To be a trained and supported volunteer in palliative care - a phenomenological study

Ulrika Söderhamn, Sylvi Flateland, Marthe Fensli, Ragnhild Skaar, Ulrika Söderhamn, Sylvi Flateland, Marthe Fensli, Ragnhild Skaar

Abstract

Background: It has been found that including volunteers in palliative care is a positive contribution to seriously ill patients. It is, however, recommended that the volunteers are trained and supported. The aim of this study was to describe a group of trained and supported volunteers' lived experiences as volunteers in palliative care within the community health care services.

Methods: This study adopted a descriptive phenomenological approach featuring individual interviews with nine volunteers. The interviews were analysed using the descriptive phenomenological research method according to Giorgi.

Results: Being a volunteer in palliative care was both a positive and meaningful experience. It was a privilege being able to help those in need, which yielded positive returns. As a volunteer, it was important to be present for the ill persons and to follow them in their various physical and psychical states, which also implied that the volunteer had to face and deal with challenging situations. However, volunteers stated it was crucial to possess knowledge and life experience, as well as a clarified role, and they stressed the importance of being followed up by a mentor.

Conclusions: The findings showed that trained and supported volunteers among seriously ill or dying people within the realm of community health care services play an independent and important role in the palliative care team. A coordinator in palliative care is especially suitable for training and supporting the volunteers.

Keywords: Benefits; Challenges; Clarified role; Community health care services; Followed-up; Meaningful experience; Phenomenology; Presence in volunteering; Qualitative research; Seriously ill.

References

    1. Burbeck R, Candy B, Low J, Rees R. Understanding the role of the volunteer in specialist palliative care: a systematic review and thematic synthesis of qualitative studies. BMC Palliat Care. 2014;13:3. doi: 10.1186/1472-684X-13-3.
    1. Candy B, France R, Low J, Sampson L. Does involving volunteers in the provision of palliative care make a difference to patient and family well-being? A systematic review of quantitative and qualitative evidence. Int J Nurs Stud. 2015;52:756–768. doi: 10.1016/j.ijnurstu.2014.08.007.
    1. Morris S, Wilmot A, Hill M, Ockenden N, Payne S. A narrative literature review of the contribution of volunteers in end-of-life care services. Palliat Med. 2012;27:428–436. doi: 10.1177/0269216312453608.
    1. Report no 29 to the Storting. Future care. Oslo: Norwegian Ministry of Health and Care Services; 2012–2013.
    1. Report no 26 to the Storting. The primary health and care services of tomorrow – localized and integrated. Oslo: Norwegian Ministry of Health and Care Services; 2014–2015.
    1. Claxton-Oldfield S. Hospice palliative care volunteers: The benefits for patients, family caregivers, and the volunteers. Palliat Support Care. 2015;13:809–813. doi: 10.1017/S1478951514000674.
    1. Jack BA, Kirton JA, Birakurataki J, Merriman A. The personal value of being a palliative care community volunteer worker in Uganda: A qualitative study. Palliat Med. 2011;26:753–759. doi: 10.1177/0269216311413628.
    1. Azuero CB, Harris GM, Allen RS, Williams BR, Kvale E, Ritchie CS. Team-based volunteerism with the seriously ill: A qualitative analysis from 10 volunteers perspectives. J Soc Work End Life Palliat Care. 2014;10:282–295. doi: 10.1080/15524256.2014.938893.
    1. Andersson B, Öhlén J. Being a hospice volunteer. Palliat Med. 2005;19:602–609. doi: 10.1191/0269216305pm1083oa.
    1. Claxton-Oldfield S, Claxton-Oldfield J. Some common problems faced by hospice palliative care volunteers. Am J Hosp Palliat Med. 2008;25:121–126. doi: 10.1177/1049909107312593.
    1. Beasley E, Brooker J, Warren N, Fletcher J, Boyle C, Ventura A, et al. The lived experience of volunteering in palliative care biography service. Palliat Support Care. 2015;13:1417–1425. doi: 10.1017/S1478951515000152.
    1. Giorgi A. The descriptive phenomenological method in psychology. A modified husserlian approach. Pittsburgh: Duquesne University Press; 2009.
    1. Claxton-Oldfield S, Claxton-Oldfield J, Paulovic S, Wasylkiw L. A study of the motivations of British hospice volunteers. Am J Hosp Palliat Med. 2012;30:579–586. doi: 10.1177/1049909112462057.
    1. Garbay M, Gay M-C, Claxton-Oldfield S. Motivations, death anxiety, and empathy in hospice volunteers in France. Am J Hosp Palliat Med. 2015;32:521–527. doi: 10.1177/1049909114536978.
    1. Parse RR. The human becoming school of thought – A perspective for nurses and other health professionals. London: SAGE Publications; 1998.
    1. Parse RR. New humanbecoming conceptualizations and the humanbecoming community model: expansions with sciencing and living the art. Nurs Sci Q. 2012;25:44–52. doi: 10.1177/0894318411429068.
    1. Schmidt BS. Presence: the eye of the needle. Nurs Sci Q. 2012;25:10–14. doi: 10.1177/0894318411429074.
    1. Goossensen A, Somsen J, Scott R, Pelttari L. Defining volunteering in hospice and palliative care in Europe: an EAPC White Paper. Eur J Palliat Care. 2016;23:184–191.
    1. Burbeck R, Low J, Sampson EL, Bravery R, Hill M, Morris S, et al. Volunteers in specialist palliative care: a survey of adult services in the United Kingdom. J Palliat Med. 2014;17:568–574. doi: 10.1089/jpm.2013.0157.
    1. Claxton-Oldfield S, Gosselin N, Claxton-Oldfield J. Imagine you are dying: would you be interested in having a hospice palliative care volunteer? Am J Hosp Palliat Med. 2009;26:47–51. doi: 10.1177/1049909108327026.
    1. Claxton-Oldfield S. Hospice palliative care volunteers: A review of commonly encountered stressors, how they cope with them, and implications for volunteer training/management. Am J Hosp Palliat Med. 2016;33:201–204. doi: 10.1177/1049909115571545.
    1. Claxton-Oldfield S, Claxton-Oldfield J. Should I stay or should I go: A study of hospice palliative care volunteer satisfaction and retention. Am J Hosp Palliat Med. 2012;29:525–530. doi: 10.1177/1049909111432622.
    1. Horey D, Street AF, O’Connor M, Peters L, Lee SF. Training and supportive programs for palliative care volunteers in community settings (Review). Cochrane Database Syst Rev. 2015;7 Doi: 10.11002/14651858.CD009500.pub2.
    1. Claxton-Oldfield S, Jones R. Holding on to what you have got: keeping hospice palliative care volunteers volunteering. Am J Hosp Palliat Med. 2012;30467–72.
    1. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurs Educ Today. 2004;24:105–112. doi: 10.1016/j.nedt.2003.10.001.
    1. Söderhamn O. Aspects of validity and reliability in a phenomenological sense. Theoria: J Nurs Theory. 2001;10:10–7.
    1. Beauchamp TL, Childress JF. Principles of biomedical ethics. 7. Oxford: Oxford University Press; 2013.
    1. Declaration of Helsinki. Ethical principles for medical research involving human subjects. 64th WMA General Assembly. Fortaleza. 2013. Accessed 03 Aug 2016.

Source: PubMed

3
Suscribir