“They take a lot of pressure off us”: Volunteers reducing staff and family care burden and contributing to quality of care for older patients with cognitive impairment in rural hospitals

• Published in: Australasian journal on ageing Vol. 38; no. S2; pp. 34 - 45
• Main Authors: Blair, Annaliese, Bateman, Catherine, Anderson, Katrina
• Format: Journal Article
• Language: English
• Published: Australia 01.09.2019
• Subjects: Adaptation, Psychological; Adult; Age Factors; Attitude of Health Personnel; Caregivers - psychology; Cognition; Cognitive Aging - psychology; Cognitive Dysfunction - diagnosis; Cognitive Dysfunction - psychology; Cognitive Dysfunction - therapy; Cost of Illness; delirium; dementia; Female; Health Knowledge, Attitudes, Practice; Health Personnel - psychology; hospital volunteers; Hospital Volunteers - psychology; Hospitals, Rural; Humans; Interpersonal Relations; Male; Middle Aged; Occupational Stress - prevention & control; Occupational Stress - psychology; Patient Care Team; Patient-Centered Care; patient‐centred care; Program Evaluation; rural hospitals; dementia; hospital volunteers; delirium; patient-centred care; rural hospitals
• ISSN: 1440-6381; 1741-6612
• DOI: 10.1111/ajag.12612

Objectives 1Explore the ability of trained volunteers to provide person‐centred care focusing on nutrition/hydration support, hearing/visual aids and activities in rural hospitals for older patients with dementia and/or delirium. 2Explore the impacts and challenges of volunteer care for family carers and hospital staff. Methods Staff were surveyed about their confidence, stress and satisfaction at 6 months post‐implementation. Focus groups with staff and interviews with families explored program successes, challenges and enabling factors. Results Volunteers integrated themselves into the care team, providing person‐centred care, increased safety and quality of care for patients and a reduced burden for staff and families. Key enablers were clear processes for screening, training and supporting volunteers. Key challenges included initial role delineation, staff/volunteer trust and sustainability. Conclusion The program is reported by families and staff as being effective in addressing the main barriers to providing person‐centred care for older adults with cognitive impairment in rural acute hospitals.