Sharon L. Lewis, RN, PhD, FAAN, Research Professor, Castella Distinguished Professor, School of Nursing, University of Texas Health Science Center at San Antonio, San Antonio, TX, Margaret M. Heitkemper, RN, PhD, FAAN, Professor and Chairperson, Biobehavioral Nursing and Health Systems, Elizabeth Sterling Soule Endowed Chair in Nursing, School of Nursing; Adjunct Professor, Division of Gastroenterology, School of Medicine, University of Washington, Seattle, WA, Shannon Ruff Dirksen, RN, PhD, Associate Professor, College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ and Linda Bucher, RN, PhD, CEN, CNE, Professor, School of Nursing, University of Delaware, Newark, DE; Staff Nurse, Emergency Department, Virtua Memorial Hospital, Mt. Holly, NJ