Resilience is complex, diverse, and dynamic in nature and has been linked to economics, research, and professional practice, making it applicable to many populations. Self-efficacy, coping, and hope have been identified as defining attributes of resilience. Coping refers to efforts to deal with something difficult, and these efforts may include cognitive, behavioral, or psychosocial strategies that an individual uses to alleviate stress when events challenge the routine predictions of the world. The primary antecedent of resilience is an adverse event, such as, trauma, stress, or illness. Any adverse or traumatic event can place an individual at risk for a compromised ability to cope. The consequences of resilience are personal control, psychological adjustment, and personal growth. Connor-Davidson Resilience Scale (CD-RISC) has been used with clinical and nonclinical populations to measure resilience or capacity to change and cope with adversity using a 25-item scale. Resilience building encompasses both seasoned and novice nurses.

This chapter is dedicated to faculty, program directors, and staff development teams seeking to develop simulation experiences for the advanced practice registered nurse (APRN) that reflect best practices. It provides practical information on how to design engaging simulation experiences for the APRN and suggestions on mapping the various modes of simulation experiences to the levels and competencies of the APRN. Simulation and APRN experts present best practices for utilizing simulated patients, developing scenarios, setting up objective structured clinical examinations, incorporating diversity, utilizing standardized checklists, and properly managing video recordings. The chapter also presents best practices for prebriefing, debriefing, promoting the success of diverse groups of students, faculty development, obtaining the Certified Healthcare Simulation Educator (CHSE) and CHSE-Advanced, as well as suggestions for including quality and safety education for nursing, team strategies and tools to enhance performance and patient safety, nursing informatics, and setting up successful interprofessional simulations.

It is important to note that organizational support is instrumental in moving any projects forward and sustaining it. Once a project has been defined the next step is to gather the stakeholders. The stakeholders can be individuals, groups or anyone that might have a vested interest, and or knowledge of the project at hand. Having a clear understanding of the mission and vision of the organization and how the projects support these organization structures will facilitate the importance of the implementation activities. This chapter describes key elements that comprise the implementation process of a healthcare information technology (IT) project. It identifies the activation activities and the key role of the nursing informatics specialist (NIS) in determining the go-live readiness of users and/or departments. The chapter differentiates the methods of application deployment for new implementation in comparison to system upgrades.

This chapter discusses the purpose and process of system configuration and its relationship with systems design. It identifies project activities during clinical and technical configurations that require coordination and oversight by the project manager. The chapter describes key clinical workflows and patient safety features that can either impact or enhance the build of the proposed information technology (IT) solutions. Electronic health record (EHR) application configurations should be performed by team of individuals who have technical and a clinical background who can understand the healthcare delivery workflow, operations and business needs. Maintaining the optimal performance and integrity of the EHR are critical in facilitating these day-to-day operations and overall business of the entire healthcare organization. These healthcare technology implementations require expertise, tailored and guided approaches, and continuous configuration processes to ensure a successful healthcare IT project completion.

This chapter provides an analysis of the scope and context of the Self-Transcendence Theory, including its core concepts and the relationship among them. It presents how the theory is applied to practice using criteria identified by Fawcett. There are three core concepts in the Theory of Self-Transcendence: self-transcendence, well-being, and vulnerability. The Theory of Self-Transcendence embraces the dynamic relationship of person, environment, health, and nursing. Self-transcendence is a relevant nursing concept that can be achieved through the use of spiritual perspective, hope, and acceptance, all contributing to health-promoting experiences. The theory is easily operationalized in practice by utilizing the Self-Transcendence Scale (STS). Pamela Reed’s theory identified that individuals who experience vulnerable life events such as living with HIV or a terminal illness can promote the developmental processes that foster self-transcendence, well-being, and quality of life. Research has shown exposure to life stresses has a positive relationship with self-transcendence and well-being.

This chapter describes the testing process and its importance in the verification and validation process of the proposed information technology (IT) solution. It analyzes the methods of testing (unit, functional, integrated, end-to-end, user acceptance, regression, performance, system) and its relevance in preventing technology related errors. The chapter discusses the importance of the end-users’ role into the development and testing of an application. Testing, test script creation and the testing cycle are truly a collaborative effort. The coordination of activities during the testing phase as part of the construction phase is crucial since any major issues uncovered during testing will have an impact to the go-live date and overall timeline of the project. Testing drives the succeeding activities in project implementation. Key activities such as training content and the actual training plan rely on the success of testing.

Systems design is an exciting stage as part of the project execution phase. Successful systems design is crucial for end-user adoption, decreased workarounds, and improved workflow efficiency. This chapter describes the role of the nursing informatics specialist (NIS) as project manager in conducting workflow design, reviews techniques on how to conduct a comprehensive analysis of current and future state workflows, and ensures a complete workflow documentation. The design process includes the understanding in greater detail the initial scope requirements conducted from the panning phase. System, process, and data requirements should be reviewed with the clinical and technical teams to fully facilitate the final requirements and official sign off. In this aspect, the chapter focuses more on translating the workflow and process maps into technical and functional system specifications in understanding the impacts of systems design (data interface, user interface, and technical build).