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Leopold A, Gimm G, Lee W. Leveraging the Contribution of Volunteers: The Critical Role and Economic Value of Volunteers in Older Americans Act Programs. J Aging Soc Policy 2024; 36:443-459. [PMID: 36153829 DOI: 10.1080/08959420.2022.2127596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 02/24/2022] [Indexed: 10/14/2022]
Abstract
The United States is facing a surge in the aging population, which will increase the demand for services and supports that allow older adults to age independently. This study assessed the size and value of the volunteer labor force in two home- and community-based programs funded under the Older Americans Act (OAA). Using publicly available program data for fiscal years 2015-2019, we calculated the annual contribution of volunteers, based on the total number of volunteer hours and share of labor effort, and estimated the economic value of volunteers in these OAA programs. In fiscal year 2019, volunteers contributed a total value of $1.7 billion in the OAA Title III program and $14.0 million in the Title VII long-term care ombudsman program. These results highlight the value of volunteers in OAA programs and the need for policies to support volunteers in the aging services network.
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Affiliation(s)
- Anne Leopold
- Senior Program Manager, Research and Evaluation, New Editions Consulting, Inc ., Falls Church, Virginia, USA
| | - Gilbert Gimm
- Associate Professor, Department of Health Administration and Policy, George Mason University, Fairfax, Virginia, USA
| | - Wooju Lee
- Junior Research Analyst, Research and Evaluation, New Editions Consulting, Inc, Falls Church, Virginia, USA
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Cohn-Schwartz E, Mannheim I, Meiry L. Assessment of a digital intervention program with Holocaust survivors. Aging Ment Health 2024; 28:587-594. [PMID: 37545419 DOI: 10.1080/13607863.2023.2240263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Accepted: 06/30/2023] [Indexed: 08/08/2023]
Abstract
OBJECTIVE This study evaluated a digital intervention program with aging Holocaust survivors. Participants received a tablet device and were coupled with a volunteer who assisted them to use the tablet. The study aimed to assess which characteristics of the Holocaust survivors are linked with more frequent use of digital communication at the end of the program. METHODS Information was collected by telephone interviews with 91 survivors before and 54 after participating in the program. We combined this data with digital usage data from the tablets. Regression models examined the characteristics of Holocaust survivors that were related to higher frequency of using digital communication technologies during the intervention. RESULTS The Holocaust survivors expressed high satisfaction with the program. They increased their frequency of using digital communication technologies-text correspondence and video chats with friends and family. Regressions showed that Holocaust survivors who reported increased digital communication were characterized at the start of the intervention by having fewer post-traumatic stress symptoms, higher levels of flourishing (reflecting a more meaningful life and higher well-being), being lonelier, and were also more satisfied with the program at follow-up. CONCLUSION The pilot program benefited the aging Holocaust survivors. Further programs should be developed to increase the digital communication of vulnerable older populations, such as trauma survivors.
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Affiliation(s)
- Ella Cohn-Schwartz
- Gerontology Program, Department of Epidemiology, Biostatistics, and Community Health Sciences, Faculty of Health Sciences, Ben-Gurion University, Be'er Sheva, Israel
| | - Ittay Mannheim
- Gerontology Program, Department of Epidemiology, Biostatistics, and Community Health Sciences, Faculty of Health Sciences, Ben-Gurion University, Be'er Sheva, Israel
- Department of Communication Studies, Ben-Gurion University, Be'er Sheva, Israel
- Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands
| | - Lian Meiry
- Gerontology Program, Department of Epidemiology, Biostatistics, and Community Health Sciences, Faculty of Health Sciences, Ben-Gurion University, Be'er Sheva, Israel
- Department of Physiotherapy, Faculty of Health Sciences, Ben-Gurion University, Be'er Sheva, Israel
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Cait CA, Lafreniere G. "Stop Imposing on Us": A Critical Examination of Ethnocultural Considerations in the Canadian Volunteer Hospice Palliative Care Landscape. J Soc Work End Life Palliat Care 2024:1-16. [PMID: 38416861 DOI: 10.1080/15524256.2024.2321522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/01/2024]
Abstract
Volunteers are foundational in hospice programs. The purpose of this research was to address social, ethnic and demographic changes in Southwestern Ontario and understand how this may affect volunteer recruitment, and representation. Interviews and focus groups were conducted with hospice volunteers, key informants from leaders in ethnocultural communities, and hospice staff. Qualitative data from the interviews was analyzed using thematic analysis in five phases. Findings suggest ethnocultural interpretations of hospice can be very different than Westernized, Eurocentric ideas around end-of-life care. Systemic and structural barriers, information sharing, volunteer motivation and representation were found to influence and impact ethnocultural volunteer recruitment in hospice palliative care. Using a critical analysis allows us to identify the "imposition" of a Euro-ethnocentric hospice palliative care model that prevents recruitment of and impedes access of ethnocultural groups to hospice palliative care. To build bridges across predominantly White/Western models of care to ethnocultural racialized communities requires constant communication, relationship building, and determination in mutuality of learning on behalf of the dominant model. This research has implications for different regions of Canada providing hospice palliative care and hoping to increase ethnocultural accessibility and volunteer recruitment for hospice palliative care.
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Affiliation(s)
- Cheryl-Anne Cait
- Faculty of Social Work, Wilfrid Laurier University, Kitchener, Ontario, Canada
| | - Ginette Lafreniere
- Faculty of Social Work, Wilfrid Laurier University, Kitchener, Ontario, Canada
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Kragh AR, Gregers MT, Andelius L, Grabmayr AJ, Kollander L, Kjærulf VE, Kjølbye JS, Sheikh AP, Ersbøll AK, Folke F, Hansen CM. Volunteer Responder Interventions in Out-of-Hospital Cardiac Arrest in Urban, Suburban, and Rural Areas. J Am Heart Assoc 2024; 13:e032629. [PMID: 38348801 PMCID: PMC11010116 DOI: 10.1161/jaha.123.032629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 01/19/2024] [Indexed: 02/21/2024]
Abstract
BACKGROUND Patients with out-of-hospital cardiac arrest (OHCA) in rural areas experience longer emergency response times and have lower survival rates compared with patients in urban areas. Volunteer responders might improve care and outcomes for patients with OHCA specifically in rural areas. Therefore, we investigated volunteer responder interventions based on the degree of urbanization. METHODS AND RESULTS We included 1310 OHCAs from 3 different regions in Denmark where volunteer responders had arrived at the OHCA location. The location was classified as urban, suburban, or rural according to the Eurostat Degree of Urbanization Tool. A logistic regression model was used to examine associations between the degree of urbanization and volunteer responder arrival before emergency medical services, cardiopulmonary resuscitation, or defibrillation. We found the odds for volunteer responder arrival before emergency medical services more than doubled in rural areas (odds ratio [OR], 2.60 [95% CI, 1.91-3.53]) and suburban areas (OR, 2.05 [95% CI, 1.56-2.69]) compared with urban areas. In OHCA cases where volunteer responders arrived first, odds for bystander cardiopulmonary resuscitation was tripled in rural areas (OR, 3.83 [95% CI, 1.64-8.93]) and doubled in suburban areas (OR, 2.27 [95% CI, 1.17-4.41]) compared with urban areas. Bystander defibrillation was more common in suburban areas (OR, 1.53 [95% CI, 1.02-2.31]), where almost 1 out of 4 patients received bystander defibrillation, compared with urban areas. CONCLUSIONS Volunteer responders are significantly more likely to arrive before emergency medical services in rural and suburban areas than in urban areas. Patients with OHCA received more cardiopulmonary resuscitation in rural and suburban areas and more defibrillation in suburban areas than in urban areas.
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Affiliation(s)
- Astrid Rolin Kragh
- Copenhagen Emergency Medical Services, University of CopenhagenBallerupDenmark
- Department of Clinical MedicineUniversity of CopenhagenBallerupDenmark
| | - Mads Tofte Gregers
- Copenhagen Emergency Medical Services, University of CopenhagenBallerupDenmark
- Department of Clinical MedicineUniversity of CopenhagenBallerupDenmark
| | - Linn Andelius
- Copenhagen Emergency Medical Services, University of CopenhagenBallerupDenmark
| | - Anne Juul Grabmayr
- Copenhagen Emergency Medical Services, University of CopenhagenBallerupDenmark
- Department of Clinical MedicineUniversity of CopenhagenBallerupDenmark
| | - Louise Kollander
- Copenhagen Emergency Medical Services, University of CopenhagenBallerupDenmark
- Department of Clinical MedicineUniversity of CopenhagenBallerupDenmark
| | - Victor Elnegaard Kjærulf
- Copenhagen Emergency Medical Services, University of CopenhagenBallerupDenmark
- Department of Clinical MedicineUniversity of CopenhagenBallerupDenmark
| | - Julie Samsøe Kjølbye
- Copenhagen Emergency Medical Services, University of CopenhagenBallerupDenmark
- Department of Clinical MedicineUniversity of CopenhagenBallerupDenmark
| | - Annam Pervez Sheikh
- Copenhagen Emergency Medical Services, University of CopenhagenBallerupDenmark
- Department of Clinical MedicineUniversity of CopenhagenBallerupDenmark
| | - Annette Kjær Ersbøll
- Copenhagen Emergency Medical Services, University of CopenhagenBallerupDenmark
- National Institute of Public Health, University of Southern DenmarkCopenhagenDenmark
| | - Fredrik Folke
- Copenhagen Emergency Medical Services, University of CopenhagenBallerupDenmark
- Department of Clinical MedicineUniversity of CopenhagenBallerupDenmark
- Department of CardiologyHerlev Gentofte University HospitalCopenhagenDenmark
| | - Carolina Malta Hansen
- Copenhagen Emergency Medical Services, University of CopenhagenBallerupDenmark
- Department of Clinical MedicineUniversity of CopenhagenBallerupDenmark
- Department of CardiologyHerlev Gentofte University HospitalCopenhagenDenmark
- Department of CardiologyRigshospitalet, University of CopenhagenBallerupDenmark
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Odii A, Hutchinson E, Onwujekwe O, Ogbozor PA, Agwu P, Orjiakor CT, Babalanova D, McKee M. 'Government don't know me and if I stop, they won't know': A qualitative study on the lived experiences of volunteer health workers in the Nigerian health system and their implications for the sustainable development goals. Int J Health Plann Manage 2024. [PMID: 38351416 DOI: 10.1002/hpm.3783] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 01/29/2024] [Accepted: 01/31/2024] [Indexed: 03/21/2024] Open
Abstract
BACKGROUND Volunteer health workers play an important, but poorly understood role in the Nigerian health system. We report a study of their lived experiences, enabling us to understand their motivations, the nature of their work, and their relationships with formally employed health workers in Primary Healthcare Centres (PHCs) in Nigeria, the role of institutional incentives, and the implications for attaining the health-related sustainable development goals (SDGs) targets. METHODS The study used ethnographic observation of PHCs in Enugu State, supplemented with in-depth interviews with volunteers, formally employed health workers and health managers. The analysis employed a combination of narrative and reflexive thematic approaches. FINDINGS The lived experiences of most volunteers unfold in four stages as they move into and out of their volunteering status. The first stage signifies hope, arising from the ease with which they are accepted and integrated into the PHC space. The anger stage emerges when volunteers confront the marked disparity in their treatment compared to formal staff, despite their substantial contributions to healthcare. Then, the bargaining stage sets in, where they strive for recognition and respect by pursuing formal employment and advocating for fair treatment and improved stipends. A positive response, such as improved stipends, can reignite hope among volunteers. If not, most volunteers transition to the acceptance stage - the acknowledgement that their status may never be formalised, prompting many to lose hope and disengage. CONCLUSION There should be a clear policy on recruitment, compensation, and protection of volunteers in the health systems, to enhance the contribution they can make to the achievement of the health-related SDG targets.
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Affiliation(s)
- Aloysius Odii
- Health Policy Research Group, College of Medicine, University of Nigeria Enugu Campus, Enugu, Nigeria
- University of Nigeria, Nsukka, Nigeria
| | | | - Obinna Onwujekwe
- Health Policy Research Group, College of Medicine, University of Nigeria Enugu Campus, Enugu, Nigeria
- University of Nigeria Enugu Campus, Enugu, Nigeria
| | - Pamela Adaobi Ogbozor
- Health Policy Research Group, College of Medicine, University of Nigeria Enugu Campus, Enugu, Nigeria
- Enugu State University of Science and Technology, Enugu, Nigeria
| | - Prince Agwu
- Health Policy Research Group, College of Medicine, University of Nigeria Enugu Campus, Enugu, Nigeria
- University of Nigeria, Nsukka, Nigeria
- School of Humanities, Social Sciences and Law, University of Dundee, Dundee, UK
| | - Charles T Orjiakor
- Health Policy Research Group, College of Medicine, University of Nigeria Enugu Campus, Enugu, Nigeria
- University of Nigeria, Nsukka, Nigeria
| | | | - Martin McKee
- London School of Hygiene and Tropical Medicine, London, UK
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Rodríguez-Prat A, Wilson DM. End-of-life conversations about death and dying from volunteer perspectives: A qualitative study. Palliat Support Care 2024:1-9. [PMID: 38251451 DOI: 10.1017/s147895152300189x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2024]
Abstract
OBJECTIVES Although often unrecognized, volunteers fulfill many essential roles in hospices and other end-of-life care settings. Volunteers complement the actions of professionals in fulfilling many extra care needs, such as delivering newspapers and tidying bedsides. We explored end-of-life conversations about death and dying between hospice volunteers and terminally ill people, with a particular emphasis on any expressed desire to die. Our 2 research questions were as follows: (1) What is the nature of end-of-life conversations between hospice patients and hospice volunteers? and (2) How do hospice volunteers experience conversations about death and dying with patients who are at the end-of-life? METHODS We conducted semi-structured interviews using an interpretive phenomenological analysis. We recruited hospice volunteers from 4 hospices in Calgary, Edmonton, and Red Deer; 3 larger cities in the province of Alberta, Canada. RESULTS We interviewed 12 participants to saturation. Four themes emerged: (1) trusting conversations about death and dying in the context of a safe place; (2) normalcy of conversations about death and dying; (3) building meaningful relationships; and (4) end-of-life conversations as a transformative experience. Our results emphasize the importance of preparing volunteers for conversations about death and dying, including the desire to die. SIGNIFICANCE OF RESULTS The safe environment of the hospice, the commitment to patient confidentiality, and the ability of volunteers to meet the basic and emotional needs of dying people or simply just be present without having formal care duties that need to be completed contribute to volunteers being able to participate in timely and needed conversations about death and dying, including the desire to die. In turn, hospice experiences and end-of-life conversations provide a transformative experience for volunteers.
