Duggleby Wendy, Pesut Barbara, Cottrell Laura, Friesen Lynnelle, Sullivan Kelli, Warner Grace
1 Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
2 Faculty of Health and Social Development, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada.
Am J Hosp Palliat Care. 2018 May;35(5):780-787. doi: 10.1177/1049909117740122. Epub 2017 Nov 12.
The purpose of this article is to report the development, implementation, and evaluation of a curriculum designed to prepare volunteer navigators to support community-dwelling older persons with serious chronic illness. The role of the volunteer navigator was to facilitate independence and quality of life through building social connections, improving access to resources, and fostering engagement. A curriculum was constructed from evidence-based competencies, piloted and revised, and then implemented in 7 subsequent workshops. Workshop participants were 51 volunteers and health-care providers recruited through local hospice societies and health regions. Curriculum was evaluated through satisfaction and self-efficacy questionnaires completed at workshop conclusion. Postworkshop evaluation indicated a high degree of satisfaction with the training. One workshop cohort of 7 participants was followed for 1 year to provide longitudinal evaluation data. Participants followed longitudinally reported improved self-efficacy over 12 months and some challenges with role transition. Future improvements will include further structured learning opportunities offered by telephone postworkshop, focusing on advocacy, communication, and conflict management. Overall, volunteers were satisfied with the curriculum and reported good self-perceived efficacy in their new role as navigators.
本文旨在报告一门课程的开发、实施和评估情况，该课程旨在培养志愿者导航员，以支持患有严重慢性病的社区老年人。志愿者导航员的职责是通过建立社会联系、改善资源获取渠道和促进参与来促进独立性和生活质量。该课程基于循证能力构建，经过试点和修订，随后在7个后续工作坊中实施。工作坊参与者包括通过当地临终关怀协会和健康区域招募的51名志愿者和医疗保健提供者。通过在工作坊结束时完成的满意度和自我效能感问卷对课程进行评估。工作坊后的评估表明对培训满意度很高。对一个由7名参与者组成的工作坊小组进行了为期1年的跟踪，以提供纵向评估数据。接受纵向跟踪的参与者报告称，在12个月内自我效能感有所提高，并且在角色转换方面存在一些挑战。未来的改进将包括在工作坊后通过电话提供更多结构化学习机会，重点关注宣传、沟通和冲突管理。总体而言，志愿者对该课程感到满意，并报告称在其作为导航员的新角色中自我效能感良好。
