Developing competencies for volunteer navigators to support caregivers of children living with medical complexity: a mixed-method e-Delphi study

Background: Providing specially trained volunteer navigators is one promising strategy for supporting the increasing number of family caregivers who are caring for children living with medical complexity. Objective: The objective of this study was to develop consensus on the role and competencies re...

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Main Authors: Robyn Thomas, Barbara Pesut, Hal Siden, Michael Treschow, Gloria Puurveen
Format: Article
Language:English
Published: SAGE Publishing 2023-11-01
Series:Palliative Care and Social Practice
Online Access:https://doi.org/10.1177/26323524231209060
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author Robyn Thomas
Barbara Pesut
Hal Siden
Michael Treschow
Gloria Puurveen
author_facet Robyn Thomas
Barbara Pesut
Hal Siden
Michael Treschow
Gloria Puurveen
author_sort Robyn Thomas
collection DOAJ
description Background: Providing specially trained volunteer navigators is one promising strategy for supporting the increasing number of family caregivers who are caring for children living with medical complexity. Objective: The objective of this study was to develop consensus on the role and competencies required for volunteer navigators who support caregivers of children living with medical complexity. Design: This was a mixed-method study using modified e-Delphi and focus group methods. In phase 1, a modified e-Delphi survey with 20 family caregivers and a focus group with 4 family caregivers were conducted to develop consensus on their unmet needs and the potential roles of a volunteer to meet those needs. In phase 2, a modified e-Delphi survey was conducted with experts to develop consensus on the volunteer competencies required to meet the roles identified by family caregivers in phase 1. Results: Findings from phase 1 resulted in 36 need-related items over 8 domains: communication, daily life and chores, emotional support, information and knowledge, respite, support with decision-making, and sharing the caregiving experience. Concerns about the volunteer role included the potential lack of commitment in the absence of remuneration, the complexity of the child’s condition that was beyond the role of a volunteer, and a preference for support from individuals they knew. Findings from the phase 2 Delphi survey with professionals resulted in 22 competencies, derived from the roles identified in phase 1, that would be required of volunteers who wished to support these family caregivers. Conclusion: This study provides insight into a role for volunteers in meeting the needs of family caregivers of children living with medical complexity. A volunteer with lived experience and adequate preparation can assist with meeting some of these important needs. Further research is required to better understand the feasibility and acceptability of such a role.
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spelling doaj.art-ee326a7e865842229e703d8c8ada04412023-11-08T18:03:19ZengSAGE PublishingPalliative Care and Social Practice2632-35242023-11-011710.1177/26323524231209060Developing competencies for volunteer navigators to support caregivers of children living with medical complexity: a mixed-method e-Delphi studyRobyn ThomasBarbara PesutHal SidenMichael TreschowGloria PuurveenBackground: Providing specially trained volunteer navigators is one promising strategy for supporting the increasing number of family caregivers who are caring for children living with medical complexity. Objective: The objective of this study was to develop consensus on the role and competencies required for volunteer navigators who support caregivers of children living with medical complexity. Design: This was a mixed-method study using modified e-Delphi and focus group methods. In phase 1, a modified e-Delphi survey with 20 family caregivers and a focus group with 4 family caregivers were conducted to develop consensus on their unmet needs and the potential roles of a volunteer to meet those needs. In phase 2, a modified e-Delphi survey was conducted with experts to develop consensus on the volunteer competencies required to meet the roles identified by family caregivers in phase 1. Results: Findings from phase 1 resulted in 36 need-related items over 8 domains: communication, daily life and chores, emotional support, information and knowledge, respite, support with decision-making, and sharing the caregiving experience. Concerns about the volunteer role included the potential lack of commitment in the absence of remuneration, the complexity of the child’s condition that was beyond the role of a volunteer, and a preference for support from individuals they knew. Findings from the phase 2 Delphi survey with professionals resulted in 22 competencies, derived from the roles identified in phase 1, that would be required of volunteers who wished to support these family caregivers. Conclusion: This study provides insight into a role for volunteers in meeting the needs of family caregivers of children living with medical complexity. A volunteer with lived experience and adequate preparation can assist with meeting some of these important needs. Further research is required to better understand the feasibility and acceptability of such a role.https://doi.org/10.1177/26323524231209060
spellingShingle Robyn Thomas
Barbara Pesut
Hal Siden
Michael Treschow
Gloria Puurveen
Developing competencies for volunteer navigators to support caregivers of children living with medical complexity: a mixed-method e-Delphi study
Palliative Care and Social Practice
title Developing competencies for volunteer navigators to support caregivers of children living with medical complexity: a mixed-method e-Delphi study
title_full Developing competencies for volunteer navigators to support caregivers of children living with medical complexity: a mixed-method e-Delphi study
title_fullStr Developing competencies for volunteer navigators to support caregivers of children living with medical complexity: a mixed-method e-Delphi study
title_full_unstemmed Developing competencies for volunteer navigators to support caregivers of children living with medical complexity: a mixed-method e-Delphi study
title_short Developing competencies for volunteer navigators to support caregivers of children living with medical complexity: a mixed-method e-Delphi study
title_sort developing competencies for volunteer navigators to support caregivers of children living with medical complexity a mixed method e delphi study
url https://doi.org/10.1177/26323524231209060
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