Author Affiliations: Consultant (Dr Stichler) and Clinical Nurse Specialist (Pelletier), Terrence and Barbara Caster Institute for Nursing Excellence, Sharp Prebys Innovation and Education Center, San Diego, California.

The authors declare no conflicts of interest.

Correspondence: Dr Stichler, Terrence and Barbara Caster Institute for Nursing Excellence, Sharp Prebys Innovation and Education Center, 8695 Spectrum Center Blvd, San Diego, CA 92123 ([email protected]).