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Related Experiment Videos

Translating research into clinical practice: making change happen.

Elizabeth H Bradley1, Mark Schlesinger, Tashonna R Webster

  • 1Department of Epidemiology and Public Health, Yale School of Medicine, 60 College Street, New Haven, CT 06520, USA. elizabeth.bradley@yale.edu

Journal of the American Geriatrics Society
|October 28, 2004
PubMed
Summary

Implementing the Hospital Elder Life Program (HELP) involves overcoming challenges like gaining support and balancing fidelity. Strategies to address these issues can aid the adoption of innovative healthcare programs.

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Area of Science:

  • Healthcare Management
  • Translational Science
  • Geriatric Medicine

Background:

  • Implementing evidence-based programs in hospitals is crucial for improving patient care.
  • The Hospital Elder Life Program (HELP) is an innovative, multifaceted intervention designed for hospitalized older adults.
  • Understanding implementation challenges is key to successful program adoption.

Purpose of the Study:

  • To describe the adoption process of the Hospital Elder Life Program (HELP) in hospital settings.
  • To identify factors that promoted or impeded HELP implementation.
  • To examine common challenges and successful strategies during HELP implementation.

Main Methods:

  • Qualitative study utilizing in-depth, open-ended telephone interviews.

Related Experiment Videos

  • Interviews conducted with 32 key staff members across nine US hospitals implementing HELP.
  • Focus on staff experiences, challenges, and successful strategies during program implementation.

    • Main Results:

    • Six common challenges were identified: gaining internal support, ensuring clinician leadership, integrating with existing programs, balancing fidelity with circumstances, documenting outcomes, and maintaining momentum.
    • Strategies for overcoming each challenge were described by participants.
    • Successful implementation requires addressing diverse staff needs and resource limitations.

    Conclusions:

    • Translating research into clinical practice presents significant challenges across healthcare disciplines.
    • Developing targeted strategies to overcome identified implementation barriers can facilitate the adoption of innovative healthcare programs.
    • Successful adoption of programs like HELP requires proactive management of organizational and resource-related hurdles.