1. The liminal space palliative care volunteers occupy and their roles within it: a qualitative study
- Author
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Kenneth Chambaere, Luc Deliens, Yanna Van Wesemael, Steven Vanderstichelen, Joachim Cohen, End-of-life Care Research Group, Family Medicine and Chronic Care, and Faculty of Medicine and Pharmacy
- Subjects
Adult ,Male ,Volunteers ,Palliative care ,IMPACT ,Medicine (miscellaneous) ,Day care ,030204 cardiovascular system & hematology ,HOSPICE VOLUNTEERS ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Medical–Surgical ,Health care ,Medicine and Health Sciences ,end of life care ,Humans ,Terminally Ill ,030212 general & internal medicine ,Qualitative Research ,Volunteering ,Oncology(nursing) ,palliative care ,Oncology (nursing) ,Family caregivers ,business.industry ,Communication ,Palliative Care ,Role ,Professional-Patient Relations ,General Medicine ,Focus Groups ,Middle Aged ,social care ,Focus group ,Hospitals ,FAMILY-MEMBERS ,Medical–Surgical Nursing ,volunteering ,Caregivers ,Facilitator ,Female ,home care ,psychological care ,Psychology ,business ,End-of-life care ,VALUING VOLUNTEERS ,Qualitative research - Abstract
ObjectivesVolunteers have an important place in palliative care (PC), positively influencing quality of care for seriously ill people and those close to them and providing a link to the community. However, it is not well understood where volunteers fit into PC provision or how to support them adequately. We therefore chose to describe volunteer roles across care settings through the perspective of those closely involved in the care of terminally ill people.MethodsA qualitative study was conducted using both focus groups with volunteers, nurses, psychologists and family physicians and individual semistructured interviews with patients and family caregivers. Participants were recruited from hospital, home, day care and live-in services.Results79 people participated in the study. Two volunteer roles were identified. The first was ‘being there’ for the dying person. Volunteers represent a more approachable face of care, focused on psychological, social and existential care and building relationships. The second was the ‘liaison’ role. Volunteers occupy a liminal space between the professional and the family domain, through which they notice and communicate patient needs missed by other caregivers. Patient-volunteer matching was a facilitator for role performance; barriers were lack of communication opportunities with professional caregivers and lack of volunteer coordination.ConclusionVolunteers complement professional caregivers by (1) occupying a unique space between professionals, family and patients and fulfilling a liaison function and (2) being a unique face of care for patients. Healthcare services and policy can support volunteer role performance by ensuring frequent communication opportunities and volunteer coordination.
- Published
- 2018
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