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Affiliation(s)
- Andrea Rodríguez-Prat
- Faculty of Humanities, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain
| | - Donna M Wilson
- Faculty of Nursing, Third Floor ECHA Building, University of Alberta, Edmonton, AB, Canada
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Kozub E, Hedquist K, Tu L, Bryant R. Sustained delirium reduction in an inpatient neuroscience unit. Worldviews Evid Based Nurs 2024. [PMID: 38178795 DOI: 10.1111/wvn.12704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 11/19/2023] [Indexed: 01/06/2024]
Abstract
BACKGROUND Delirium is described as acute brain dysfunction that often fluctuates throughout the day and is highly prevalent in hospitalized adults. Delirium negatively affects patient outcomes with consequences including decreased cognitive functioning and increased mortality and healthcare costs. Furthermore, neurological patients are at increased risk for developing delirium due to their underlying diagnoses. PURPOSE The purpose of this evidence-based practice project was to evaluate the long-term impact of nursing education and use of trained volunteers to prevent the development of delirium in an inpatient neuroscience unit. IMPLEMENTATION PLAN This was a pre-post designed evidence-based practice project to educate and prioritize nursing care interventions for delirium prevention compared to a delirium management framework. The interventions included delirium education for nurses and nursing assistants along with the development of a specialized volunteer program to implement non-pharmacological, multi-component delirium prevention interventions. Long-term sustainment and enculturation occurred over the subsequent year. OUTCOMES The baseline data collection period included 2520 patients. The intervention period included 4515 patients, with both groups being similar in age, race, gender, and length of stay. The total number of patients with a discharge diagnosis of delirium decreased from 29.2% to 19.8% (p < .001). Fewer patients in the intervention group were discharged to a skilled nursing facility (p < .001) and other post-acute facility (p = .008), along with more patients being discharged to home care (p < .001). LINKING EVIDENCE TO ACTION This evidence-based practice project demonstrates long-term sustained reduction of delirium in the neuroscience population. Despite the challenges during the COVID-19 pandemic, delirium prevention strategies were found to be effective in decreasing the rate at which patients develop delirium.
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Affiliation(s)
| | - Katie Hedquist
- Abbott Northwestern Hospital, Minneapolis, Minnesota, USA
| | - Lisa Tu
- Abbott Northwestern Hospital, Minneapolis, Minnesota, USA
| | - Ruth Bryant
- Abbott Northwestern Hospital, Minneapolis, Minnesota, USA
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Huggins M, Puurveen G, Pesut B, Rush K. Competency development for a volunteer navigation program to support caregivers of people living with dementia: A modified e-Delphi method. Dementia (London) 2024; 23:69-90. [PMID: 37976553 PMCID: PMC10797849 DOI: 10.1177/14713012231216768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
Caregivers of people living with dementia are pillars of the care community. Providing them with adequate support throughout their caregiving journey is essential to their quality of life and may also contribute to improving the care of people living with dementia. Nav-CARE (Navigation - Connecting, Advocating, Resourcing, Engaging) is a volunteer-led navigation program that provides support to older adults with life-limiting illnesses who are living in the community. However, Nav-CARE does not provide support directly to caregivers of people living with dementia. To adapt Nav-CARE to support caregivers, we needed to establish caregivers' needs and the competencies volunteer navigators should be trained in to support caregivers to meet these needs. To do so, a modified e-Delphi method was utilized, which consisted of administering three sequential questionnaires to a panel of 35 individuals with expertise in a variety of dementia related domains. Through this, two final lists of 46 caregivers' needs and 41 volunteer competencies were established to inform the development of volunteer navigator training curriculum. Findings suggest that trained volunteer navigators may be able to support caregivers of people living with dementia throughout the disease trajectory and can be used to inform the development of future dementia navigation programs.
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Affiliation(s)
- Madison Huggins
- Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna BC, Canada
| | - Gloria Puurveen
- Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna BC, Canada
| | - Barb Pesut
- Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna BC, Canada
| | - Kathy Rush
- Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna BC, Canada
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Patil D, Shah P, Rao S, Arora A, Shah D, Sarangi P, Gogoi K, Dutta M, Thakore Y, Pawar S, Zhang Z, Swaroop M. The Local Heroes Project: a youth-led pan-India hyperlocal crisis relief model during the COVID-19 pandemic. Front Public Health 2023; 11:1282289. [PMID: 38145070 PMCID: PMC10740211 DOI: 10.3389/fpubh.2023.1282289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 11/22/2023] [Indexed: 12/26/2023] Open
Abstract
Introduction There was shortage of essential diagnostic and therapeutic supplies in public hospitals during the second wave of COVID-19 in India. Materials and methods The Local Heroes Project, a hyperlocal project initiated by the World Youth Heart Federation (WYHF). Pilot project was conducted in six cities, and a nationwide project was scaled up to 58 city groups with 438 volunteers. Three-step model of needs assessment, fundraising, and establishment of the supply chain was undertaken. A national team was formed consisting of representatives from multiple international organizations and stakeholders. Local Volunteers were recruited and empowered in each city to conduct donation drives. The Qualitative Comparative Analysis (QCA) model was used to assess the impact of the intervention. Results 48.2% of the city groups completed needs assessment and 37.9% completed their donations. Factors such as team strength more than 4, local needs assessment, regular reporting during monthly meeting, receptive local administration, donation to more than 2 health centers and donation of supplies worth >= Rs 5,000 in each city (raw coverage 0.44, consistency 1) were more important contributors for success of the outcome. Supplies worth INR 2.45 million were donated. Conclusion Hyperlocal projects can effectively address essential supply shortages. A three-step model of needs assessment, fundraising, and supply chain establishment can be an effective approach. Community involvement and donations are crucial for the success and sustainability of such projects.
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Affiliation(s)
- Dhrumil Patil
- World Youth Heart Federation, Vadodara, India
- Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, United States
| | - Priyansh Shah
- World Youth Heart Federation, Vadodara, India
- Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, United States
| | - Shirish Rao
- World Youth Heart Federation, Vadodara, India
- Seth G.S. Medical College and K.E.M. Hospital, Mumbai, India
| | - Anoushka Arora
- World Youth Heart Federation, Vadodara, India
- Smt. Nathiba Hargovandas Lakhmichand Municipal Medical College, Ahmedabad, India
| | - Devarsh Shah
- World Youth Heart Federation, Vadodara, India
- Baroda Medical College, Vadodara, India
| | - Pratik Sarangi
- World Youth Heart Federation, Vadodara, India
- Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India
| | - Krittika Gogoi
- World Youth Heart Federation, Vadodara, India
- Assam Medical College, Dibrugarh, India
| | - Manaswi Dutta
- World Youth Heart Federation, Vadodara, India
- Gauhati Medical College, Guwahati, India
| | - Yashsri Thakore
- World Youth Heart Federation, Vadodara, India
- Zydus Medical College and Hospital, Dahod, India
| | - Srushti Pawar
- World Youth Heart Federation, Vadodara, India
- SMBT Institute of Medical Sciences and Research Centre, Igatpuri, India
| | - Zhenyu Zhang
- Department of Cardiovascular Sciences, Hypertension and Cardiovascular Epidemiology, KU Leuven, Leuven, Belgium
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Oliver K, Brown M, Walshe C, Salifu Y. A Meta-Ethnographic Review of Paid Staff and Volunteers Working together in Palliative Care. J Pain Symptom Manage 2023; 66:656-670.e11. [PMID: 37574093 DOI: 10.1016/j.jpainsymman.2023.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2023] [Revised: 08/01/2023] [Accepted: 08/03/2023] [Indexed: 08/15/2023]
Abstract
CONTEXT Volunteers in palliative care settings are an essential part of care provision for patients and those important to them. Effective collaboration between volunteers and paid staff has been regarded as an important element of successful working, however, at times failures in coordination, information sharing and tensions within teams have been highlighted. OBJECTIVES To explore the views expressed by volunteers and paid staff about their experiences of working together in palliative care settings. METHODS A systematic exploration of qualitative research using a meta-ethnographic approach. PsycINFO, CINAHL, Medline Complete, and AMED databases were searched from inception to December 2021 for the concepts "volunteers" and "palliative care." Repeated in-depth reading and appraisal of papers identified metaphors and concepts, providing new interpretations. RESULTS Included papers (n = 14) enabled the construction of five storylines: 1) "we are the cake, and they are the cream": understanding the volunteer role-separate, but part of a whole. 2) "…we don't know what's wrong with people but sometimes we need to know": access to information and importance of trust. 3) "everybody looks out for each other": access to paid staff and their support. 4) "...we don't meddle in the medical": boundaries. 5) "it's the small things that the staff does for me that makes me feel good about my work": sense of value and significance. CONCLUSIONS For effective working relationships between paid staff and volunteers, proactive engagement, recognition of each other's role and contribution, mutual sharing of information, and intentional interaction between both groups is needed.
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Affiliation(s)
- Katherine Oliver
- International Observatory on End of Life Care (K.O., C.W., Y.S.), Lancaster University, Lancaster, UK; Division of Nursing and Midwifery (K.O.), University of Sheffield, Sheffield, UK.
| | - Michelle Brown
- College of Health and Social Care (M.B.), University of Derby, Derby, UK
| | - Catherine Walshe
- International Observatory on End of Life Care (K.O., C.W., Y.S.), Lancaster University, Lancaster, UK
| | - Yakubu Salifu
- International Observatory on End of Life Care (K.O., C.W., Y.S.), Lancaster University, Lancaster, UK
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Patel J, Nattabi B, Long R, Durey A, Naoum S, Kruger E, Slack-Smith L. The 5C model: A proposed continuous quality improvement framework for volunteer dental services in remote Australian Aboriginal communities. Community Dent Oral Epidemiol 2023; 51:1150-1158. [PMID: 36812158 DOI: 10.1111/cdoe.12850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Revised: 02/02/2023] [Accepted: 02/09/2023] [Indexed: 02/24/2023]
Abstract
OBJECTIVES Aboriginal and Torres Strait Islander communities in remote parts of Australia are some of the most underserviced communities in regard to oral health care. These communities rely on volunteer dental programmes such as the Kimberley Dental Team to fill the gaps in care, however, there are no known continuous quality improvement (CQI) frameworks to guide such organizations to ensure that they are delivering high-quality, community-centred, culturally appropriate care. This study proposes a CQI framework model for voluntary dental programmes providing care to remote Aboriginal communities. METHODS Relevant CQI models wherein the (i) behaviour of interest was quality improvement, and (ii) the health context was volunteer services in Aboriginal communities were identified from the literature. The conceptual models were subsequently augmented using a 'best fit' framework and the existing evidence synthesized to develop a CQI framework that aims to guide volunteer dental services to develop local priorities and enhance current dental practice. RESULTS A cyclical five-phase model is proposed starting with consultation and moving through the phases of data collection, consideration, collaboration and celebration. CONCLUSIONS This is the first proposed CQI framework for volunteer dental services working with Aboriginal communities. The framework enables volunteers to ensure that the quality of care provided is commensurate with the community needs and informed by community consultation. It is anticipated that future mixed methods research will enable formal evaluation of the 5C model and CQI strategies focusing on oral health among Aboriginal communities.
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Affiliation(s)
- Jilen Patel
- School of Population and Global Health, The University of Western Australia, Perth, Western Australia, Australia
- Dental School, The University of Western Australia, Perth, Western Australia, Australia
| | - Barbara Nattabi
- School of Population and Global Health, The University of Western Australia, Perth, Western Australia, Australia
| | - Robyn Long
- Jungarni-Jutiya Indigenous Corporation, Halls Creek, Western Australia, Australia
| | - Angela Durey
- School of Population and Global Health, The University of Western Australia, Perth, Western Australia, Australia
| | - Steven Naoum
- Dental School, The University of Western Australia, Perth, Western Australia, Australia
| | - Estie Kruger
- School of Human Sciences, The University of Western Australia, Perth, Western Australia, Australia
| | - Linda Slack-Smith
- School of Population and Global Health, The University of Western Australia, Perth, Western Australia, Australia
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Thomas R, Pesut B, Siden H, Treschow M, Puurveen G. Developing competencies for volunteer navigators to support caregivers of children living with medical complexity: a mixed-method e-Delphi study. Palliat Care Soc Pract 2023; 17:26323524231209060. [PMID: 37954463 PMCID: PMC10634257 DOI: 10.1177/26323524231209060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 10/04/2023] [Indexed: 11/14/2023] Open
Abstract
Background Providing specially trained volunteer navigators is one promising strategy for supporting the increasing number of family caregivers who are caring for children living with medical complexity. Objective The objective of this study was to develop consensus on the role and competencies required for volunteer navigators who support caregivers of children living with medical complexity. Design This was a mixed-method study using modified e-Delphi and focus group methods. In phase 1, a modified e-Delphi survey with 20 family caregivers and a focus group with 4 family caregivers were conducted to develop consensus on their unmet needs and the potential roles of a volunteer to meet those needs. In phase 2, a modified e-Delphi survey was conducted with experts to develop consensus on the volunteer competencies required to meet the roles identified by family caregivers in phase 1. Results Findings from phase 1 resulted in 36 need-related items over 8 domains: communication, daily life and chores, emotional support, information and knowledge, respite, support with decision-making, and sharing the caregiving experience. Concerns about the volunteer role included the potential lack of commitment in the absence of remuneration, the complexity of the child's condition that was beyond the role of a volunteer, and a preference for support from individuals they knew. Findings from the phase 2 Delphi survey with professionals resulted in 22 competencies, derived from the roles identified in phase 1, that would be required of volunteers who wished to support these family caregivers. Conclusion This study provides insight into a role for volunteers in meeting the needs of family caregivers of children living with medical complexity. A volunteer with lived experience and adequate preparation can assist with meeting some of these important needs. Further research is required to better understand the feasibility and acceptability of such a role.
