Those are how buttons dim (or brighten). You press a button, it sets direction and start. When you release the button, the button sends the stop. We shorthand write this as press/release. Other button actions are press and press/hold.
Pico's are popular button devices here and they support all three button modes.
Take a 5 button Pico, for example. (I'm giving physical button examples here, but virtual devices work the same.)
Button 1 at the top might be used for "on, full brightness" -- it's just a push. Same with button 5 at the bottom: "off" -- another push. That button 2 could be used as push/release to brighten, while button 4 would be the same, but the other direction.
Button 3 is often called "favorite" and could be used to set a specific dim level -- again using Push.
Configure does just that, it moves the configuration from the driver to the device. ZWave devices have many configuration elements, and the driver wants to set them so that driver and device match features.
That Pico also works with push/hold to give 5 more buttons! Yes, that Pico is a 10 button device. Short push = push while long push = push/hold. Push/release and push/hold are the same action to the human finger, the programming being the difference in interpretation.
If, when you join a device, it displays the correct driver, the config is done automatically. But anytime you change the driver, as you experiment perhaps, then clicking Configure will send that driver's "map of features" to the device, overwriting the previous driver, in many cases.
https://docs.hubitat.com/index.php?title=Device_Detail