Acknowledgments: The authors would like to acknowledge the participants who very generously agreed to be observed and interviewed. Their insights are invaluable; and we are grateful for their interest and support. The authors also gratefully acknowledge the advice and support of Carol Germain; EdD; FAAN; Sarah Kagan; PhD; RN; FAAN; Frances Lewis; PhD; RN; FAAN; and Neville Strumpf; PhD; RN; FAAN. This study was supported by a grant from the Society of Urologic Nurses and Associates SUNA. Findings do not necessarily reflect the opinions of SUNA. The views expressed herein are those of the authors and no official endorsement by SUNA is intended or should be inferred.