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Affiliation(s)
- Robyn Thomas
- The University of British Columbia Okanagan, Kelowna, BC, Canada
| | - Barbara Pesut
- The University of British Columbia Okanagan, 1147 Research Way, Kelowna, BC V1V 1V7, Canada
| | - Hal Siden
- The University of British Columbia, Canuck Place Children’s Hospice and BC Children’s Hospital, Vancouver, BC, Canada
| | - Michael Treschow
- The University of British Columbia Okanagan, Kelowna, BC, Canada
| | - Gloria Puurveen
- The University of British Columbia Okanagan, Kelowna, BC, Canada
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Sabale R, Velhal G, Sonawane V, Gupta S. "CoviSainik Program" - A Novel Public Private Partnership Initiative in the Control of COVID-19 in Rural India. Indian J Community Med 2023; 48:894-901. [PMID: 38249711 PMCID: PMC10795870 DOI: 10.4103/ijcm.ijcm_139_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2023] [Accepted: 09/28/2023] [Indexed: 01/23/2024] Open
Abstract
Background "CoviSainik Program" was implemented in collaboration with the Ambuja Cement Foundation and Community Medicine Department in rural districts of eight states of India from May to December 2021 to create a cadre of volunteers. The aim of the present paper is to describe the program and evaluate it so that the findings can be the guiding tool for policymakers to replicate a similar program. Material and Method A cross-sectional, mixed-method - concurrent study design was adopted to evaluate the program for its short-term outcomes such as gain in the basic knowledge of COVID-19 amongst master trainers and their feedback and program output viz - the proportion of volunteers trained and their profile by census sampling. Motivational factors, experiences of volunteers, and outcomes of COVID-19 work in their villages were explored by purposive with maximum diversity sampling with 62 online in-depth interviews and 8 online focus group discussions (FGDs). Results There was a statistically significant difference in the pre-test (12.8 ± 5.6) and post-test (25.9 ± 9.3) scores of the Master Training Program evaluation test. Out of 6534 trained volunteers, 5901 worked as volunteers, and amongst those, 47.1%, 35.1%, and 17.8% worked for ≤3 months, 3 to 6 months, and ≥6 months, respectively, in their villages. The major themes generated for motivational factors to join the program were altruism, savior nature, generating awareness, and concern for others. The major outcomes generated by trained volunteers COVID-19 vaccination were in raising awareness on COVID-19 appropriate behavior and early identification of COVID-19 cases in their villages. Conclusion The "CoviSainik Program" was successful in creating cadres of trained volunteers.
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Affiliation(s)
- Rupali Sabale
- Department of Community Medicine, Seth GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India
| | - Gajanan Velhal
- Department of Community Medicine, Seth GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India
| | - Vinayak Sonawane
- Department of Community Medicine, Seth GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India
| | - Shilpi Gupta
- Health Program Research, Ambuja Cement Foundation, India
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Aoun SM, Bear N, Rumbold B. The compassionate communities connectors program: effect on healthcare usage. Palliat Care Soc Pract 2023; 17:26323524231205323. [PMID: 37901153 PMCID: PMC10612440 DOI: 10.1177/26323524231205323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Accepted: 09/15/2023] [Indexed: 10/31/2023] Open
Abstract
Background Public health approaches to palliative and end-of-life care focus on enhancing the integration of services and providing a comprehensive approach that engages the assets of local communities. However, few studies have evaluated the relative costs and benefits of providing care using these service models. Objectives To assess the effect on healthcare usage of a community-based palliative care program ('Compassionate Communities Connectors') where practical and social support was delivered by community volunteers to people living with advanced life-limiting illnesses in regional Western Australia. Design Controlled before-and-after study/Cost-consequence analysis. Methods A total of 43 community-based patients participated in the program during the period 2020-2022. A comparator population of 172 individuals with advanced life-limiting illnesses was randomly selected from usage data from the same set of health services. Results Relative to controls, the intervention group had lower hospitalizations per month [Incidence rate ratio (IRR): 0.37; 95% CI: 0.18-0.77, p = 0.007], less hospital days per month (IRR: 0.23; 95% CI: 0.11-0.49, p < 0.001) and less emergency presentations (IRR: 0.56; 95% CI: 0.34-0.94, p = 0.028. The frequency of outpatient contacts overall was two times higher for the intervention group (IRR: 2.07; 95% CI: 1.11-3.86, p = 0.022), indicating the Connector program may have shifted individuals away from the hospital system and toward community-based care. Estimated net savings of $AUD 518,701 would be achieved from adopting the Connector program, assuming enrollment of 100 patients over an average 6-month participation period. Conclusion This combined healthcare usage and economic analysis of the 'Compassionate Communities Connectors' program demonstrates the benefits of optimizing palliative care services using home-based and community-centered interventions, with gains for the health system through improved patient outcomes and reduced total healthcare costs (including fewer hospitalizations and readmissions). These findings, coupled with the other published results, suggest that investment in the Connectors program has the capacity to reduce net health sector expenditure while also improving outcomes for people with life-limiting illnesses. Trial Registration Australian and New Zealand Clinical Trial Registry: ACTRN12620000326998.
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Affiliation(s)
- Samar M. Aoun
- School of Medicine, Perron Institute for Neurological and Translational Science, The University of Western Australia, 8 Verdun St, Perth WA 6009, Australia
| | - Natasha Bear
- Institute of Health Research, University of Notre Dame Australia, Fremantle, WA, Australia
| | - Bruce Rumbold
- La Trobe University, Melbourne, VIC, Australia Perron Institute for Neurological and Translational Science, Perth, WA, Australia
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Lachowski S, Lachowska B. Adolescent volunteering in Poland - contextual and individual determinants. Ann Agric Environ Med 2023; 30:522-530. [PMID: 37772529 DOI: 10.26444/aaem/172561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/30/2023]
Abstract
INTRODUCTION AND OBJECTIVE Studies on volunteering concern mainly the population aged over 16, and the results refer mainly to Western Europe. Adolescent volunteering in Eastern European countries is relatively understudied. The aim of the study was to investigate and discuss the scale of this phenomenon in Poland, the predictors of being a volunteer, and factors which explain how much time adolescents spend volunteering. MATERIAL AND METHODS The study was conducted on a representative group of 3,545 respondents aged 14-15. 26.6% of the surveyed adolescents were involved in volunteering in the 12 months preceding the study. RESULTS The probability of being a volunteer is explained by contextual factors (higher regional income per capita and higher unemployment rate decrease this probability, whereas it increases by living in a city), family factors (father's work in agriculture and more children in the family), individual factors (higher self-esteem of physical fitness and less helplessness). The amount of time devoted to volunteering is explained by contextual factors (the higher the income from agriculture), family factors (mother's work in agriculture; mother's lower level of education), individual factors (greater self-efficacy, lower feeling of helplessness). Volunteering undertaken because of a passion for volunteering is associated with longer volunteering time, while undertaken because of the desire to be liked and respected - with shorter volunteering time. CONCLUSIONS The results are of practical importance, as they show the possibility to promote adolescents' volunteering.
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Preston G, Rampes S, Bayly J, Rice HT, Angelova R, Richardson H, Maddocks M. Using volunteers to improve access to community rehabilitation in palliative care: the St Christopher's Living Well at Home Team. Front Rehabil Sci 2023; 4:1229442. [PMID: 37791372 PMCID: PMC10544964 DOI: 10.3389/fresc.2023.1229442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Accepted: 08/28/2023] [Indexed: 10/05/2023]
Abstract
Background UK hospices often provide outpatient rehabilitation services for people with advanced progressive illness. However, some people are unable to travel, leading to inequity in rehabilitation access. Objectives The Living Well at Home Team (LWAHT) at St Christopher's Hospice aimed to evaluate whether using volunteers to support rehabilitation in peoples' homes improved the reach of rehabilitation for people living in underserved localities and if it supported people to optimise their functional independence. Methods This service improvement project evaluated hospice rehabilitation uptake during the implementation of volunteer-supported community rehabilitation. Following assessment by an LWAHT therapist, eligible people were matched with a trained volunteer who supported four to eight rehabilitation sessions in the person's home. The evaluation assessed uptake of the rehabilitation sessions. Mobility, wellbeing, and goal attainment outcomes were assessed by the Life-Space Assessment (LSA), General Health Questionnaire (GHQ), and Goal Attainment Scale (GAS), respectively. Results In the first year, 183 patients were referred to the LWAHT; 123 were assessed and 96 received rehabilitation including 56 who were matched with a volunteer. Following volunteer support, patients reported significant improvements in mobility [LSA median 20 (IQR, 3.5-27.8)], general health [GHQ -2 (-5.25 to 0)], and achievement of goals [GAS T-score +8 (0-18.4)]. Conclusions It was feasible to support community rehabilitation using hospice volunteers for people with advanced progressive illness. The LWAHT service also increased the uptake of hospice centre-based rehabilitation. Further work should test efficacy and identify patients requiring additional professional input. Key message This is the first known study reporting on the use of trained rehabilitation volunteers to extend the reach of hospice rehabilitation services. People with limited access to the hospice, because of geographical location or personal circumstances, valued and benefited from tailored rehabilitation supported by the volunteers in their own homes.
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Affiliation(s)
- Gail Preston
- St Christopher’s Hospice, London, United Kingdom
| | - Sanketh Rampes
- Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom
| | - Joanne Bayly
- King’s College London, Cicely Saunders Institute, London, United Kingdom
- St Barnabas Hospice, Worthing, United Kingdom
| | | | | | | | - Matthew Maddocks
- King’s College London, Cicely Saunders Institute, London, United Kingdom
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D’Antona R, Deandrea S, Sestini E, Pau L, Ferrè F, Angiolini C, Bortul M, Bucchi L, Caumo F, Fortunato L, Giordano L, Giordano M, Mantellini P, Martelli I, Melucci G, Naldoni C, Paci E, Saguatti G, Tinterri C, Vainieri M, Cataliotti L. Presence and Role of Associations of Cancer Patients and Volunteers in Specialist Breast Centres: An Italian National Survey of Breast Centres Associated with Senonetwork. Curr Oncol 2023; 30:8186-8195. [PMID: 37754509 PMCID: PMC10529214 DOI: 10.3390/curroncol30090594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Revised: 08/25/2023] [Accepted: 08/30/2023] [Indexed: 09/28/2023] Open
Abstract
This article aims to present the results of a national, cross-sectional, voluntary, online survey on the presence and roles of associations of breast cancer patients and volunteers in Italian specialist breast centres. The survey was developed according to standard methods. The questionnaire was pre-tested by a random sample of three breast centres, loaded onto the SurveyMonkey platform, and piloted by one volunteer breast centre. The breast centre clinical leads were invited to participate via email. A link to the online instrument was provided. No financial incentives were offered. The results were reported using standard descriptive statistics. The response rate was 82/128 (65%). Members of associations were routinely present in 70% Italian breast centres. Breast centres most often reporting their presence were those certified by the European Society of Breast Cancer Specialists. Patient support (reception and information, listening, identification of needs, and psychological support) was the primary area where associations were reported to offer services. The magnitude of this phenomenon warrants a study to investigate the impact of the activities of associations on the quality of life of patients and on the cost-benefit ratio of the service, and the modes of their interactions with the nursing staff and the medical staff.
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Affiliation(s)
- Rosanna D’Antona
- Europa Donna Italia, 20122 Milan, Italy; (R.D.); (E.S.); (L.P.); (C.N.)
| | - Silvia Deandrea
- Environmental Health Unit, Agency for Health Protection, 27100 Pavia, Italy;
| | | | - Loredana Pau
- Europa Donna Italia, 20122 Milan, Italy; (R.D.); (E.S.); (L.P.); (C.N.)
| | - Francesca Ferrè
- Management and Health Laboratory, Institute of Management, Department EMbeDS, Sant’Anna School of Advanced Studies, 56127 Pisa, Italy; (F.F.); (I.M.); (M.V.)
| | - Catia Angiolini
- SOD Oncologia Della Mammella, Breast Unit, DAI Oncologico, Azienda Ospedaliero-Universitaria Careggi, 50134 Firenze, Italy;
| | - Marina Bortul
- Breast Unit, Division of General Surgery, Azienda Sanitaria Universitaria Giuliano Isontina, Hospital of Cattinara, 34149 Trieste, Italy;
| | - Lauro Bucchi
- Emilia-Romagna Cancer Registry, Romagna Cancer Institute, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) Dino Amadori, 47014 Meldola, Italy
| | - Francesca Caumo
- Department of Breast Radiology, Veneto Institute of Oncology, IRCCS, 35128 Padova, Italy;
| | - Lucio Fortunato
- Breast Centre, San Giovanni-Addolorata Hospital, 00184 Rome, Italy;
| | - Livia Giordano
- CPO Piedmont, AOU Cittá della Salute e della Scienza, 10126 Torino, Italy;
| | - Monica Giordano
- Medical Oncology Department, Azienda Socio Sanitaria Territoriale Lariana, 22100 Como, Italy;
| | - Paola Mantellini
- Screening Unit, ISPRO—Oncological Network, Prevention and Research Institute, 50139 Firenze, Italy;
| | - Irene Martelli
- Management and Health Laboratory, Institute of Management, Department EMbeDS, Sant’Anna School of Advanced Studies, 56127 Pisa, Italy; (F.F.); (I.M.); (M.V.)
| | - Giuseppe Melucci
- SS Radiologia Senologica, ASL ‘SS. Annunziata’, 74100 Taranto, Italy;
| | - Carlo Naldoni
- Europa Donna Italia, 20122 Milan, Italy; (R.D.); (E.S.); (L.P.); (C.N.)
| | - Eugenio Paci
- Italian Group for Mammography Screening, 50131 Firenze, Italy;
| | - Gianni Saguatti
- Senology Unit, Local Health Authority, 40139 Bologna, Italy;
| | - Corrado Tinterri
- Breast Unit, Humanitas Cancer Centre, Rozzano, 20089 Milan, Italy;
| | - Milena Vainieri
- Management and Health Laboratory, Institute of Management, Department EMbeDS, Sant’Anna School of Advanced Studies, 56127 Pisa, Italy; (F.F.); (I.M.); (M.V.)
