CHOC Best Evidence and Recommendations
Best Evidence and Recommendation (BEaR) Statements from CHOC EBP Scholars
Evidence-based practice (EBP) is a dynamic process of integrating research, credible sources of knowledge, clinical expertise, and patient & family preferences and values to achieve optimal patient outcomes, enhance practice, and manage health care costs.
The CHOC nursing EBP scholars program is a formal 6-month program that consists of monthly meetings with expert academic faculty. Scholars receive education about the EBP process and guidance in completing a literature review and analysis. The ultimate goal of the program is to translate research (and other sources of evidence) into practice to enhance patient outcomes. By the completion of the program, scholars develop a Best Evidence and Recommendation (BEaR) statement to disseminate their findings and share practice recommendations based on the best available evidence.
Topic
Assessment
- Post-Intensive Care Syndrome: Surviving the Pediatric ICU – 2017
- Human Trafficking Screening Protocol – 2020
- Best Practice for EMS Child Abuse Screening – 2019
- Standardizing Pediatric Neurological Assessments Across Levels of Nursing Care – 2021
- Postpartum Depression of Parents in the Neonatal Intensive Care Unit – 2021
- Developmentally Delayed Pediatric Patients: Detecting Changes in Neurological and Pain Status in the Acute Care Setting – 2023
- Best Practices for Ventilator Management in Pediatric Acute Respiratory Distress – 2023
- Peripheral IV Infiltration and Extravasation (PIVIE) Prevention – 2024
- Post-Operative Thermoregulation in Infants with Congenital Heart Defects – 2024
- Epinephrine Administration for Contrast Anaphylaxis in Radiology – 2024
- Recognition and Management of Pediatric Seizure – 2025
- Adaptive Care Plan for Pediatric Patients with ASD in the Perioperative Environment – 2025
- Managing Behavioral Health Crises: Ensuring Safety for Patients and Staff in the Emergency Department – 2025
Communication
- ED – PICU Handoff Process Best Practice – 2018
- Best Practices for Multispecialty Care Coordination – 2021
- Communicating with Families with Limited English Proficiency – 2024
- Adaptive Care Plan for Pediatric Patients with ASD in the Perioperative Environment – 2025
- Creating a Virtually Integrated Care Team Model – 2025
- Improving NICU Nursing Handoff – 2025
Invasive Devices
- Chest X-rays Only When Clinically Indicated after Chest Tube Removal – 2017
- Best Practices in Managing Ommaya Reservoirs to Reduce Risk of Infection Associated with Brineura Infusion – 2018
- Blood Culture Collection from Central Lines – 2019
- Febrile Neutropenic Patients Presenting to the ED with a Port – 2022
- Best Practices for Ventilator Management in Pediatric Acute Respiratory Distress – 2023
Nursing Care
- Tonsillectomy & Adenoidectomy Care Guidelines – 2017
- Alternative Safe Sleep Positioning in the NICU – 2020
- Patient Safety in the Inpatient Setting after a Mental Health Crisis – 2021
- Individualized Developmental Care Plans for Infants with Congenital Heart Disease
- Best Practice for Sickle Cell Pain Crisis – 2019
- Best Practices for Hospitalized Pediatric Patients with Autism Spectrum Disorder – 2019
- Pediatric Cardiac Arrest Survivorship – 2022
- Evidence-Based Practices for Children with Autism – 2022
- Developmentally Delayed Pediatric Patients: Detecting Changes in Neurological and Pain Status in the Acute Care Setting – 2023
- Topical Wound Debridement in Pediatric Patients – 2023
- Peripheral IV Infiltration and Extravasation (PIVIE) Prevention – 2024
- Communicating with Families with Limited English Proficiency – 2024
- Post-Operative Thermoregulation in Infants with Congenital Heart Defects – 2024
- Epinephrine Administration for Contrast Anaphylaxis in Radiology – 2024
- Recognition and Management of Pediatric Seizure – 2025
- Creating a Virtually Integrated Care Team Model – 2025
- Improving NICU Nursing Handoff – 2025
- Managing Behavioral Health Crises: Ensuring Safety for Patients and Staff in the Emergency Department – 2025
Nursing Education
- Best Practices in NICU Nurse Residency Programs – 2017
- Simulation to Improve Interprofessional Communication and Collaboration – 2018
- Standardized Training Program for Preceptors of New Graduate Nurses – 2021
- Clinical and Educational Support for Night and Weekend Shifts in Acute Care Areas – 2023
