1 Nursing Research & Evidence-Based Practice, Intermountain Healthcare, Salt Lake City, Utah (Dr Gee); Intermountain Healthcare Delivery Institute, Murray, Utah (Drs Olsen, Sakata, and Srivastava); Pediatric Nursing Excellence, Primary Children's Hospital, Salt Lake City, Utah (Dr Kranz); and Respiratory Intensive Care Unit, Intermountain Medical Center, Murray, Utah (Ms Roberts).