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Crookes K, Saunders R, Kemp V, Gallagher O, Ghosh M, Bulsara C, Gullick K, O'Connell B. Nurses' perceptions of using volunteer support in health care settings: A systematic scoping review. Int Nurs Rev 2023; 70:405-414. [PMID: 36271827 DOI: 10.1111/inr.12806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 09/08/2022] [Indexed: 11/28/2022]
Abstract
AIMS To understand nurses' perceptions of volunteer support in health care settings. BACKGROUND Increasingly, volunteers provide specialised support to health care service users, requiring volunteers and nurses to work closely together. However, little is known about nurses' perceptions of volunteer support. METHODS A scoping review was conducted following the PRISMA-ScR checklist. A mixed-methods convergent integrative approach was taken guided by the JBI framework. Quantitative data were transformed into qualitative data for synthesis and descriptive thematic analysis. Six databases were searched (CINHAL+, EMBASE, PubMed, Scopus, PsycInfo, ProQuest Health and Medical Collection) on 24 January 2022 using terms related to nurses, perceptions, volunteers and care settings, followed by a manual search. The search was limited to English language articles published during 2000-2022. Studies were included if they reported nurses' perceptions of volunteers supporting care within any health care setting. RESULTS Of the 943 records identified, 12 met the inclusion criteria. All 12 were included in the review following critical appraisal. Five themes were identified: perceived benefits for patients, volunteers providing support for nursing staff, nurses' valuing volunteer support, nurses' understanding of the volunteer role and nurses' understanding of recruitment and training of volunteers. CONCLUSION Nurses generally viewed volunteer support positively and perceived that it benefitted patients and assisted nurses. Some nurses raised concerns about the burden of additional supervision of volunteers and lacked knowledge of the volunteer role, recruitment and training. Emerging innovative models of nurse-led volunteer support can maximise the contribution of volunteers and help overcome barriers to volunteer acceptance. IMPLICATIONS These findings will inform volunteer policies and provide guidance in developing volunteer support programs.
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Affiliation(s)
- Kate Crookes
- Centre for Research in Aged Care, School of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia
| | - Rosemary Saunders
- Centre for Research in Aged Care, School of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia
| | - Vivien Kemp
- Centre for Research in Aged Care, School of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia
| | - Olivia Gallagher
- Centre for Research in Aged Care, School of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia
| | - Manonita Ghosh
- Centre for Research in Aged Care, School of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia
| | - Caroline Bulsara
- Institute of Health Research and School of Nursing and Midwifery, University of Notre Dame Australia, Fremantle, Australia
| | - Karen Gullick
- Clinical Services, Hollywood Private Hospital, Nedlands, Australia
| | - Bev O'Connell
- Centre for Research in Aged Care, School of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia
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Hughes MC, Vernon E, Hainstock A. The effectiveness of community-based palliative care programme components: a systematic review. Age Ageing 2023; 52:afad175. [PMID: 37740895 PMCID: PMC10517647 DOI: 10.1093/ageing/afad175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Indexed: 09/25/2023] Open
Abstract
BACKGROUND There is evidence that community-based palliative care programmes can improve patient outcomes and caregiver experiences cost-effectively. However, little is known about which specific components within these programmes contribute to improving the outcomes. AIM To systematically review research that evaluates the effectiveness of community-based palliative care components. DESIGN A systematic mixed studies review synthesising quantitative, qualitative and mixed-methods study findings using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PROSPERO: ID # CRD42022302305. DATA SOURCES Four databases were searched in August 2021 (CINAHL, Web of Science, ProQuest Federated and PubMed including MEDLINE) and a close review of included article references. Inclusion criteria required articles to evaluate a single, specific component of a community-based palliative care programme either within an individual programme or across several programmes. RESULTS Overall, a total of 1,674 articles were identified, with 57 meeting the inclusion criteria. Of the included studies, 21 were qualitative, 25 were quantitative and 11 had mixed methods. Outcome measures consistently examined included patient/caregiver satisfaction, hospital utilisation and home deaths. The components of standardised sessions (interdisciplinary meetings about patients), volunteer engagement and early intervention contributed to the success of community-based palliative care programmes. CONCLUSIONS Certain components of community-based palliative care programmes are effective. Such components should be implemented and tested more in low- and middle-income countries and key and vulnerable populations such as lower-income and marginalised racial or ethnic groups. In addition, more research is needed on the cost-effectiveness of individual programme components.
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Affiliation(s)
- M Courtney Hughes
- Department of Public Health, Northern Illinois University, DeKalb, IL 60115, USA
| | - Erin Vernon
- Department of Economics, Seattle University, Seattle, WA 98122, USA
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Law YW, Lok RHT, Chiang B, Lai CCS, Tsui SHM, Chung PYJ, Leung SC. Effects of Community-Based Caring Contact in Reducing Thwarted Belongingness Among Postdischarge Young Adults With Self-Harm: Randomized Controlled Trial. JMIR Form Res 2023; 7:e43526. [PMID: 37585260 PMCID: PMC10468708 DOI: 10.2196/43526] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 06/30/2023] [Accepted: 07/04/2023] [Indexed: 08/17/2023] Open
Abstract
BACKGROUND For patients with self-harm behaviors, the urge to hurt themselves persists after hospital discharge, leading to costly readmissions and even death. Hence, postdischarge intervention programs that reduce self-harm behavior among patients should be part of a cogent community mental health care policy. OBJECTIVE We aimed to determine whether a combination of a self-help mobile app and volunteer support could complement treatment as usual (TAU) to reduce the risk of suicide among these patients. METHODS We conducted a pragmatic randomized controlled trial on discharged patients aged between 18 and 45 years with self-harm episodes/suicide attempts, all of whom were recruited from 4 hospital emergency departments in Hong Kong. Participants were randomly assigned to one of three groups: (1) mobile app + TAU ("apps"), (2) mobile app + volunteer support + TAU ("volunteers"), or (3) TAU only as the control group ("TAU"). They were asked to submit a mobile app-based questionnaire during 4 measurement time points at monthly intervals. RESULTS A total of 40 participants were recruited. Blending volunteer care with a preprogrammed mobile app was found to be effective in improving service compliance. Drawing upon the interpersonal-psychological theory of suicide, our findings suggested that a reduction in perceived burdensomeness and thwarted belongingness through community-based caring contact are linked to improvement in hopelessness, albeit a transient one, and suicide risk. CONCLUSIONS A combination of volunteer care with a self-help mobile app as a strategy for strengthening the continuity of care can be cautiously implemented for discharged patients at risk of self-harm during the transition from the hospital to a community setting. TRIAL REGISTRATION ClinicalTrials.gov NCT03081078; https://clinicaltrials.gov/study/NCT03081078.
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Affiliation(s)
- Yik Wa Law
- Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, Hong Kong
- The Hong Kong Jockey Club Centre for Suicide Research and Prevention, University of Hong Kong, Hong Kong, Hong Kong
| | - Rita Hui Ting Lok
- Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, Hong Kong
| | - Byron Chiang
- Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, Hong Kong
| | - Carmen Chui Shan Lai
- The Hong Kong Jockey Club Centre for Suicide Research and Prevention, University of Hong Kong, Hong Kong, Hong Kong
| | | | - Pui Yin Joseph Chung
- Department of Psychiatry, Pamela Youde Nethersole Eastern Hospital, Hong Kong, Hong Kong
| | - Siu Chung Leung
- Department of Emergency Medicine, School of Clinical Medicine, University of Hong Kong, Hong Kong, Hong Kong
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Varay C, Lareyre O, Baeza-Velasco C. Are Palliative Care Volunteers Special People? A Comparative Observational Study Exploring Their Sociodemographic Profile and Psychological Resources. Am J Hosp Palliat Care 2023:10499091231194036. [PMID: 37538050 DOI: 10.1177/10499091231194036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/05/2023] Open
Abstract
BACKGROUND Faced with rising needs for patient support, palliative care is shifting towards a more community-based approach. Yet the profile of volunteers in this field is poorly known. AIM To explore psychosocial characteristics of palliative care volunteers, by comparing them to two groups, volunteers from the health and social sector without contact with palliative patients, and people from the general population without volunteer activity. DESIGN Observational comparative study. Data were analyzed using descriptive statistics and logistic regression analysis. PARTICIPANTS The 3 groups of participants were recruited in France between September 2020 and June 2021. They completed an online survey assessing sociodemographic characteristics and psychological resources (self-efficacy, hope, optimism, resilience, mindfulness, self-compassion, empathy, forgivingness, and gratitude). RESULTS Data from 559 participants were analyzed. Palliative care volunteers had overall significantly higher levels of psychological resources than control groups. Multivariate analysis revealed, among sociodemographic and psychological characteristics that showed differences between groups at the univariate level, the most efficient predictors of group status. The best criteria to distinguish palliative care volunteers from health and social sector volunteers were older age, having received training, and lower levels of self-compassion. To distinguish palliative care volunteers from people with no volunteer activity, older age and non-active professional status were the best criteria. CONCLUSIONS Palliative care volunteers displayed more psychological resources than controls. However, older age and being trained for volunteering, emerged as stronger factors for distinguishing palliative care volunteers from controls. Pursuing research about these volunteers should facilitate recruitment, training, and retention.
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Affiliation(s)
- Caroline Varay
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, Boulogne Billancourt, France
| | - Olivier Lareyre
- Universite Paul Valéry Montpellier 3-Epsylon, Montpellier, France
| | - Carolina Baeza-Velasco
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, Boulogne Billancourt, France
- Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier, France
- CNRS, INSERM, Institute of Functional Genomics, University of Montpellier, Montpellier, France
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Kang J, Kang P. Relationship Building between International Healthcare Volunteers and Local Healthcare Providers in Ethiopia: Real-Life Experiences in Low-Income Country. Healthcare (Basel) 2023; 11:1969. [PMID: 37444804 DOI: 10.3390/healthcare11131969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 07/03/2023] [Accepted: 07/06/2023] [Indexed: 07/15/2023] Open
Abstract
BACKGROUND The number of international healthcare volunteers in low-income countries that need trained human resources has been increasing. However, migrating to a foreign country requires adapting to its environment and culture. The purpose of this study was to explore the international healthcare volunteers' experiences in Ethiopia in building relationships with local healthcare providers. METHODS Six participants were enrolled in the study, and data were collected through individual in-depth interviews conducted between September and October 2018. The collected data were analyzed using Colaizzi's phenomenological method. RESULTS Ten subthemes emerged from five themes: "facing new situations", "accepting myself as an outsider in Ethiopia", "impact on the wall of prejudice", "adapting to a new culture", and "positive outlook". CONCLUSIONS This study shows that international healthcare volunteers in Ethiopia experienced challenges in building relationships with local healthcare providers due to linguistic and cultural gaps. Nevertheless, they strived to accept the culture and play their part as helpers in providing healthcare services.
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Affiliation(s)
- Jiwon Kang
- School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA
| | - Purum Kang
- College of Nursing, Woosuk University, Wanju 55338, Jeollabuk-do, Republic of Korea
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van den Bosch G, van Schaik M, Pasman HR, Janssens R, Widdershoven G, Metselaar S. Moral Challenges of Nurses and Volunteers in Dutch Palliative Care. A Qualitative Study. J Palliat Care 2023; 38:364-371. [PMID: 35612868 PMCID: PMC10350729 DOI: 10.1177/08258597221098129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective: To identify moral challenges experienced by nurses and volunteers in palliative care. Methods: A qualitative hermeneutic research design was used. Interviews with nurses (N = 10) and volunteers (N = 4) working in palliative care, in-home care, and hospice setting. Participants were recruited through maximum variation, a purposive sampling technique. Transcriptions were analyzed using qualitative thematic content analysis and open coding. Results: Two themes were identified, each with three subthemes: theme (A) Moral challenges regarding organizational and professional aspects contained the subthemes (1) dealing with protocols and regulations, (2) different professional perspectives on good care, and (3) limits of professionalism. Theme (B) Moral challenges regarding the patient and their family members contained the subthemes (1) dealing with the patient's wishes, (2) the patient's wish to die, and (3) dealing with family members. Conclusion: Nurses and volunteers working in palliative care are confronted with a wide range of moral challenges. Insight into 'real-world ethical challenges' of healthcare providers is important to provide adequate support to nurses and volunteers working in palliative care.
