Richard B. Arbour, MSN, RN, CCRN, CNRN, CCNS, CCTC, FAAN, FCCM, is critical care clinical nurse specialist at Temple University Hospital, Philadelphia, PA.

Debra L. Wiegand, PhD, MBE, RN, CCRN, CHPN, FPCN, is associate professor, University of Maryland School of Nursing, Baltimore.

✝Deceased.

Address correspondence to Richard B. Arbour, MSN, RN, CCRN, CNRN, CCNS, CCTC, FCCM, 5928 North 11th St, Philadelphia, PA 19141 ([email protected]).

The authors have no conflicts of interest to disclose.

This study was supported by a Critical Care Research Grant from the Southeastern Pennsylvania Chapter of the American Association of Critical-Care Nurses. The sponsor had no role in design, data collection, data analysis, and data interpretation in manuscript writing or choice of publication/journal for submission.