Facilitators and barriers of implementing end-of-life care volunteering in a hospital in five European countries: the iLIVE study.
Background: End-of-life (EoL) care volunteers in hospitals are a novel approach to support patients and their close ones. The iLIVE Volunteer Study supported hospital volunteer coordinators from five European countries to design and implement an EoL care volunteer service on general wards in their h...
| Published in: | BMC Palliative Care Vol. 23; no. 1; pp. 1 - 15 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
BioMed Central
4/2/2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176626867&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176626867 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1472684X 1CID jtl: BMC Palliative Care issn: 1472684X maglogo: N pubinfo: dt: 4/2/2024 vid: 23 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 176626867 176626867 176626867 10.1186/s12904-024-01423-5 176626867 ppf: 1 ppct: 14 formats: tig: atl: Facilitators and barriers of implementing end-of-life care volunteering in a hospital in five European countries: the iLIVE study. aug: au: Yildiz, Berivan van der Heide, Agnes Bakan, Misa Iversen, Grethe Skorpen Haugen, Dagny Faksvåg McGlinchey, Tamsin Smeding, Ruthmarijke Ellershaw, John Fischer, Claudia Simon, Judit Vibora-Martin, Eva Ruiz-Torreras, Inmaculada Goossensen, Anne Allan, Simon Barnestein-Fonseca, Pilar Boughey, Mark Christen, Andri Lüthi, Nora Egloff, Martina Eychmüller, Steffen affil: https://ror.org/018906e22 Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands sug: subj: Palliative Care Volunteer Workers Program Implementation Hospitals European Union Health Services Accessibility Volunteer Experiences Netherlands Norway Slovenia Spain United Kingdom Focus Groups Interviews Conceptual Framework Implementation Science European Union Funding Source Models, Theoretical Descriptive Statistics Human Male Female Middle Age Adult Middle Aged: 45-64 years Adult: 19-44 years Male Female ab: Background: End-of-life (EoL) care volunteers in hospitals are a novel approach to support patients and their close ones. The iLIVE Volunteer Study supported hospital volunteer coordinators from five European countries to design and implement an EoL care volunteer service on general wards in their hospitals. This study aimed to identify and explore barriers and facilitators to the implementation of EoL care volunteer services in the five hospitals. Methods: Volunteer coordinators (VCs) from the Netherlands (NL), Norway (NO), Slovenia (SI), Spain (ES) and United Kingdom (UK) participated in a focus group interview and subsequent in-depth one-to-one interviews. A theory-inspired framework based on the five domains of the Consolidated Framework for Implementation Research (CFIR) was used for data collection and analysis. Results from the focus group were depicted in radar charts per hospital. Results: Barriers across all hospitals were the COVID-19 pandemic delaying the implementation process, and the lack of recognition of the added value of EoL care volunteers by hospital staff. Site-specific barriers were struggles with promoting the service in a highly structured setting with many stakeholders (NL), negative views among nurses on hospital volunteering (NL, NO), a lack of support from healthcare professionals and the management (SI, ES), and uncertainty about their role in implementation among VCs (ES). Site-specific facilitators were training of volunteers (NO, SI, NL), involving volunteers in promoting the service (NO), and education and awareness for healthcare professionals about the role and boundaries of volunteers (UK). Conclusion: Establishing a comprehensive EoL care volunteer service for patients in non-specialist palliative care wards involves multiple considerations including training, creating awareness and ensuring management support. Implementation requires involvement of stakeholders in a way that enables medical EoL care and volunteering to co-exist. Further research is needed to explore how trust and equal partnerships between volunteers and professional staff can be built and sustained. Trial registration: NCT04678310. Registered 21/12/2020. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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