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Affiliation(s)
| | | | | | - Rien Janssens
- Ethics, Law and Humanities, Amsterdam, the Netherlands
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Susanti RD, Yudianto K, Mulyana AM, Amalia IN. A Systematic Scoping Review of Motivations and Barriers in COVID-19 Volunteering Among Health Students: The Potential for Future Pandemic Volunteers. J Multidiscip Healthc 2023; 16:1671-1681. [PMID: 37350985 PMCID: PMC10284154 DOI: 10.2147/jmdh.s411896] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Accepted: 06/09/2023] [Indexed: 06/24/2023] Open
Abstract
Background The high number of cases of COVID-19 has caused an increase in workload and a shortage of medical personnel in various countries, so volunteers are needed, such as health students. However, becoming a volunteer during a pandemic is influenced by motivational factors and barriers. Purpose This study aims to identify the motivations and barriers of health students as COVID-19 volunteers. Methods This study uses a systematic scoping review. A literature review was conducted using CINAHL, PubMed, and ScienceDirect databases. The study was eligible for inclusion if it included articles published from 2020 to 2022, full-text, and primary studies. Studies were excluded if they were not in English. The keywords used in English were "health students OR nursing students OR medical students" AND "motivation OR willingness" AND "Barriers" AND "volunteer OR volunteering OR volunteerism OR voluntary" AND "COVID-19 OR covid-19 OR SARS-CoV-2 OR COVID-19 pandemic". Study quality was assessed using the Joanna Briggs Institute (JBI) appraisal tool. Results We found 12 articles showing motivational factors and barriers among health students volunteering to control COVID-19. Motivational factors include domain values, understanding, enhancement, career, incentive, government, social, and demographics. In contrast, barriers include fear, lack of training and knowledge, PPE shortage, unpreparedness and role uncertainty, and lack of interest, support, and protection. Conclusion Our findings highlight that eight motivational factors and seven barriers influence health students' involvement in COVID-19 volunteering. However, to optimize the potential of health students, further preparation is essential to ensure that students can volunteer effectively, such as integrating volunteer training programs into the curriculum in preparation for future pandemic mitigation.
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Affiliation(s)
- Raini Diah Susanti
- Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, 40132, Indonesia
| | - Kurniawan Yudianto
- Department of Fundamental Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, 40132, Indonesia
| | - Aep Maulid Mulyana
- Professional Nursing Program, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, 40132, Indonesia
| | - Ismah Nur Amalia
- Professional Nursing Program, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, 40132, Indonesia
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Hao R, Han P, Wang L, Zhang Y. The effect of the social support on PTSD and PTG about university student volunteers in the prevention and controlling of coronavirus: with coping style as the intermediary. Front Psychol 2023; 14:1152823. [PMID: 37284479 PMCID: PMC10239927 DOI: 10.3389/fpsyg.2023.1152823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Accepted: 05/03/2023] [Indexed: 06/08/2023] Open
Abstract
To investigate the relationship among post-traumatic stress disorder (PTSD), posttraumatic growth (PTG), social support, and coping style of university student volunteers in the prevention and control of the coronavirus in 2020, a total of 2,990 university student volunteers (students who are enrolled in a university and involved in volunteer activities) from 20 universities in Sichuan Province participated in the prevention and control of the epidemic were investigated when March 20-31, 2020 when the coronavirus first occurred using the post-traumatic stress disorder questionnaire, posttraumatic growth questionnaire, university student social support questionnaire and coping style questionnaire. The results showed that (1) 7.06% of university student volunteers had some degree of PTSD symptoms (the total PCL-C score was 38-49), and 2.88% had obvious PTSD symptoms, (2) PTSD level of university student volunteers was significantly positively correlated with negative coping style, and significantly negatively correlated with social support and positive coping style; on the contrary, the PTG level is significantly positively correlated with social support and positive coping styles, and (3) Positive coping style plays a partial mediating role in the influence of social support on PTG; in the influence of social support on PTSD, the mediating effect of positive or negative coping style was not significant. These results show that in the prevention and control of the coronavirus, the positive coping style and social support of university student volunteers can positively predict the PTG level of them, while the negative coping style can positively predict the severity of their PTSD symptoms. Among them, a positive coping style plays a partial mediating role in the influence of social support on the PTG level.
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Aoun SM, Rosenberg J, Richmond R, Rumbold B. The Compassionate Communities Connectors programme: experiences of supported families and referring healthcare providers. Palliat Care Soc Pract 2023; 17:26323524231173705. [PMID: 37197223 PMCID: PMC10184225 DOI: 10.1177/26323524231173705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 04/14/2023] [Indexed: 05/19/2023] Open
Abstract
Background and Aim Comprehensive evaluations that include the experience of patients and service providers are vital if interventions are to be translated into the standard practice of health services and allow formal networks to work as partners with informal community networks. However, published evaluations are limited in the palliative care volunteering literature. The objective of the study is to explore the experiences and views of both patients and their family carers who received support and their referring healthcare providers concerning their participation in the Compassionate Communities Connectors programme, in the south-west region of Western Australia. Connectors identified and addressed gaps in community and healthcare provision by accessing resources and mobilising social networks of people with life-limiting illnesses. The perspectives of patients, carers and service providers concerning the feasibility and acceptability of the intervention were sought. Methods Semistructured interviews were undertaken with 28 patients/families and 12 healthcare providers, resulting in 47 interviews in total (March 2021-April 2022). An inductive content analysis was used in analysing interview transcripts to identify key themes. Results Families greatly appreciated the support and enablement received from the Connectors. Healthcare providers were impressed with the high level of resourcefulness exhibited by the Connectors and perceived a great need for the programme, particularly for those socially isolated. Three themes captured the patients'/families' perspectives: connector as an advocate, increasing social connectedness and taking the pressure off families. Healthcare providers' perspectives were captured in three themes: reducing social isolation, filling a gap in service provision and building the capacity of the service. Conclusions Perspectives of patients/families and healthcare providers demonstrated the mediating role of Connectors. Each group saw the Connectors' contribution through the lens of their particular interests or needs. However, there were indications that the connection was shifting the way each group understood and practised care, encouraging or restoring agency to families and reminding healthcare providers that collaborating beyond the boundaries of their roles actually enhances the whole ecology of care. Using a Compassionate Communities approach to mobilise health and community sectors has the potential to develop a more holistic approach that addresses the social, practical and emotional domains of care.
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Affiliation(s)
- Samar M Aoun
- The University of Western Australia, Perth, WA 6009, Australia
- Perron Institute for Neurological and Translational Science, Perth, WA 6009, Australia
- La Trobe University, Melbourne, VIC 3086, Australia
| | - John Rosenberg
- University of the Sunshine Coast, Sunshine Coast, QLD, Australia
| | - Robyn Richmond
- Perron Institute for Neurological and Translational Science, Perth, WA, Australia
| | - Bruce Rumbold
- La Trobe University, Melbourne, VIC, Australia
- Perron Institute for Neurological and Translational Science, Perth, WA, Australia
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Claxton-Oldfield S, Yoon H. Deathbed Visions: Hospice Palliative Care Volunteers' Experiences, Perspectives, and Responses. Omega (Westport) 2023:302228231161815. [PMID: 36880116 DOI: 10.1177/00302228231161815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
Abstract
11 female hospice palliative care volunteers who had either witnessed and/or had patients or patients' family members tell them about deathbed visions (DBVs) were interviewed about their experiences, perspectives, and responses. The volunteers responded to a series of guiding questions and shared stories about their patients' DBVs. During the interviews, the volunteers talked about, among other things, the impact of DBVs on their patients and themselves, how they responded to their patients' DBVs, and their explanations for them. The most common visitors appearing in the deathbed vision stories shared by the volunteers were their patients' deceased family members (parents, siblings). The volunteers described their patients' visions as having largely positive (e.g., comforting) effects on the patients as well as having a positive impact on themselves (e.g., lessening their own fear of death). The volunteers did not initiate conversations about DBVs with their patients, but responded appropriately by listening, asking questions, and not being dismissive if the patient brought it up first. All volunteers provided spiritual as opposed to medical or scientific explanations for DBVs. The implications and limitations of the findings are discussed.
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Affiliation(s)
| | - Hyeseong Yoon
- Department of Psychology, Mount Allison University, Sackville, New Brunswick, Canada
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Walshe C, Pawłowski L, Shedel S, Vanderstichelen S, Bloomer MJ, Goossensen A, Limonero JT, Stoelen KS, Caraffa C, Pelttari L, Scott R. Understanding the role and deployment of volunteers within specialist palliative care services and organisations as they have adjusted to the COVID-19 pandemic: A multi-national EAPC volunteer taskforce survey. Palliat Med 2023; 37:203-214. [PMID: 36428254 PMCID: PMC9705505 DOI: 10.1177/02692163221135349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Early indications were of a major decline in specialist palliative care volunteer numbers during COVID-19. It is important that ongoing deployment and role of volunteers is understood, given the dependence of many palliative care services on volunteers for quality care provision. AIM To understand the roles and deployment of volunteers in specialist palliative care services as they have adjusted to the impact of COVID-19. DESIGN Observational multi-national study, using a cross-sectional online survey with closed and free-text option questions. Disseminated via social media, palliative care networks and key collaborators from May to July 2021. SETTING/PARTICIPANTS Any specialist palliative care setting in any country, including hospices, day hospices, hospital based or community teams. The person responsible for managing the deployment of volunteers was invited to complete the survey. RESULTS Valid responses were received from 304 organisations (35 countries, 80.3% Europe). Most cared for adults only (60.9%), provided in-patient care (62.2%) and were non-profit (62.5%). 47.0% had cared for people with COVID-19. 47.7% changed the way they deployed volunteers; the mean number of active volunteers dropped from 203 per organisation to 33, and 70.7% reported a decrease in volunteers in direct patient/family facing roles. There was a shift to younger volunteers. 50.6% said this drop impacted care provision, increasing staff workload and pressure, decreasing patient support, and increasing patient isolation and loneliness. CONCLUSION The sustained reduction in volunteer deployment has impacted the provision of specialist palliative care. Urgent consideration must be given to the future of volunteering including virtual modes of delivery, micro-volunteering, and appealing to a younger demographic.
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Affiliation(s)
- Catherine Walshe
- International Observatory on End of Life Care, Division of Health Research, Lancaster University, Lancaster, UK
| | - Leszek Pawłowski
- Department of Palliative Medicine, Medical University of Gdańsk, Gdańsk, Poland
| | | | | | - Melissa J Bloomer
- Griffith University School of Nursing and Midwifery & Princess Alexandra Hospital Intensive Care Unit, Brisbane, QLD, Australia
| | | | - Joaquín T Limonero
- Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Barcelona, Spain
| | | | | | | | - Ros Scott
- University of Dundee, Dundee, Scotland, UK
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Msengezi NC. Experiences of mealtime assistance delivered by volunteers: an extended literature review. Nurs Older People 2023; 35:30-36. [PMID: 36628551 DOI: 10.7748/nop.2023.e1425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/10/2022] [Indexed: 01/12/2023]
Abstract
Trained mealtime volunteers are ideally situated to provide mealtime assistance to older patients in general hospital settings. Older patients are at risk of becoming undernourished and dehydrated while in hospital as a result of various factors, such as cognitive impairment and lack of mealtime assistance. This article details an extended literature review that was conducted to explore the lived experiences of older patients, staff, relatives and volunteers of mealtime assistance provided by volunteers. The findings suggest that continual use of mealtime volunteers in practice could improve the quality of care. Mealtime volunteers could be educated on the importance of communicating information pertaining to patients' food and fluid intake to enhance patient monitoring. Furthermore, additional training for mealtime volunteers could be streamlined and standardised to improve patient care and safety.
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Lipich T, Maslakova A, Lipich V, Reznik S. [The volunteerism as a social phenomenon during a pandemic: the experience of the Russian Orthodox Church]. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med 2022; 30:1177-1183. [PMID: 36541292 DOI: 10.32687/0869-866x-2022-30-6-1177-1183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Indexed: 06/17/2023]
Affiliation(s)
- T Lipich
- The Federal State Autonomous Educational Institution of Higher Education "The Belgorod State National Research Institute"
| | - A Maslakova
- The Federal State Autonomous Educational Institution of Higher Education "The Belgorod State National Research Institute"
| | - V Lipich
- The Federal State Autonomous Educational Institution of Higher Education "The Belgorod State National Research Institute"
| | - S Reznik
- The Federal State Autonomous Educational Institution of Higher Education "The Belgorod State National Research Institute"
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Aoun SM, Richmond R, Noonan K, Gunton K, Rumbold B. ‘The more you give, the better it is for you. You know the reward is
greater than the effort’: the Compassionate Communities Connectors’
experience. Palliat Care Soc Pract 2022; 16:26323524221139874. [PMCID: PMC9716446 DOI: 10.1177/26323524221139874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Accepted: 10/31/2022] [Indexed: 12/05/2022] Open
Abstract
Background: The Compassionate Communities Connectors programme is a volunteer-led
initiative designed to enhance the social networks of families living with
chronic or life-limiting illnesses. Specially trained volunteers supported
existing members of the families’ social networks and also enlisted the
support of community members, Caring Helpers, to address the social and
practical needs of these families. The programme is an initiative of The
South West Compassionate Communities Network in Western Australia, in
partnership with the health service. Objective: To explore the experiences and views of Connectors implementing this model of
care with a particular focus on its feasibility and acceptability from their
perspective. Methods: Semi-structured telephone interviews were undertaken with 11 Connectors
covering their experience with 37 patients/family carers (March 2021 to
April 2022). A deductive content analysis was used in analysing interview
transcripts. Results: Six themes captured the Connectors’ view of their role and its impact on
their clients and themselves: Mutual benefits from connection and
reciprocity; It is ok to ask for and receive help; Sense of community as
being ‘part of a village’; Making a difference in social connectedness;
Frustrations when not achieving everything you want to; Reflecting on the
difference with traditional volunteering. These themes are complemented by a
social network mapping example and a vignette demonstrating the increase
both in connections and interaction between these connections and the
process by which such changes took place. Conclusion: Volunteering as a Connector has been a positive and feasible experience for
fostering a sense of community among participants, developing relationships
with other community members, seeing the difference that the Connector role
makes in the lives of those involved in the enhanced network and fostering
growth in Connectors’ emotional capacity and compassion. The work is
challenging but rewarding and differs in several respects from traditional
volunteering, particularly in the agency Connectors can bring to their role.
A public health approach based on a close partnership between health
services and communities/civic institutions is the optimal practice
model.
