iLIVE volunteer study: Volunteer and healthcare professional perceptions of newly developed hospital end-of-life-care volunteer services, in five countries.

IF 3.6 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Tamsin McGlinchey, Stephen Mason, Grethe Skorpen Iversen, Dagny Faksvåg Haugen, Inmaculada Ruiz Torreras, Pilar Barnestein Fonseca, Miša Bakan, Berivan Yildiz, Ruthmarijke Smeding, Anne Goossensen, Agnes van der Heide, John Ellershaw
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Abstract

Background: Volunteer services that provide direct support to patients receiving palliative and end-of-life care in hospitals are new and developing, but little is known about the use and experience of such services from key stakeholders.

Aim: Explore the perceptions of volunteers, and healthcare professionals, towards newly established hospital end-of-life-care volunteer services, in five countries.

Design: A phenomenological approach was adopted, using focus group interviews. Data were analysed using an adapted framework analysis.

Setting/participants: Acute hospital in-patient units, in five European countries. Participants were recruited if they were: Volunteers from the end-of-life-care volunteer service, or Healthcare professionals working within the wards that the volunteer service is operational.

Results: 20 Volunteers and 20 healthcare professionals were recruited. Most participants were female (70%, n = 14/65%, n = 13). The healthcare professionals included a majority nurses (60%). Three overall themes were generated: (1) Volunteers provided 'unique, distinct, 'community' support' bringing familiarity to an unfamiliar, medically focussed environment. (2) Volunteers were able to 'establish a connection centred on 'being there' within the acute hospital environment' despite the fast paced and highly changeable environment. (3) Through 'relational interactions adapted to the individual person' volunteers attended to patients' existential and emotional needs.

Conclusion: These services confer benefits that are transferrable across cultures and countries, 'fusing' formal care with the informal visiting of family or friends, attending to patients' existential needs. Recommendations include exploring ways to embed the end-of-life care volunteer service into this unique environment, alongside continuing research to explore cultural differences across different countries.

iLIVE志愿者研究:五个国家的志愿者和医疗保健专业人员对新开发的医院临终关怀志愿服务的看法。
背景:向在医院接受姑息治疗和临终关怀的患者提供直接支持的志愿服务是新兴的,正在发展中,但主要利益攸关方对这类服务的使用和经验知之甚少。目的:探讨志愿者和医疗保健专业人员对五个国家新建立的医院临终关怀志愿服务的看法。设计:采用现象学方法,采用焦点小组访谈。使用适应性框架分析对数据进行分析。地点/参与者:五个欧洲国家的急症住院病房。参与者被招募的条件是:来自临终关怀志愿服务的志愿者,或在志愿服务开展的病房内工作的医疗保健专业人员。结果:招募了20名志愿者和20名医护人员。大多数参与者为女性(70%,n = 14/65%, n = 13)。医疗保健专业人员包括大多数护士(60%)。产生了三个总体主题:(1)志愿者提供了“独特的、独特的”社区“支持”,使陌生的、以医学为重点的环境变得熟悉。(2)志愿者能够在急症医院环境中“建立一种以‘在那里’为中心的联系”,尽管环境快节奏和高度变化。(3)志愿者通过“适应个体的关系互动”来满足患者的存在需求和情感需求。结论:这些服务带来的好处可以跨越文化和国家,将正式护理与非正式的家人或朋友探访“融合”在一起,满足患者的生存需求。建议包括探索将临终关怀志愿服务融入这一独特环境的方法,同时继续研究探索不同国家之间的文化差异。
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来源期刊
Palliative Medicine
Palliative Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
7.60
自引率
9.10%
发文量
125
审稿时长
6-12 weeks
期刊介绍: Palliative Medicine is a highly ranked, peer reviewed scholarly journal dedicated to improving knowledge and clinical practice in the palliative care of patients with far advanced disease. This outstanding journal features editorials, original papers, review articles, case reports, correspondence and book reviews. Essential reading for all members of the palliative care team. This journal is a member of the Committee on Publication Ethics (COPE).
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