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Implementing volunteer-navigation for older persons with advanced chronic illness (Nav-CARE): a knowledge to action
Barbara Pesut1, Wendy Duggleby2, Grace Warner3
1School of Nursing, University of British Columbia Okanagan, 1147 Research Road Arts 3rd Floor, Kelowna, BC, V1V 1V7, Canada. Barb.pesut@ubc.ca.
BMC Palliative Care
|May 24, 2020
Summary
Community champions and adequate resources are key for volunteer-led palliative care initiatives like Nav-CARE. Successful implementation depends on strong volunteer support and organizational capacity.
Area of Science:
- Gerontology
- Public Health
- Health Services Research
Background:
- Nav-CARE is a volunteer-led intervention providing lay navigation for home-dwelling individuals with advanced chronic illness.
- It aligns with palliative care, public health, and volunteerism strategic directions.
Purpose of the Study:
- To understand implementation factors influencing Nav-CARE utilization across diverse Canadian settings.
Main Methods:
- A Knowledge to Action study involving eight community-based hospice societies.
- Qualitative data collected via interviews and field notes at baseline, midpoint, and endpoint.
- Data analyzed using qualitative descriptive techniques.
Main Results:
- Stakeholders saw Nav-CARE as a good fit, enhancing early palliative support and community outreach.
- Key implementation factors included a strong volunteer coordinator champion, organizational capacity, successful recruitment, and adequate volunteer preparation/mentorship.
Conclusions:
- Community champions, robust support, and mentorship are crucial for volunteer-led initiatives.
- New palliative care initiatives require adequate resources, acknowledging hospice capacity limitations.
- The role and language of hospice societies need consideration within a public health approach to palliative care.
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