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Affiliation(s)
| | - Robyn Richmond
- Perron Institute for Neurological and
Translational Science, Perth, WA, Australia
| | - Kerrie Noonan
- Perron Institute for Neurological and
Translational Science, Perth, WA, Australia,The Western Sydney University, Sydney, NSW,
Australia
| | - Kerry Gunton
- Health Department of Western Australia, Perth,
WA, Australia,Perron Institute for Neurological and
Translational Science, Perth, WA, Australia
| | - Bruce Rumbold
- La Trobe University, Melbourne, VIC,
Australia,Perron Institute for Neurological and
Translational Science, Perth, WA, Australia
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Aoun SM, Richmond R, Gunton K, Noonan K, Abel J, Rumbold B. The Compassionate Communities Connectors model for end-of-life care: implementation and evaluation. Palliat Care Soc Pract 2022; 16:26323524221139655. [PMID: 36478890 PMCID: PMC9720808 DOI: 10.1177/26323524221139655] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Accepted: 10/31/2022] [Indexed: 10/28/2023] Open
Abstract
OBJECTIVES This pilot project aimed to develop, implement and evaluate a model of care delivered by community volunteers, called Compassionate Communities Connectors. The Connectors' principal task was to support people living with advanced life-limiting illnesses or palliative care needs by enhancing their supportive networks with Caring Helpers enlisted from the local community. METHODS The project was undertaken in Western Australia, 2020-2022. A mixed methods research design incorporated a prospective cohort longitudinal design with two cross-sectional measurements, pre- and post-intervention. The primary outcome was the effect of the intervention on social connectedness. Secondary outcomes were the effect of the intervention on unmet practical or social needs and support from social networks, and the self-reported impact of the programme on social wellbeing such as coping with daily activities, access to formal services, community links, social activity and reducing social isolation. RESULTS Twenty Connectors were trained but 13 participated; 43 patients participated but 30 completed the study. Over half of these patients lived alone and 80% of their needs were in the social domain. There were significant improvements in social connectedness, reflected in reduced social isolation, better coping with daily activities and a two-fold increase in supportive networks. The programme was able to address gaps that formal services could not, particularly for people who lived alone, or were socially isolated in more rural communities that are out of the frequent reach of formal services. CONCLUSIONS This project led to an ongoing programme that has been incorporated by the health service as 'business as usual', demonstrating rapid translation into practice. It has laid solid grounds for community capacity building with successful measurable outcomes in line with reports on similar programmes. Ongoing work is focused on replication in other communities to help them establish a similar model of care that better integrates formal and informal networks.
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Affiliation(s)
- Samar M. Aoun
- The University of Western Australia, Perth, WA,
AustraliaPerron Institute for Neurological and Translational Science, Perth,
WA, AustraliaLa Trobe University, Melbourne, VIC, Australia
| | - Robyn Richmond
- Perron Institute for Neurological and
Translational Science, Perth, WA, Australia
| | - Kerry Gunton
- Health Department of Western Australia, Perth,
WA, AustraliaPerron Institute for Neurological and Translational Science,
Perth, WA, Australia
| | - Kerrie Noonan
- Perron Institute for Neurological and
Translational Science, Perth, WA, AustraliaWestern Sydney University,
Penrith, NSW, Australia
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O'Rourke K, Yelland J, Newton M, Shafiei T. Matching of woman and doula, and the generation of trust in an Australian volunteer doula program: Findings from a realist evaluation. Health Soc Care Community 2022; 30:e5423-e5433. [PMID: 35924682 PMCID: PMC10087570 DOI: 10.1111/hsc.13965] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 05/31/2022] [Accepted: 07/25/2022] [Indexed: 05/15/2023]
Abstract
How women are cared for while pregnant and having a new baby can have profound and lasting effects on their health and well-being. While mainstream maternity care systems aspire to provide care that is woman-centred, women with fewest social and economic resources often have reduced access. Community-based doula support programs offer complementary care for these women and are known to, on average, have positive outcomes. Less understood is how, when and why these programs work. A realist evaluation of an Australian volunteer doula program provided for women experiencing socioeconomic adversity explored these questions. The program provides free non-medical, social, emotional, and practical support by trained doulas during pregnancy, birth and new parenting. This paper reports the testing and refinement of one program theory from the larger study. The theory, previously developed from key informant interviews and rapid realist review of literature, hypothesised that the cultural matching of woman (client) and doula led to best outcomes. This was tested in realist interviews with women and focus groups with doulas, in January-February 2020. Seven English speaking, and six Arabic speaking clients were interviewed. Two focus groups were conducted with a total of eight doulas from diverse cultural and professional backgrounds. Data were analysed in NVivo. The study found cultural matching to be valued by some but not all women, and only when the doula was also genuinely interested, kind, timely and reliable. These approaches (with or without cultural matching) generate trust between the doula and woman. Trust theory, reflexivity theory and social relations theory supported explanatory understanding of the causal contribution of a doula knowing what it takes to build trust, to a woman deciding to trust her doula.
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Affiliation(s)
- Kerryn O'Rourke
- Judith Lumley CentreLa Trobe UniversityBundooraVictoriaAustralia
- Realist Research Evaluation and Learning InitiativeNorthern Institute Charles Darwin UniversityCasuarina, DarwinNorthern TerritoryAustralia
| | - Jane Yelland
- Murdoch Children's Research InstituteParkvilleVictoriaAustralia
- Department General PracticeUniversity of MelbourneParkvilleAustralia
| | - Michelle Newton
- Judith Lumley CentreLa Trobe UniversityBundooraVictoriaAustralia
- School of Nursing and MidwiferyLa Trobe UniversityBundooraVictoriaAustralia
| | - Touran Shafiei
- Judith Lumley CentreLa Trobe UniversityBundooraVictoriaAustralia
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Gaber J, Clark RE, Lamarche L, Datta J, Talat S, Bomze S, Marentette‐Brown S, Parascandalo F, Di Pelino S, Oliver D, Price D, Geoffrion L, Mangin D. Understanding volunteer retention in a complex, community-centred intervention: A mixed methods study in Ontario, Canada. Health Soc Care Community 2022; 30:2259-2269. [PMID: 35253302 PMCID: PMC10078732 DOI: 10.1111/hsc.13775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Revised: 01/12/2022] [Accepted: 02/21/2022] [Indexed: 06/14/2023]
Abstract
Volunteers are critical to supporting health care systems worldwide. For organisations that rely on volunteers, service to clients can be disrupted when volunteers leave their roles. Volunteer retention is a multi-layered phenomenon. In this mixed methods case-control study, we compared two naturally-occurring volunteer groups supporting a complex primary care-based programme for older adults in the community: volunteers retained by the programme, and volunteers that left. Our objectives were to describe differences between the groups and also understand how compassion changed over time for those that stayed. We collected quantitative data on demographics, the UCLA Geriatric Attitudes Scale, the Professional Quality of Life Index, the Basic Empathy Scale, the Reasons for Volunteering subscale of the Volunteerism Questionnaire and the 5-level EQ-5D. Qualitative data were collected through focus groups/interviews. Overall, 78 volunteers completed surveys and 23 participated in focus groups/interviews. Volunteers that stayed were more likely to be a little older and were a slightly higher proportion male than those who left. They also had significantly less positive attitudes towards older adults, descriptively lower Cognitive Empathy and descriptively higher Secondary Traumatic Stress. Compared to volunteers who left, volunteers retained were more likely to have said they were volunteering for Enhancement or Social purposes; however, these differences were non-significant. Over time, Compassion Satisfaction decreased with a medium effect size for those that stayed, and Burnout decreased with a small effect size. Volunteers that stayed described more logistical and client-related aspects of the programme were working well. We recommend that volunteer programmes communicate positive programme impacts that could enhance volunteers' development, communicate any client impacts to volunteers to reinforce volunteers' purposes for volunteering (thus reinforcing that their work is meaningful), and ensure logistical aspects of volunteer role work well.
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Affiliation(s)
- Jessica Gaber
- Department of Family MedicineMcMaster UniversityHamiltonOntarioCanada
| | - Rebecca E. Clark
- Department of Family MedicineMcMaster UniversityHamiltonOntarioCanada
| | - Larkin Lamarche
- Department of Family MedicineMcMaster UniversityHamiltonOntarioCanada
| | - Julie Datta
- Department of Family MedicineMcMaster UniversityHamiltonOntarioCanada
| | | | | | | | | | | | - Doug Oliver
- Department of Family MedicineMcMaster UniversityHamiltonOntarioCanada
| | - David Price
- Department of Family MedicineMcMaster UniversityHamiltonOntarioCanada
| | | | - Dee Mangin
- Department of Family MedicineMcMaster UniversityHamiltonOntarioCanada
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Li PWC, Yu DSF, Siu PM, Wong SCK, Chan BS. Peer-supported exercise intervention for persons with mild cognitive impairment: a waitlist randomised controlled trial (the BRAin Vitality Enhancement trial). Age Ageing 2022; 51:6749365. [PMID: 36201330 DOI: 10.1093/ageing/afac213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND motivating older people with cognitive impairment to remain physically active is challenging. OBJECTIVE this study aimed to examine the effects of a peer-supported exercise intervention on the cognitive function and health-related quality of life (HRQoL) of persons with mild cognitive impairment (MCI). DESIGN a two-arm randomised controlled trial. SETTING AND PARTICIPANTS community-dwelling persons with MCI were recruited from community centres for older adults in Hong Kong. METHODS participants randomised to the intervention group received an 8-week group-based peer-supported multicomponent exercise intervention, while the waitlist control group received usual care. A battery of neuropsychological tests and the Short Form-36 were administered at baseline, immediately post-intervention and 3 months post-intervention. RESULTS two hundred and twenty-nine participants were randomised to the intervention (n = 116) or control (n = 113) group. Compared with the control group, participants in the intervention group showed significantly greater improvements in processing speed and attention measured by the Colour Trails Test 1 (β = 7.213, 95% confidence interval [CI] = 2.870-11.557, P = 0.001) and working memory measured by the Digit Span Backward Test (β = 0.540, 95% CI = 0.199-0.881, P = 0.002) immediately post-intervention. The effects were sustained at 3 months post-intervention. Similarly, significantly greater improvements in sequencing and mental flexibility measured by the Colour Trails Test 2 were observed in the intervention group 3 months post-intervention (β = 6.979, 95% CI = 3.375-10.584, P < 0.001). Changes in global cognition, short-term memory and HRQoL were not significant. CONCLUSION the peer-supported exercise intervention was effective at sustaining improvements in executive function, attention and working memory in persons with MCI.
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Affiliation(s)
- Polly W C Li
- School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong
| | - Doris S F Yu
- School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong
| | - Parco M Siu
- School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong
| | | | - Bernice S Chan
- School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong
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Sun H, Zweig Y, Perskin M, Chodosh J, Blachman NL. Hospital volunteers: An innovative pipeline to increase the geriatrics workforce. Gerontol Geriatr Educ 2022; 43:564-570. [PMID: 34229562 DOI: 10.1080/02701960.2021.1946045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Objectives: There is an urgent need to expand the geriatrics workforce. By providing volunteers meaningful experiences with older adults, we hoped to stimulate interest in geriatrics.Design: Electronic mixed methods survey of volunteers from April 2018-October 2019Setting: Academic medical centerParticipants: 32 volunteersMeasurements: We conducted a mixed methods survey of volunteers to understand their experiences in the program, in part using a Likert scale. Two coders independently compared themes to ensure consensus.Results: Thirty-six percent (n = 32) completed surveys; 69% (n = 22) were women; most (59%) were first in their family to work in healthcare, and 81% (n = 26) had prior healthcare experience. Volunteers found patients to be engaging, and recognized that older adults need attention. Almost half (47%, n = 15) expressed interest in working with older adults before starting the program, which increased to 63% (n = 20) after the program. Most volunteers (n = 30, 94%) answered 'definitely yes' or 'probably yes' for feeling appreciated by patients, and 88% (n = 28) felt appreciated by patients' families.Conclusion: A volunteer program pairing companions with older age inpatients increased interest and appreciation for older adults. While additional research should examine whether such experiences influence career choices, this intervention proposes an innovative pipeline to increase the geriatrics workforce.
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Affiliation(s)
- H Sun
- Section of Geriatrics, Department of Internal Medicine, Yale New Haven Hospital, New Haven, Connecticut, USA
| | - Y Zweig
- Division of Geriatric Medicine and Palliative Care, NYU Langone Health, New York, New York, USA
| | - M Perskin
- Division of Geriatric Medicine and Palliative Care, NYU Langone Health, New York, New York, USA
| | - J Chodosh
- Division of Geriatric Medicine and Palliative Care, NYU Langone Health, New York, New York, USA
| | - N L Blachman
- Division of Geriatric Medicine and Palliative Care, NYU Langone Health, New York, New York, USA
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Nissen KB, Laursen SH, Haslund-Thomsen H. Young carers' experiences of having a "buddy" on the Buddies for Children and Youngsters programme in Denmark - A qualitative interview study. Health Soc Care Community 2022; 30:e2849-e2857. [PMID: 35050542 DOI: 10.1111/hsc.13728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 12/09/2021] [Accepted: 01/06/2022] [Indexed: 06/14/2023]
Abstract
This qualitative study sheds light on how some young carers aged between 6- and 16-years experienced participation in a volunteer respite programme named Buddies for Children and Youngsters (BCY). The programme was held in Northern Denmark and was based on the knowledge that young carers need a space for respite and support through conversation. The young carers were healthy children who had experienced serious, chronic somatic or mental illness and/or death in their immediate family. Over a minimum 4-month period, students ("buddies") from University College of Northern Denmark offered respite to young carers in the form of their preferred social or other activities. From February to August 2020, 12 semi-structured individual interviews were conducted with young carers who had participated in the programme for at least 4 months. A thematic analysis generated four main themes: (1) A "buddy" is someone special, (2) feeling happier and less lonely, (3) Experiencing a social and personal influence, and (4) Experiencing influence on family life. Most of the young carers experienced a special relationship with their "buddy" - a relationship unlike but with some similarities to their relationships with peer friends and family, and one which gave them the opportunity for conversations about difficult topics. The time spent with the "buddy" was generally experienced as a respite space, leading to feelings of being happier and less lonely. Furthermore, for some of the young carers, the relationship influenced them socially and personally and caused their parents to pay more attention to them. The findings may increase awareness of young carers' experiences of support which can benefit future initiatives provided to this group.
