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