Sustainability of a rural volunteer program (Nav-CARE): a case study
Introduction: Nav-CARE (Navigation: Connecting, Accessing, Resourcing and Engaging) is an evidence-based program that was implemented over 1 year in a rural community in western Canada. Nav-CARE uses volunteers who are trained in navigation to facilitate access to resources and provide social suppo...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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James Cook University
2020-10-01
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| Series: | Rural and Remote Health |
| Subjects: | |
| Online Access: | https://www.rrh.org.au/journal/article/6112/ |
| _version_ | 1818271888944660480 |
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| author | Wendy Duggleby Barbara Pesut Grace Warner Cheryl Nekolaichuk Lars Hallstrom Brittany Elliott Jennifer Swindle Sunita Ghosh |
| author_facet | Wendy Duggleby Barbara Pesut Grace Warner Cheryl Nekolaichuk Lars Hallstrom Brittany Elliott Jennifer Swindle Sunita Ghosh |
| author_sort | Wendy Duggleby |
| collection | DOAJ |
| description | Introduction: Nav-CARE (Navigation: Connecting, Accessing, Resourcing and Engaging) is an evidence-based program that was implemented over 1 year in a rural community in western Canada. Nav-CARE uses volunteers who are trained in navigation to facilitate access to resources and provide social support to older persons living in the community with serious illness such as cancer, congestive heart failure and chronic obstructive pulmonary disease. Following implementation in which Nav-CARE was found to be feasible, acceptable and have positive outcomes, Nav-CARE was integrated into the local community-based hospice society program. Two years after a successful implementation, it continued to be sustainable in this same rural community. The purpose of this study was to explore the key factors that facilitated the sustainability of Nav-CARE in a rural hospice society.
Methods: A qualitative single case study design was used with data from several sources collected at different times: (a) pre-implementation, (b) Nav-CARE program implementation (1-year time period), (c) immediately after implementation and (d) 6 months to 2 years after implementation). Data included individual interviews with community stakeholders (n=9), the study volunteer coordinator (n=1), hospice society coordinator (n=1) and Nav-CARE volunteers (n=9). It also included meeting notes of volunteer debriefing sessions and meetings with stakeholders planning for sustainability of Nav-CARE that were held during the 1-year implementation. Data were organized using the i-PARIHS (integrated Promoting Action on Research Implementation in Health Services) framework (a well known implementation framework). Data were analyzed using Yin's qualitative case study approach.
Results: The findings from this case study suggested that key factors in facilitating sustainability of a rural community intervention (Nav-CARE) were the organizational context (inner context) and facilitation (facilitator and facilitation processes). Additionally, the inner context included the fit of Nav-CARE with the organization's priorities, the absorptive capacity of the organization, and organizational structure and mechanisms to integrate Nav-CARE into current programs. The hospice society was well established and supported by the rural community. The role of the facilitator and the planned facilitation processes (training of volunteer navigators, ongoing support and planning events) were key factors in the sustainability of the Nav-CARE program. The findings found that the formal role of the facilitator in the implementation and sustainability of Nav-CARE in this rural community required skills and knowledge, as well as ongoing mentorship. As well, the facilitation process for Nav-CARE included formal sustainability planning meetings involving stakeholders.
Conclusion: Using the i-PARIHS framework and a case study approach, key factors for facilitating sustainability were identified. The role of the facilitator, the facilitation processes and the characteristics of the organizational context were important for the sustainability of Nav-CARE. Future research is needed to understand how to assess and enhance an organization's sustainability capacity and the impact of additional facilitator training and mentoring. This study provides a foundation for future research and adds to the discussion of the issue of sustainability of evidence-based interventions in rural community settings. |
| first_indexed | 2024-12-12T21:33:20Z |
| format | Article |
| id | doaj.art-21fdef0fc064460497e9963a4a7fd921 |
| institution | Directory Open Access Journal |
| issn | 1445-6354 |
| language | English |
| last_indexed | 2024-12-12T21:33:20Z |
| publishDate | 2020-10-01 |
| publisher | James Cook University |
| record_format | Article |
| series | Rural and Remote Health |