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Affiliation(s)
- Karina B Nissen
- Department of Nursing, University College of Northern Denmark, Aalborg, Denmark
| | - Sisse H Laursen
- Department of Nursing, University College of Northern Denmark, Aalborg, Denmark
- Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
- Steno Diabetes Center, Aalborg University Hospital, Aalborg, Denmark
| | - Helle Haslund-Thomsen
- Clinical Nursing Research Unit, Aalborg University Hospital, Aalborg, Denmark
- Department of Pediatrics, Aalborg University Hospital, Clinic for Anesthesiology, Child Diseases, Circulation and Women, Aalborg University Hospital, Aalborg, Denmark
- Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
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Rudd C, Wheeler B, Pasiuk E, Schroeder K. An initial survey of volunteer perceptions of horses in Equine-Assisted Services: Volunteer experiences, training, and educational needs. J Equine Vet Sci 2022; 117:104090. [PMID: 35914658 DOI: 10.1016/j.jevs.2022.104090] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 07/25/2022] [Accepted: 07/26/2022] [Indexed: 11/30/2022]
Abstract
Equine-Assisted Services (EAS) gained a foothold in the healthcare industry as a unique modality addressing the physical, cognitive, and psychological health issues for people across the lifespan. These services require a team approach, with volunteer support playing a prominent role in service delivery. Volunteers are a precious resource for EAS programs and step into a variety of support roles, including preparation and handling. However, little is known about the horse-volunteer relationship or factors that influence their working relationships. Therefore, the purpose of this web-based survey was to characterize the volunteer experience and explore factors that may impact volunteers' ability to accurately identify equine behavior. A total of 240 volunteers from 25 Professional Association for Therapeutic Horsemanship, International (PATH, Intl.) Premier Accredited Centers participated in this survey. The results of the correlational analyses and a general linear model suggested certain volunteer characteristics can be linked to accurate identification of horse behaviors. Horse leaders (p < 0.001) and volunteers who help with adaptive riding (p = 0.048) or therapeutic driving (p = 0.031) sessions more accurately recognized behaviors than those who held other roles. Volunteers who had any amount of horse experience prior to volunteering correctly identified more behaviors than those who came with none. A qualitative content analysis showed that volunteers felt most unprepared when a horse exhibited a behavior they were not trained to handle, and volunteers indicated their preparation to assist in EAS could be improved with more general training and education related to equine behavior.
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Affiliation(s)
- Christine Rudd
- Department of Animal and Food Sciences, Texas Tech University, 1308 N. Indiana Avenue, Lubbock, TX, 79409, USA
| | - Bailey Wheeler
- Department of Animal and Food Sciences, Texas Tech University, 1308 N. Indiana Avenue, Lubbock, TX, 79409, USA
| | - Emma Pasiuk
- Department of Animal and Food Sciences, Texas Tech University, 1308 N. Indiana Avenue, Lubbock, TX, 79409, USA
| | - Katy Schroeder
- Department of Animal and Food Sciences, Texas Tech University, 1308 N. Indiana Avenue, Lubbock, TX, 79409, USA.
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Vočanec D, Lončarek K, Banadinović M, Sović S, Džakula A. A Qualitative Study on the Position and Role of Volunteers in Integrated Care-An Example of Palliative Care in Croatia. Int J Environ Res Public Health 2022; 19:8203. [PMID: 35805861 DOI: 10.3390/ijerph19138203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/22/2022] [Revised: 06/20/2022] [Accepted: 07/03/2022] [Indexed: 12/10/2022]
Abstract
Volunteers have been present in palliative care since its inception. With the development of palliative care systems, their role and position are changing. Given growing long-term care needs and limited resources in health and social care, volunteers are becoming an important resource in meeting these needs. In Croatia, palliative care has been developing as an integrated care model since 2014. To assess the position and the role of volunteers, we analyzed legislative documents from healthcare and social care and conducted a focus group with volunteers in palliative care. We found that volunteers provide support from the social aspect of care, for the patient and the family. The formal palliative care system involves them as partners in the provision of care, even though this cooperation is informal. The main determinants of their activities are an individualized approach, flexibility, a community presence, and project funding. In conclusion, these determinants allow them to react quickly to identified needs, but with them come some uncertainties of their sustainability. Their activities could indicate what needs to be integrated between health and social care and in what areas. Volunteers both fill in gaps in the system and are ahead of the system, and by doing this they develop new processes around identified unmet needs.
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Abstract
Contact tracing is an evidence-based intervention to control many communicable diseases, including COVID-19. Before the COVID-19 pandemic, contact tracing in Michigan focused on HIV, sexually transmitted infections, and tuberculosis, and it was conducted by state and local health department staff. Within 2 weeks of the first reported COVID-19 cases in Michigan in March 2020, the existing public health workforce was overwhelmed by the need for contact tracing and daily symptom monitoring. This case study narrates the development of a staffing plan that included volunteers and contractual staff to conduct centralized contact tracing in a home-rule state (ie, a state in which local health departments have full authority and autonomy under public health code to conduct the functions necessary to prevent disease, including contact tracing). This case study details various training, workforce management, and technology tools that were used. During the study period (May 2020-June 2021), contact tracers called 432 218 contacts and 269 439 were successfully reached, 48 134 of whom reported developing symptoms. The most important lesson learned was the need for more automated processes to improve efficiency in processing volunteer applicants, training, and scheduling. Nonetheless, the centralized workforce was successful, was flexible, and met the changing demands in Michigan.
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Affiliation(s)
- Kathryn Macomber
- Michigan Department of Health and Human Services, Lansing, MI, USA
| | - Ashley Hill
- Michigan Department of Health and Human Services, Lansing, MI, USA
| | - Joseph Coyle
- Michigan Department of Health and Human Services, Lansing, MI, USA
| | - Peter Davidson
- Michigan Department of Health and Human Services, Lansing, MI, USA
| | - Jeremy Kuo
- Michigan Department of Health and Human Services, Lansing, MI, USA
| | - Sarah Lyon-Callo
- Michigan Department of Health and Human Services, Lansing, MI, USA
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41
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Howard M, Pfaff K, Sattler D, Dolovich L, Marshall D, Zwarenstein M, Upshur R. Achieving holistic, quality-of-life focused care: description of a Compassion Care Community initiative in Canada. Health Promot Int 2022; 37:6631481. [PMID: 35788299 PMCID: PMC9255928 DOI: 10.1093/heapro/daac067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
The compassionate community movement as both a public health approach and a social model of care for various life stages is gaining traction in Canada and elsewhere. One example is the Windsor-Essex Compassion Care Community (WECCC), an evidence-based model and set of tools to improve the quality of life, health and wellness of vulnerable and aging populations by identifying and addressing upstream and downstream social and other risks to physical and mental health. This paper presents findings from the WECCC pilot evaluation. The WECCC initiative provided one-on-one volunteer-supported quality of life assessment, resource navigation and goals support program (Catalyzing Community Connections). This was augmented with public education sessions on social connection and loneliness (Importance of Being Connected) for the broader population. The RE-AIM framework was used to frame evaluation of WECCC through the first 4 years. Questionnaires were used to evaluate participant outcomes related to implementation and effectiveness. Interviews and focus groups were completed to understand impacts. From 2017 to 2020, WECCC has engaged over 2,500 individuals, 65 organizations and 400 volunteers combined in both programs. Nearly all (82% to 95%) participants reported positive changes to health, quality of life and/or social connections. This developmental phase of a compassionate community initiative has allowed piloting of an evaluation framework focusing on reach, adoption, implementation and early signals of effectiveness and maintenance. This demonstration provides information on feasibility, acceptability and potential impacts of this type of over-arching community initiative.
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Affiliation(s)
- Michelle Howard
- Department of Family Medicine, McMaster University, Hamilton, Canada
| | - Kathryn Pfaff
- Faculty of Nursing, University of Windsor, Windsor, Canada
| | | | - Lisa Dolovich
- Department of Family Medicine, McMaster University, Hamilton, Canada.,Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada
| | - Denise Marshall
- Department of Family Medicine, McMaster University, Hamilton, Canada.,Division of Palliative Care, McMaster University, Hamilton, Canada
| | | | - Ross Upshur
- Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
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Lorini C, Lastrucci V, Zanella B, Gori E, Chiesi F, Bechini A, Boccalini S, Del Riccio M, Moscadelli A, Puggelli F, Berti R, Bonanni P, Bonaccorsi G. Predictors of Influenza Vaccination Uptake and the Role of Health Literacy among Health and Social Care Volunteers in the Province of Prato (Italy). Int J Environ Res Public Health 2022; 19:6688. [PMID: 35682272 DOI: 10.3390/ijerph19116688] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 05/23/2022] [Accepted: 05/25/2022] [Indexed: 12/18/2022]
Abstract
Annual influenza vaccination is recommended for volunteers involved in primary health and social services. Little is known about the volunteers’ adhesion to influenza vaccination recommendations. The aim of this study was to assess influenza vaccination determinants among a group of volunteers who provided essential activities during the first SARS-CoV-2 pandemic wave in the province of Prato, Tuscany (Italy) and to evaluate the role of health literacy in influencing vaccination determinants. Method: In this cross-sectional study, the predictors of influenza vaccination uptake were assessed through the administration of a questionnaire. Variables significantly associated with influenza vaccination uptake were included in five multivariate logistic regression models through a backward stepwise procedure. Results: Among the 502 enrolled volunteers, 24.3% reported being vaccinated in the 2019–2020 season. Vaccination uptake was 48.8% in participants aged 65 years or older and 15.7% in those aged 64 years or younger. Considering the whole sample in the final model of multivariate logistic regression analysis, the predictors of influenza vaccination uptake were age (OR = 1.05; 95% CI = 1.03–1.07), presence of heart diseases (OR = 2.98; 95% CI = 1.24–7.19), pulmonary diseases (OR = 6.18; 95% CI = 2.01–19.04) and having undergone surgery under general anesthesia in the prior year (OR = 3.14; 95% CI = 1.23–8.06). In the multivariate model considering only participants with a sufficient level of health literacy (HL), none of these predictors resulted in significant associations with vaccination uptake, except for age (OR= 1.04; 95% CI = 1.02–1.07). Conclusions: Our findings revealed a very low influenza vaccination uptake among volunteers, suggesting the need to increase awareness in this at-risk group by means of a better communication approach.
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Jannat F, Khorasani-Zavareh D, Allahbakhshi K, Aghazadeh-Attari J, Nateghinia S, Mohebbi I. The Policy Gap and Inefficiency in Public Volunteers' Response to Assist the Hospitals After Natural Disasters in Iran: A Grounded Theory Methodology. Disaster Med Public Health Prep 2022; 17:e142. [PMID: 35538606 DOI: 10.1017/dmp.2022.53] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE This study aims to explore a public volunteer's hospital response model in natural disasters in Iran. METHODS This study employed grounded theory using the Strauss and Corbin 2008 method and data analysis was carried out in three steps, namely open, axial, and selective coding. The present qualitative study was done using semi-structured interviews with 36 participants who were on two levels and with different experiences in responding to emergencies and disasters as "public volunteers" and "experts". National and local experts were comprised of professors in the field of disaster management, hospital managers, Red Crescent experts, staff and managers of Iran Ministry of Health and Medical Education. RESULTS The main concept of the paradigm model was "policy gap and inefficiency" in the management of public volunteers, which was rooted in political factions, ethnicity, regulations, and elites. The policy gap and inefficiency led to chaos and "crises over crises." Overcoming the policy gap will result in hospital disaster resilience. Meanwhile, the model covered the causal, contextual, and intervening conditions, strategies, and consequences in relation to the public volunteers' hospital response phase. CONCLUSIONS The current public volunteers' hospital in Iran suffered from the lack of a coherent, comprehensive, and forward-looking plan for their response. The most important beneficiaries of this paradigm model will be for health policy-makers, to clarify the main culprits of creating policy gap and inefficiency in Iran and other countries with a similar context. It can guide the decision-makings in upstream documents on the public volunteers. Further research should carried out to improve the understanding of the supportive legal framework, building the culture of volunteering, and enhancing volunteers' retention rate.
