Cargando…

Prohibit, Protect, or Adapt? The Changing Role of Volunteers in Palliative and Hospice Care Services During the COVID-19 Pandemic. A Multinational Survey (Covpall)

Background: Volunteers are common within palliative care services, and provide support that enhances care quality. The support they provided, and any role changes, during the coronavirus disease 2019 (COVID-19) pandemic are unknown. The aim of this study is to understand volunteer deployment and act...

Descripción completa

Detalles Bibliográficos
Autores principales: Walshe, Catherine, Garner, Ian, Dunleavy, Lesley, Preston, Nancy, Bradshaw, Andy, Cripps, Rachel L., Bajwah, Sabrina, Sleeman, Katherine E., Hocaoglu, Mevhibe, Maddocks, Matthew, Murtagh, Fliss EM, Oluyase, Adejoke O., Fraser, Lorna K., Higginson, Irene J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kerman University of Medical Sciences 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9808277/
https://www.ncbi.nlm.nih.gov/pubmed/34664497
http://dx.doi.org/10.34172/ijhpm.2021.128
_version_ 1784862905600049152
author Walshe, Catherine
Garner, Ian
Dunleavy, Lesley
Preston, Nancy
Bradshaw, Andy
Cripps, Rachel L.
Bajwah, Sabrina
Sleeman, Katherine E.
Hocaoglu, Mevhibe
Maddocks, Matthew
Murtagh, Fliss EM
Oluyase, Adejoke O.
Fraser, Lorna K.
Higginson, Irene J.
author_facet Walshe, Catherine
Garner, Ian
Dunleavy, Lesley
Preston, Nancy
Bradshaw, Andy
Cripps, Rachel L.
Bajwah, Sabrina
Sleeman, Katherine E.
Hocaoglu, Mevhibe
Maddocks, Matthew
Murtagh, Fliss EM
Oluyase, Adejoke O.
Fraser, Lorna K.
Higginson, Irene J.
author_sort Walshe, Catherine
collection PubMed
description Background: Volunteers are common within palliative care services, and provide support that enhances care quality. The support they provided, and any role changes, during the coronavirus disease 2019 (COVID-19) pandemic are unknown. The aim of this study is to understand volunteer deployment and activities within palliative care services, and to identify what may affect any changes in volunteer service provision, during the COVID-19 pandemic. Methods: Multi-national online survey disseminated via key stakeholders to specialist palliative care services, completed by lead clinicians. Data collected on volunteer roles, deployment, and changes in volunteer engagement. Analysis included descriptive statistics, a multivariable logistic regression, and analysis of free-text comments using a content analysis approach. Results: 458 respondents: 277 UK, 85 rest of Europe, and 95 rest of the world. 68.5% indicated volunteer use pre-COVID-19 across a number of roles (from 458): direct patient facing support (58.7%), indirect support (52.0%), back office (48.5%) and fundraising (45.6%). 11% had volunteers with COVID-19. Of those responding to a question on change in volunteer deployment (328 of 458) most (256/328, 78%) indicated less or much less use of volunteers. Less use of volunteers was associated with being an in-patient hospice, (odds ratio [OR]=0.15, 95% CI=0.07-0.3, P<.001). This reduction in volunteers was felt to protect potentially vulnerable volunteers, with policy changes preventing volunteer support. However, adapting was also seen where new roles were created, or existing roles pivoted to provide virtual support. Conclusion: Volunteers were mostly prevented from supporting many forms of palliative care which may have quality and safety implications given their previously central roles. Volunteer re-deployment plans are needed that take a more considered approach, using volunteers more flexibly to enhance care while ensuring safe working practices. Consideration needs to be given to widening the volunteer base away from those who may be considered to be most vulnerable to COVID-19.
format Online
Article
Text
id pubmed-9808277
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Kerman University of Medical Sciences
record_format MEDLINE/PubMed
spelling pubmed-98082772023-01-10 Prohibit, Protect, or Adapt? The Changing Role of Volunteers in Palliative and Hospice Care Services During the COVID-19 Pandemic. A Multinational Survey (Covpall) Walshe, Catherine Garner, Ian Dunleavy, Lesley Preston, Nancy Bradshaw, Andy Cripps, Rachel L. Bajwah, Sabrina Sleeman, Katherine E. Hocaoglu, Mevhibe Maddocks, Matthew Murtagh, Fliss EM Oluyase, Adejoke O. Fraser, Lorna K. Higginson, Irene J. Int J Health Policy Manag Original Article Background: Volunteers are common within palliative care services, and provide support that enhances care quality. The support they provided, and any role changes, during the coronavirus disease 2019 (COVID-19) pandemic are unknown. The aim of this study is to understand volunteer deployment and activities within palliative care services, and to identify what may affect any changes in volunteer service provision, during the COVID-19 pandemic. Methods: Multi-national online survey disseminated via key stakeholders to specialist palliative care services, completed by lead clinicians. Data collected on volunteer roles, deployment, and changes in volunteer engagement. Analysis included descriptive statistics, a multivariable logistic regression, and analysis of free-text comments using a content analysis approach. Results: 458 respondents: 277 UK, 85 rest of Europe, and 95 rest of the world. 