- Preceptor Support – 2024
- Recognition and Management of Pediatric Seizure – 2025
- Adaptive Care Plan for Pediatric Patients with ASD in the Perioperative Environment – 2025
Patient/Family Education
- Standardized Epilepsy Education on a Pediatric Neuroscience Unit – 2017
- Enhancing Coping and Resilience in Parents of Hospitalized Children – 2021
- Communicating with Families with Limited English Proficiency – 2024
- Adaptive Care Plan for Pediatric Patients with ASD in the Perioperative Environment – 2025
- Creating a Virtually Integrated Care Team Model – 2025
Specialty/Discipline
Acute Care
- Intranasal Versed to Reduce Procedural Anxiety in Children – 2018
- Evidence-Based Practices for Children with Autism – 2022
- Clinical and Educational Support for Night and Weekend Shifts in Acute Care Areas – 2023
- Developmentally Delayed Pediatric Patients: Detecting Changes in Neurological and Pain Status in the Acute Care Setting – 2023
- Topical Wound Debridement in Pediatric Patients – 2023
- Recognition and Management of Pediatric Seizure – 2025
- Creating a Virtually Integrated Care Team Model – 2025
Critical Care
- Post-Intensive Care Syndrome: Surviving the Pediatric ICU – 2017
- Implementation of a Trauma Code Nurse Role in the PICU – 2017
- ED – PICU Handoff Process Best Practice – 2018
- Individualized Developmental Care Plans for Infants with Congenital Heart Disease
- Pediatric Cardiac Arrest Survivorship – 2022
- Topical Wound Debridement in Pediatric Patients – 2023
- Best Practices for Ventilator Management in Pediatric Acute Respiratory Distress – 2023
- Post-Operative Thermoregulation in Infants with Congenital Heart Defects – 2024
Education-Staff/Clinical
- Best Practices in NICU Nurse Residency Programs – 2017
- Simulation to Improve Interprofessional Communication and Collaboration – 2018
- Standardized Training Program for Preceptors of New Graduate Nurses – 2021
- Enhancing Coping and Resilience in Parents of Hospitalized Children – 2021
- Clinical and Educational Support for Night and Weekend Shifts in Acute Care Areas – 2023
- Preceptor Support – 2024
- Recognition and Management of Pediatric Seizure – 2025
Mental Health
- Strategies to Reduce Seclusion & Restraints on a Pediatric Mental Health Unit – 2018
- Patient Safety in the Inpatient Setting after a Mental Health Crisis – 2021
- Best Practices in Engaging Facility Dogs in Staff and Provider Wellness – 2022
- Managing Behavioral Health Crises: Ensuring Safety for Patients and Staff in the Emergency Department – 2025
Neuro
- Best Practices in Managing Ommaya Reservoirs to Reduce Risk of Infection Associated with Brineura Infusion – 2018
- Standardizing Pediatric Neurological Assessments Across Levels of Nursing Care – 2021
- Developmentally Delayed Pediatric Patients: Detecting Changes in Neurological and Pain Status in the Acute Care Setting – 2023
- Recognition and Management of Pediatric Seizure – 2025
Nursing
- Implementing a Trauma-Informed Care Approach – 2018
- Best Practices for Multispecialty Care Coordination – 2021
- Methods to Manage Acute Alcohol, Opiate, and Benzodiazepine Withdrawal Symptoms – 2019
- Best Practice for Sickle Cell Pain Crisis – 2019
- Best Practices for Hospitalized Pediatric Patients with Autism Spectrum Disorder – 2019
- Clinical and Educational Support for Night and Weekend Shifts in Acute Care Areas – 2023
- Developmentally Delayed Pediatric Patients: Detecting Changes in Neurological and Pain Status in the Acute Care Setting – 2023
- Topical Wound Debridement in Pediatric Patients – 2023
- Communicating with Families with Limited English Proficiency – 2024
- Recognition and Management of Pediatric Seizure – 2025
- Adaptive Care Plan for Pediatric Patients with ASD in the Perioperative Environment – 2025
- Creating a Virtually Integrated Care Team Model – 2025
- Improving NICU Nursing Handoff – 2025
- Managing Behavioral Health Crises: Ensuring Safety for Patients and Staff in the Emergency Department – 2025
Vascular Access
- Peripherally Inserted Central Venous Catheter (PICC) Optimal Tip Placement & Maintenance – 2017
- Use of Midline and Extended Dwell Catheters – 2018
- Blood Culture Collection from Central Lines
- Febrile Neutropenic Patients Presenting to the ED with a Port – 2022
- Peripheral IV Infiltration and Extravasation (PIVIE) Prevention – 2024