Amy C. Shay, PhD, RN, APRN-CNS, FCNS Clinical Assistant Professor and Clinical Nurse Specialist Program Coordinator Indiana University School of Nursing Indianapolis, Indiana Jan Powers PhD, RN, CCRN, CCNS, CNRN, NE-BC, FCCM Director of Nursing Research and Professional Practice Parkview Health System Fort Wayne, Indiana Part-Time Faculty Indiana University School of Nursing Indianapolis, Indiana Terry A. Doescher, MSN, RN, CNS-BC, CCRC Board Member of the Central Indiana Organization of Clinical Nurse Specialists Critical Care Clinical Nurse Specialist Franciscan Health Indianapolis, Indiana Clinical Doctor of Nursing Candidate Indiana University Indianapolis, Indiana