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Hallur S, Sandhu S, Herold E, Trejo A, Rasmussen D, Riggs N, Ali HM, Bettger JP. Embedding Student Volunteer Affordable Care Act Navigators in a Primary Care Clinic. Ann Fam Med 2022; 20:282. [PMID: 35318225 PMCID: PMC9199042 DOI: 10.1370/afm.2794] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 08/28/2021] [Accepted: 09/24/2021] [Indexed: 11/09/2022] Open
Affiliation(s)
- Shreyas Hallur
- Corresponding author Shreyas Hallur Duke University Box 96402 Durham, NC 27708
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Smirnov VS, Lyalina LV, Milichkina AM, Khamitova IV, Zueva EV, Ivanov VA, Zaguzov VS, Totolian AA. Longitudinal Randomized Cohort Study of SARS-CoV-2 Antibody Seroprevalence in the St. Petersburg Population. Viruses 2022; 14:v14050913. [PMID: 35632653 PMCID: PMC9146723 DOI: 10.3390/v14050913] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 04/17/2022] [Accepted: 04/25/2022] [Indexed: 02/01/2023] Open
Abstract
Introduction. Since the detection of the first COVID-19 patient, 2 years have passed, during which more than 287,862,000 people have fallen ill globally, of which about 1.9% died. The implementation of SARS-CoV-2 control programs required efforts from almost all countries. An important direction in the fight against COVID-19 has been the formation of herd immunity, the main tool for managing the pandemic. Study goal. The aim of the study was to assess the seroprevalence of antibodies (Abs) to SARS-CoV-2 nucleocapsid (Nc) and receptor binding domain (RBD) in the St. Petersburg population during the COVID-19 pandemic. Materials and methods. A longitudinal cohort randomized monitoring study of Ab seroprevalence (SARS-CoV-2 Nc, RBD) was organized and conducted according to a unified methodology developed by Rospotrebnadzor with the participation of the St. Petersburg Pasteur Institute. For this purpose, a cohort was formed of 1000 volunteers who participated in all five stages of seromonitoring. The cohort was divided into seven age groups: 1−17; 18−29; 30−39; 40−49; 50−59; 60−69; 70; and older (70+) years. Seropositivity levels (Nc, RBD) were assessed by quantitative and qualitative enzyme immunoassays. During the second year of monitoring, some volunteers were vaccinated with the GamCOVIDVac (84%) or EpiVacCorona (11.6%) vaccines approved in Russia. Statistical processing was carried out using Excel 2010. Confidence intervals for shares and percentages (95% CI) were calculated using the method of A. Wald and J. Wolfowitz with adjustment (A. Agresti, B.A. Coull). The statistical significance of differences was calculated by z-test, using the appropriate online calculator (p < 0.05) unless indicated. Results. There was a trend toward an increase in Nc seropositivity in stages 1−3 of seromonitoring, with a decrease in stages 4−5 among children and adults. The share of RBD seropositive steadily increased during all five stages of seromonitoring. The most frequent finding was low anti-RBD Abs levels (22.6−220 BAU/mL). High Ab levels were recorded statistically significantly less frequently. Asymptomatic forms were observed in 84−88% of SARS-CoV-2 seropositive volunteers. By the fifth stage of monitoring, this indicator significantly decreased to 69.8% (95% CI: 66.1−73.4). The monitoring revealed a statistically significant increase in anti-RBD Abs alongside a statistically significant decrease in the proportion of Nc seropositives. This dynamic was especially characteristic of persons vaccinated with GamCOVIDVac. Conclusion. Prior to the use of specific vaccines, a seroprevalence of anti-Nc Abs was noted. After the introduction of the GamCOVIDVac vaccine in adults, a decrease in the level of anti-Nc Abs was noted due to an increase in the proportion of RBD seropositive persons.
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Jensen MJ, Brown KN, Turley JM, Graf MI, Dyckman J, Creer AR, Fullmer S. Nutritional Concerns among Female International Volunteers Based on the Income and Development Status of Their Country of Service. Int J Environ Res Public Health 2022; 19:ijerph19084846. [PMID: 35457713 PMCID: PMC9026757 DOI: 10.3390/ijerph19084846] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 04/12/2022] [Accepted: 04/13/2022] [Indexed: 12/10/2022]
Abstract
This study aimed to determine the prevalence of female athlete triad risk factors among female international volunteers based on the development and income status of their country of service. A total of 2164 past volunteers completed a retrospective survey. Countries’ income and development statuses were coded using the respective annual United Nations World Economic Situations and Prospects reports. Independent t-tests, ANOVAs, and Pearson’s Chi-Squared tests were used to assess group differences; corresponding odds ratios were calculated. Volunteers in nondeveloped (OR = 2.25, CI = 1.85–2.75) and non-high-income (OR = 2.17, CI = 1.75–2.70) countries had over twice the odds of experiencing secondary amenorrhea. More volunteers who served in nondeveloped countries reported an increase in exercise while serving (p = 0.005). Those who served in a nondeveloped (OR = 1.52, CI = 1.16–1.98) or non-high-income (OR = 1.45, CI = 1.08–1.94) country had higher odds of weight loss. However, volunteers serving in nondeveloped (OR = 0.52, CI = 0.44–0.63) and non-high-income (OR = 0.50, CI = 0.4–0.61) countries were less likely to report food insecurity compared to those in developed and high-income countries. Bone mineral density was within the expected range regardless of income and development status. Female volunteers who served in nondeveloped and non-high-income countries experienced higher odds of secondary amenorrhea, which was likely influenced by an increase in exercise and higher odds of weight loss.
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Affiliation(s)
- Megan J. Jensen
- Department of Nutrition, Dietetics and Food Sciences, College of Agriculture and Applied Sciences, Utah State University, Logan, UT 84322, USA; (M.J.J.); (M.I.G.)
| | - Katie N. Brown
- Department of Nutrition, Dietetics and Food Sciences, College of Agriculture and Applied Sciences, Utah State University, Logan, UT 84322, USA; (M.J.J.); (M.I.G.)
- Correspondence:
| | - Jennifer M. Turley
- Department of Exercise & Nutrition Sciences, Moyes College of Education, Weber State University, Ogden, UT 84408, USA;
| | - Marlene I. Graf
- Department of Nutrition, Dietetics and Food Sciences, College of Agriculture and Applied Sciences, Utah State University, Logan, UT 84322, USA; (M.J.J.); (M.I.G.)
| | - Jenna Dyckman
- Utah State University Extension, Utah State University, Logan, UT 84322, USA;
| | - Andrew R. Creer
- Department of Exercise Science & Outdoor Recreation, College of Science, Utah Valley University, Orem, UT 84058, USA;
| | - Susan Fullmer
- Department of Nutrition, Dietetics and Food Sciences, College of Life Sciences, Brigham Young University, Provo, UT 84602, USA;
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Abstract
BACKGROUND Much palliative care provision relies on the support of volunteers. Attention is paid to the risks to professionals providing care, such as stress and burnout, but understanding if this is an issue for volunteers is little understood. It is important to understand the impact their role has on volunteers emotional well-being. AIM To explore the experiences of palliative care volunteers and how the role impacted on their emotional well-being. DESIGN Interpretative phenomenological analysis, with data collected through semi-structured interviews. SETTING/PARTICIPANTS Volunteers in patient-facing roles within palliative and end-of-life care services in the UK. RESULTS Volunteers (n = 10) across three palliative and end-of-life care services. Four themes were developed: (1) it can be challenging; (2) it's where I'm meant to be; (3) managing death; (4) the importance of connection. Challenges included frustrations and questioning themselves. Although difficult at times, volunteers expressed the importance of the role, doing well and that they benefitted too. They also had to manage death and discussed beliefs about life and death, acceptance and managing patients' fears. Connection with the hospice, patients, staff and other volunteers was important, with a need for everyone to feel valued. CONCLUSIONS Although there are psychosocial benefits for volunteers in their role, it is important to understand the challenges faced and consider ongoing support to help volunteers manage these challenges. This could be addressed through the consideration of coping mechanisms, further training and reflective practice for volunteers.
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Affiliation(s)
- Helena Coleman
- Previously of The Division of Health Research, Lancaster University, Lancaster, UK
| | | | - Catherine Walshe
- International Observatory on End of Life Care, Lancaster University, Lancaster, UK
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D'Eer L, Quintiens B, Van den Block L, Dury S, Deliens L, Chambaere K, Smets T, Cohen J. Civic engagement in serious illness, death, and loss: A systematic mixed-methods review. Palliat Med 2022; 36:625-651. [PMID: 35287517 DOI: 10.1177/02692163221077850] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND New public health approaches to palliative care such as compassionate communities aim to increase capacity in serious illness, death, and loss by involving civic society. Civic engagement has been described in many domains of health; a description of the characteristics, processes, and impact of the initiatives in palliative care is lacking. AIM To systematically describe and compare civic engagement initiatives in palliative care in terms of context, development, impact, and evaluation methods. DESIGN Systematic, mixed-methods review using a convergent integrated synthesis approach. Registered in Prospero: CRD42020180688. DATA SOURCES Six databases (PubMed, Scopus, Sociological Abstracts, WOS, Embase, PsycINFO) were searched up to November 2021 for publications in English describing civic engagement in serious illness, death, and loss. Additional grey literature was obtained by contacting the first authors. We performed a quality appraisal of the included studies. RESULTS We included 23 peer-reviewed and 11 grey literature publications, reporting on nineteen unique civic engagement initiatives, mostly in countries with English as one of the official languages. Initiatives involved the community in their development, often through a community-academic partnership. Activities aimed to connect people with palliative care needs to individuals or resources in the community. There was a variety of evaluation aims, methods, outcomes, and strength of evidence. Information on whether or how to sustain the initiatives was generally lacking. CONCLUSIONS This is the first review to systematically describe and compare reported civic engagement initiatives in the domain of palliative care. Future studies would benefit from improved evaluation of impact and sustainability.
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Affiliation(s)
- Louise D'Eer
- End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Laarbeeklaan, Brussels, Belgium.,Compassionate Community Centre of Expertise (COCO), Vrije Universiteit Brussel (VUB), Pleinlaan, Brussels, Belgium
| | - Bert Quintiens
- End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Laarbeeklaan, Brussels, Belgium.,Compassionate Community Centre of Expertise (COCO), Vrije Universiteit Brussel (VUB), Pleinlaan, Brussels, Belgium
| | - Lieve Van den Block
- End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Laarbeeklaan, Brussels, Belgium.,Compassionate Community Centre of Expertise (COCO), Vrije Universiteit Brussel (VUB), Pleinlaan, Brussels, Belgium
| | - Sarah Dury
- Belgian Ageing Studies Research Group, Vrije Universiteit Brussel (VUB), Pleinlaan, Brussels, Belgium.,Compassionate Community Centre of Expertise (COCO), Vrije Universiteit Brussel (VUB), Pleinlaan, Brussels, Belgium
| | - Luc Deliens
- End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Laarbeeklaan, Brussels, Belgium.,Compassionate Community Centre of Expertise (COCO), Vrije Universiteit Brussel (VUB), Pleinlaan, Brussels, Belgium
| | - Kenneth Chambaere
- End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Laarbeeklaan, Brussels, Belgium.,Compassionate Community Centre of Expertise (COCO), Vrije Universiteit Brussel (VUB), Pleinlaan, Brussels, Belgium
| | - Tinne Smets
- End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Laarbeeklaan, Brussels, Belgium.,Compassionate Community Centre of Expertise (COCO), Vrije Universiteit Brussel (VUB), Pleinlaan, Brussels, Belgium
| | - Joachim Cohen
- End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Laarbeeklaan, Brussels, Belgium.,Compassionate Community Centre of Expertise (COCO), Vrije Universiteit Brussel (VUB), Pleinlaan, Brussels, Belgium
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McGlinchey T, Mason SR, Smeding R, Goosensen A, Ruiz-Torreras I, Haugen DF, Bakan M, Ellershaw JE. ILIVE Project Volunteer study. Developing international consensus for a European Core Curriculum for hospital end-of-life-care volunteer services, to train volunteers to support patients in the last weeks of life: A Delphi study. Palliat Med 2022; 36:652-670. [PMID: 34666562 PMCID: PMC9006393 DOI: 10.1177/02692163211045305] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Volunteers make a huge contribution to the health and wellbeing of the population and can improve satisfaction with care especially in the hospice setting. However, palliative and end-of-life-care volunteer services in the hospital setting are relatively uncommon. The iLIVE Volunteer Study, one of eight work-packages within the iLIVE Project, was tasked with developing a European Core Curriculum for End-of-Life-Care Volunteers in hospital. AIM Establish an international consensus on the content of a European Core Curriculum for hospital end-of-life-care volunteer services which support patients in the last weeks of life. DESIGN Delphi Process comprising the following three stages:1. Scoping review of literature into palliative care volunteers.2. Two rounds of Delphi Questionnaire.3. Nominal Group Meeting. SETTING/PARTICIPANTS Sixty-six participants completed the Round 1 Delphi questionnaire; 75% (50/66) took part in Round 2. Seventeen participants attended the Nominal Group Meeting representing an international and multi-professional group including, clinicians, researchers and volunteer coordinators from the participating countries. RESULTS The scoping review identified 88 items for the Delphi questionnaire. Items encompassed organisational issues for implementation and topics for volunteer training. Three items were combined and one item added in Round 2. Following the Nominal Group Meeting 53/87 items reached consensus. CONCLUSION Key items for volunteer training were agreed alongside items for implementation to embed the end-of-life-care volunteer service within the hospital. Recommendations for further research included in-depth assessment of the implementation and experiences of end-of-life-care volunteer services. The developed European Core Curriculum can be adapted to fit local cultural and organisational contexts.
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Affiliation(s)
| | - Stephen R Mason
- Palliative Care Unit, University of Liverpool, Liverpool, UK
| | | | - Anne Goosensen
- University of Humanistic Studies, Utrecht, The Netherlands
| | | | - Dagny Faksvåg Haugen
- Department of Clinical Medicine K1, University of Bergen, Bergen, Norway.,Regional Centre of Excellence for Palliative Care, Haukeland University Hospital, Bergen, Norway
| | - Miša Bakan
- University Clinic of Pulmonary and Allergic Diseases Golnik, Golnik, Slovenia
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Abstract
Volunteers play a crucial role in post-disaster situations, providing resources, emotional support, and labour when local and national government capacity may be diminished. The number of volunteers who assist can range from dozens to more than one million. Yet, little is known about the broader conditions that result in more (or fewer) of them heading to disaster sites. Using a new dataset of 57 disasters in Japan between 1995 and 2019, this study analyses the factors influencing volunteer turnout. Controlling for a number of aspects, three are found to correlate most strongly: the number of dead and missing; the size of the population affected by the shock; and the time period of the year. Moving beyond tables of regression coefficients, simulations and graphics are used to illustrate the relationship between key variables of interest as well as uncertainty about the predictions. The study's findings-robust across multiple model types-have important policy and practical implications.
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Affiliation(s)
- Akiko Iizuka
- Assistant Professor, Center for International Exchange, Utsunomiya University, Japan
| | - Daniel P Aldrich
- Professor of Political Science, Public Policy and Urban Affairs, and Director, Security and Resilience Studies Program, Northeastern University, United States
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