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Implementation of the Family HELP Protocol: A Feasibility Project for a West Texas ICU

The purpose of this project was to determine if bedside intensive care unit (ICU) nurse buy-in to the Family Hospital Elder Life Program (HELP) protocol was sufficient to make implementation feasible at one county hospital in West Texas. Surveys were anonymous with ballot box collection being availa...

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Detalles Bibliográficos
Autor principal: McClay, Rebecca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7912935/
https://www.ncbi.nlm.nih.gov/pubmed/33540501
http://dx.doi.org/10.3390/healthcare9020146
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author McClay, Rebecca
author_facet McClay, Rebecca
author_sort McClay, Rebecca
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description The purpose of this project was to determine if bedside intensive care unit (ICU) nurse buy-in to the Family Hospital Elder Life Program (HELP) protocol was sufficient to make implementation feasible at one county hospital in West Texas. Surveys were anonymous with ballot box collection being available to the bedside ICU nurses for one week each. Questions were based on literature findings of expected outcomes, identified barriers and facilitators, Calgary Family Intervention Method framework domains, and the Centers for Disease Control and Prevention Framework for program evaluation. Outcome measures were taken from the stated aims of the project and evaluated from paired baseline and summative survey questions. Survey participation was approximately half of nurses employed in the studied ICU. Analysis of the surveys showed a positive perception of family presence decreasing patient delirium symptoms, and a positive perception of the Family HELP protocol. The results described a high perception of family members as partners in care and high intention to implement the Family HELP protocol, indicating strong support of a full implementation of the protocol. The high level of bedside nurse buy-in present in this study has large implications for successful implementation of the Family HELP protocol in the near future, with sustainability and continued use supported by potential inclusion of the task in the electronic health record charting.
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spelling pubmed-79129352021-02-28 Implementation of the Family HELP Protocol: A Feasibility Project for a West Texas ICU McClay, Rebecca Healthcare (Basel) Article The purpose of this project was to determine if bedside intensive care unit (ICU) nurse buy-in to the Family Hospital Elder Life Program (HELP) protocol was sufficient to make implementation feasible at one county hospital in West Texas. Surveys were anonymous with ballot box collection being available to the bedside ICU nurses for one week each. Questions were based on literature findings of expected outcomes, identified barriers and facilitators, Calgary Family Intervention Method framework domains, and the Centers for Disease Control and Prevention Framework for program evaluation. Outcome measures were taken from the stated aims of the project and evaluated from paired baseline and summative survey questions. Survey participation was approximately half of nurses employed in the studied ICU. Analysis of the surveys showed a positive perception of family presence decreasing patient delirium symptoms, and a positive perception of the Family HELP protocol. The results described a high perception of family members as partners in care and high intention to implement the Family HELP protocol, indicating strong support of a full implementation of the protocol. The high level of bedside nurse buy-in present in this study has large implications for successful implementation of the Family HELP protocol in the near future, with sustainability and continued use supported by potential inclusion of the task in the electronic health record charting. MDPI 2021-02-02 /pmc/articles/PMC7912935/ /pubmed/33540501 http://dx.doi.org/10.3390/healthcare9020146 Text en © 2021 by the author. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
McClay, Rebecca
Implementation of the Family HELP Protocol: A Feasibility Project for a West Texas ICU
title Implementation of the Family HELP Protocol: A Feasibility Project for a West Texas ICU
title_full Implementation of the Family HELP Protocol: A Feasibility Project for a West Texas ICU
title_fullStr Implementation of the Family HELP Protocol: A Feasibility Project for a West Texas ICU
title_full_unstemmed Implementation of the Family HELP Protocol: A Feasibility Project for a West Texas ICU
title_short Implementation of the Family HELP Protocol: A Feasibility Project for a West Texas ICU
title_sort implementation of the family help protocol: a feasibility project for a west texas icu
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7912935/
https://www.ncbi.nlm.nih.gov/pubmed/33540501
http://dx.doi.org/10.3390/healthcare9020146
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