The most commonly cited concerns by hospital employees when implementing a HELP program were obtaining adequate staffing, funding, and volunteers.16 and 29 Patient adherence to the program was also a common concern. Patients did not always adhere to all or any parts of the HELP program.16 Reasons for patient nonadherence included a lack of volunteer or staff to implement the interventions, patient refusal of the intervention, medical contraindication, and patient unavailability (such as when the patient was off the floor for procedures).16
Bradley and colleagues29 (2005) and Inouye and colleagues16 and 28 examined patient, family, and nurse satisfaction in HELP. All results reported patient and family satisfaction with HELP at greater than 90% by self-report in surveys. Nurses and nursing aids also reported greater satisfaction with the HELP program than the usual care methods.30
Inouye and colleagues28 and Bradley and colleagues29 examined cost-effectiveness of HELP in survey studies. Bradley and colleagues reported that 2 hospitals conducted their own financial analyses and found HELP to be cost-effective. Inouye and colleagues surveyed 13 HELP sites; 10 of those sites reported that they found HELP to be cost-effective for their hospitals. All studies examining cost-effectiveness were based on self-report, which may have an impact on the validity of the results.
The most commonly cited concerns by hospital employees when implementing a HELP program were obtaining adequate staffing, funding, and volunteers.16 and 29 Patient adherence to the program was also a common concern. Patients did not always adhere to all or any parts of the HELP program.16 Reasons for patient nonadherence included a lack of volunteer or staff to implement the interventions, patient refusal of the intervention, medical contraindication, and patient unavailability (such as when the patient was off the floor for procedures).16Bradley and colleagues29 (2005) and Inouye and colleagues16 and 28 examined patient, family, and nurse satisfaction in HELP. All results reported patient and family satisfaction with HELP at greater than 90% by self-report in surveys. Nurses and nursing aids also reported greater satisfaction with the HELP program than the usual care methods.30Inouye and colleagues28 and Bradley and colleagues29 examined cost-effectiveness of HELP in survey studies. Bradley and colleagues reported that 2 hospitals conducted their own financial analyses and found HELP to be cost-effective. Inouye and colleagues surveyed 13 HELP sites; 10 of those sites reported that they found HELP to be cost-effective for their hospitals. All studies examining cost-effectiveness were based on self-report, which may have an impact on the validity of the results.
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