68.5% indicated volunteer use pre-COVID-19 across a number of roles (from 458): direct patient facing support (58.7%), indirect support (52.0%), back office (48.5%) and fundraising (45.6%). 11% had volunteers with COVID-19. Of those responding to a question on change in volunteer deployment (328 of 458) most (256/328, 78%) indicated less or much less use of volunteers. Less use of volunteers was associated with being an in-patient hospice, (odds ratio [OR]=0.15, 95% CI=0.07-0.3, P<.001). This reduction in volunteers was felt to protect potentially vulnerable volunteers, with policy changes preventing volunteer support. However, adapting was also seen where new roles were created, or existing roles pivoted to provide virtual support. Conclusion: Volunteers were mostly prevented from supporting many forms of palliative care which may have quality and safety implications given their previously central roles. Volunteer re-deployment plans are needed that take a more considered approach, using volunteers more flexibly to enhance care while ensuring safe working practices. Consideration needs to be given to widening the volunteer base away from those who may be considered to be most vulnerable to COVID-19. Kerman University of Medical Sciences 2021-09-08 /pmc/articles/PMC9808277/ /pubmed/34664497 http://dx.doi.org/10.34172/ijhpm.2021.128 Text en © 2022 The Author(s); Published by Kerman University of Medical Sciences https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Walshe, Catherine
Garner, Ian
Dunleavy, Lesley
Preston, Nancy
Bradshaw, Andy
Cripps, Rachel L.
Bajwah, Sabrina
Sleeman, Katherine E.
Hocaoglu, Mevhibe
Maddocks, Matthew
Murtagh, Fliss EM
Oluyase, Adejoke O.
Fraser, Lorna K.
Higginson, Irene J.
Prohibit, Protect, or Adapt? The Changing Role of Volunteers in Palliative and Hospice Care Services During the COVID-19 Pandemic. A Multinational Survey (Covpall)
title Prohibit, Protect, or Adapt? The Changing Role of Volunteers in Palliative and Hospice Care Services During the COVID-19 Pandemic. A Multinational Survey (Covpall)
title_full Prohibit, Protect, or Adapt? The Changing Role of Volunteers in Palliative and Hospice Care Services During the COVID-19 Pandemic. A Multinational Survey (Covpall)
title_fullStr Prohibit, Protect, or Adapt? The Changing Role of Volunteers in Palliative and Hospice Care Services During the COVID-19 Pandemic. A Multinational Survey (Covpall)
title_full_unstemmed Prohibit, Protect, or Adapt? The Changing Role of Volunteers in Palliative and Hospice Care Services During the COVID-19 Pandemic. A Multinational Survey (Covpall)
title_short Prohibit, Protect, or Adapt? The Changing Role of Volunteers in Palliative and Hospice Care Services During the COVID-19 Pandemic. A Multinational Survey (Covpall)
title_sort prohibit, protect, or adapt? the changing role of volunteers in palliative and hospice care services during the covid-19 pandemic. a multinational survey (covpall)
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9808277/
https://www.ncbi.nlm.nih.gov/pubmed/34664497
http://dx.doi.org/10.34172/ijhpm.2021.128
work_keys_str_mv AT walshecatherine prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT garnerian prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT dunleavylesley prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT prestonnancy prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT bradshawandy prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT crippsrachell prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT bajwahsabrina prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT sleemankatherinee prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT hocaoglumevhibe prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT maddocksmatthew prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT murtaghflissem prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT oluyaseadejokeo prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT fraserlornak prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT higginsonirenej prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall
AT prohibitprotectoradaptthechangingroleofvolunteersinpalliativeandhospicecareservicesduringthecovid19pandemicamultinationalsurveycovpall