastings-Tolsma M & Vincent D. (2007). Best birth outcomes in a low-risk ruse midwifery practice. (Abstract). Communicating Nursing Research Conference Proceedings, 40, 537.

Hastings-Tolsma M, Nodine P, Teal S & Embry J. (2007). Pregnancy outcome following transcervical hysteroscopic sterilization. Obstetrics & Gynecology, 110(2, Part 2), 504-506.

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.

Park JH, Vincent D & Hastings-Tolsma M. (2007). Disparity in Prenatal Care Among Women of Colour in the USA. Midwifery, 23(1), 28-37.

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.

Hastings-Tolsma M, Nodine P & Teal S. (2006). Essure: Hysteroscopic sterilization. Journal of Midwifery and Womens Health, 50(6), 510-514.

Hastings-Tolsma M. (2006). Crossing the Rubicon (Editorial). Biological Research for Nursing, 7(3), 161-2.

Vincent D, Hastings-Tolsma M & Park JH. (2004). Down the rabbit hole: Examining outcomes of midwifery care. Journal of Nursing Care Quality, 19(4):361-367.

Brockopp DY & Hastings-Tolsma M. (2003). Fundamentals of Nursing Research (3rd ed). Boston, MA: Jones & Bartlett.

Brockopp DY & Hastings-Tolsma M. (2003). Fundamentals of Nursing Research: An Instructor's Manual (3rd ed.). Boston: Jones & Bartlett.



Excellence in Teaching Award

American College of Nurse Midwives

2013-16; 2017-20

Visiting Professor

University of Johannesburg, South Africa

Department of Nursing Science


Promoted to Full Professor

University of Colorado Denver


U.S. Fulbright Scholar, South Africa University of Johannesburg

J. William Fulbright Foreign Scholarship Board Council for International Exchange of Scholars



American College of Nurse Midwives


Chancellor's Teaching Award

University of Colorado Denver


Excellence in Teaching Award

American College of Nurse Midwives


Tenure, Associate-Professor

University of Colorado Denver


Fundamentals of Nursing Research (3rd ed). Book of the Year Award

American Journal of Nursing


Fundamentals of Nursing Research (3d ed). Most Valuable Textbook Award

American Journal of Nursing

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