| spelling | doaj.art-21fdef0fc064460497e9963a4a7fd9212022-12-22T00:11:14ZengJames Cook UniversityRural and Remote Health1445-63542020-10-012010.22605/RRH6112Sustainability of a rural volunteer program (Nav-CARE): a case studyWendy Duggleby0Barbara Pesut1Grace Warner2Cheryl Nekolaichuk3Lars Hallstrom4Brittany Elliott5Jennifer Swindle6Sunita Ghosh7Faculty of Nursing, University of Alberta Level 3, Edmonton Clinic Health Academy, 11405 87 Avenue, Edmonton, Alberta T6G 1C9, CanadaSchool of Nursing, University of British Columbia Okanagan, 1157 Research Way, Kelowna, BC V2Y 1Y1, CanadaSchool of Occupational Therapy, Dalhousie University, Halifax, Nova Scotia B3H 4R2, CanadaDivision of Palliative Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, c/o Palliative Institute, 404 Health Services Centre, 1090 Youville Drive West Edmonton, Alberta T6L 0A3, CanadaDepartment of Political Studies (Augustana Faculty) and Department of Resource Economics and Environmental Sociology, University of Alberta, Alberta T4V 2R3, CanadaFaculty of Nursing, University of Alberta, Level 3, Edmonton Clinic Health Academy, 11405 87 Avenue, Edmonton, Alberta T6G 1C9, CanadaFaculty of Nursing, University of Alberta, Level 3, Edmonton Clinic Health Academy, 11405 87 Avenue, Edmonton, Alberta T6G 1C9, CanadaAlberta Health Services–Cancer Control Alberta; and Department of Medical Oncology and Department of Mathematical and Statistical Sciences, University of Alberta, 11560 University Avenue, Edmonton, Alberta T6G 1Z2, CanadaIntroduction: Nav-CARE (Navigation: Connecting, Accessing, Resourcing and Engaging) is an evidence-based program that was implemented over 1 year in a rural community in western Canada. Nav-CARE uses volunteers who are trained in navigation to facilitate access to resources and provide social support to older persons living in the community with serious illness such as cancer, congestive heart failure and chronic obstructive pulmonary disease. Following implementation in which Nav-CARE was found to be feasible, acceptable and have positive outcomes, Nav-CARE was integrated into the local community-based hospice society program. Two years after a successful implementation, it continued to be sustainable in this same rural community. The purpose of this study was to explore the key factors that facilitated the sustainability of Nav-CARE in a rural hospice society. Methods: A qualitative single case study design was used with data from several sources collected at different times: (a) pre-implementation, (b) Nav-CARE program implementation (1-year time period), (c) immediately after implementation and (d) 6 months to 2 years after implementation). Data included individual interviews with community stakeholders (n=9), the study volunteer coordinator (n=1), hospice society coordinator (n=1) and Nav-CARE volunteers (n=9). It also included meeting notes of volunteer debriefing sessions and meetings with stakeholders planning for sustainability of Nav-CARE that were held during the 1-year implementation. Data were organized using the i-PARIHS (integrated Promoting Action on Research Implementation in Health Services) framework (a well known implementation framework). Data were analyzed using Yin's qualitative case study approach. Results: The findings from this case study suggested that key factors in facilitating sustainability of a rural community intervention (Nav-CARE) were the organizational context (inner context) and facilitation (facilitator and facilitation processes). Additionally, the inner context included the fit of Nav-CARE with the organization's priorities, the absorptive capacity of the organization, and organizational structure and mechanisms to integrate Nav-CARE into current programs. The hospice society was well established and supported by the rural community. The role of the facilitator and the planned facilitation processes (training of volunteer navigators, ongoing support and planning events) were key factors in the sustainability of the Nav-CARE program. The findings found that the formal role of the facilitator in the implementation and sustainability of Nav-CARE in this rural community required skills and knowledge, as well as ongoing mentorship. As well, the facilitation process for Nav-CARE included formal sustainability planning meetings involving stakeholders. Conclusion: Using the i-PARIHS framework and a case study approach, key factors for facilitating sustainability were identified. The role of the facilitator, the facilitation processes and the characteristics of the organizational context were important for the sustainability of Nav-CARE. Future research is needed to understand how to assess and enhance an organization's sustainability capacity and the impact of additional facilitator training and mentoring. This study provides a foundation for future research and adds to the discussion of the issue of sustainability of evidence-based interventions in rural community settings.https://www.rrh.org.au/journal/article/6112/Canadacase studycommunity programi-PARIHSolder personsquality of life |
| spellingShingle | Wendy Duggleby Barbara Pesut Grace Warner Cheryl Nekolaichuk Lars Hallstrom Brittany Elliott Jennifer Swindle Sunita Ghosh Sustainability of a rural volunteer program (Nav-CARE): a case study Rural and Remote Health Canada case study community program i-PARIHS older persons quality of life |
| title | Sustainability of a rural volunteer program (Nav-CARE): a case study |
| title_full | Sustainability of a rural volunteer program (Nav-CARE): a case study |
| title_fullStr | Sustainability of a rural volunteer program (Nav-CARE): a case study |
| title_full_unstemmed | Sustainability of a rural volunteer program (Nav-CARE): a case study |
| title_short | Sustainability of a rural volunteer program (Nav-CARE): a case study |
| title_sort | sustainability of a rural volunteer program nav care a case study |
| topic | Canada case study community program i-PARIHS older persons quality of life |
| url | https://www.rrh.org.au/journal/article/6112/ |
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