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1.
Fortschr Neurol Psychiatr ; 88(2): 76-81, 2020 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-32102098

RESUMO

The growing number of refugees arriving in Germany in 2015 increased the need for support and care in psychosocial matters, on the part of both, refugees and volunteers. The research project ReWoven investigated the relationship between refugee women and female volunteers, who were not necessarily familiar with each other, through 32 guided interviews (16 with Arab & Farsi speaking women, 16 women with female volunteers). The results reveal a relevant uncertainty surrounding the definition of "volunteering" on both sides as well as misunderstandings and imbalances in their interaction. Both constitute obstacles in building close, reciprocal relationships between members of the two groups. When exploring the relationship between refugee women and female volunteers, the influence of the organization that provides the context of their encounters should be considered.


Assuntos
Refugiados/psicologia , Voluntários/psicologia , Competência Cultural , Feminino , Alemanha , Humanos
2.
Nihon Koshu Eisei Zasshi ; 66(11): 712-722, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-31776313

RESUMO

Objective Various types of health promotion organizations exist in Japan, including volunteer organizations that promote healthy diets, health improvement, and maternal and child health. Health promotion volunteers, trained and recruited by municipalities, provide counseling and education on various health concerns to community members. A previous study on the effect of these activities and the organizational challenges demonstrated a decrease in the number of volunteer members. The present study aimed to identify the organizational characteristics and challenges of health promotion volunteer work in Japan to gain insight into volunteer recruitment and organizational management.Methods A questionnaire was sent to 1,873 Japanese municipalities via e-mail or postal mail (excluding Tokyo's 23 wards). For cities of cabinet order, a questionnaire was sent to each borough in the municipality. Data were collected from February to March 2017. The survey was used to collect data on four types of health promotion volunteer organizations: healthy diet (organizations of volunteers who were shokuseikatsu kaizen suishinin), health improvement (organizations of volunteers who were kenkozukuri suishinin), and two types promoting maternal and child health (organizations of volunteers who were boshihoken suishinin and aiikuhan). We asked about the presence or absence of the organization type, year of establishment, number of members, the largest age group, recruitment methods, etc. Twelve organizational challenges were measured with a six-item Likert scale (from 1="strongly agree" to 6="strongly disagree"). Proportions of active members in the volunteer organization ranged from 0% to 10%.Results Eight hundred eight municipalities responded to the survey (valid responses: 805, valid response rate: 43.1%). The presence or absence of the four types of volunteer organizations differed among the municipalities. The most common type was organizations of volunteers who were shokuseikatsu kaizen suishinin (84.7% municipalities), followed by kenkozukuri suishinin (64.3%), boshihoken suishinin (26.4%), and aiikuhan (10.1%). The total ratio of responses of "strongly agree," "agree," and "somewhat agree" about the organizational challenges, including "The organization cannot find new members easily" and "The participants are always the same people," was commonly more than 50% for the four types of volunteer organizations. The challenges, including "Many do not enjoy what they do," "For many volunteers, participation is limited due to work and family obligations," and "The goal of the activities is not widely shared among volunteers," were significantly correlated to the proportion of active members in the volunteer organization for all four types of organizations.Conclusion This study revealed that organizational characteristics differed among the four types of health promotion volunteer organizations; however, many of the organizational challenges were found to be common throughout Japanese municipalities.


Assuntos
Serviços de Saúde Comunitária/organização & administração , Promoção da Saúde/organização & administração , Saúde Pública , Inquéritos e Questionários , Voluntários/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Cidades , Feminino , Humanos , Japão , Masculino , Pessoa de Meia-Idade
3.
BMC Public Health ; 19(1): 1536, 2019 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-31744483

RESUMO

BACKGROUND: People with activity limitations participate less in society, which may be due to both societal barriers and personal factors. The aim of this study was to examine the role of one specific personal factor, namely the perceptions that people have of their health condition. We hypothesized that perceptions of more personal control and less negative consequences increase the likelihood of participation in social activities and of experiencing autonomy in participation. METHODS: Survey data of 1681 people with activity limitations participating in a Dutch nationwide panel-study were analyzed by means of logistic and linear regression analyses. Perceptions of the health condition were assessed with the revised Illness Perception Questionnaire (IPQ-R). Social participation was operationalized as doing volunteer work, participating in club activities and meeting friends. Two scales of the Impact on Participation and Autonomy questionnaire were used to assess experienced autonomy regarding participation. RESULTS: People who perceived more personal control over their health condition were more likely to participate in volunteer work (OR = 1.36) and club activities (OR = 1.35). People who believed their condition to be long-lasting were also more likely to do volunteer work (OR = 1.34), whereas people who reported a better understanding of their condition were more likely to frequently meet friends (OR = 1.19). Perceptions of the health condition explained 14% of the variance in experienced autonomy in participation, in addition to the severity of participants' activity limitations and their age, gender and education level. Especially a belief in more serious consequences, a perception of a long-lasting and less controllable condition, a perception of less understanding of the condition and a greater perceived impact on the emotional state were associated with experiencing less autonomy in participation. CONCLUSIONS: People with activity limitations who experience less control over their condition participate less in volunteer work and club activities than people who experience more control. Perceptions of the health condition are just as important to explain differences in participation as the severity of people's activity limitations and their socio-demographic characteristics. Health and social care professionals should pay attention to people's perceptions, to help people with activity limitations to participate according to their needs, circumstances, and preferences.


Assuntos
Doença Crônica/psicologia , Limitação da Mobilidade , Autonomia Pessoal , Participação Social , Adulto , Efeitos Psicossociais da Doença , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Países Baixos , Percepção , Recreação/psicologia , Inquéritos e Questionários , Voluntários/psicologia
5.
BMC Public Health ; 19(1): 1036, 2019 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-31375090

RESUMO

BACKGROUND: This study aims to investigate the mechanisms through which neighborhood social reciprocity influences older adults' mental health in China. METHODS: This study used data from the 2011-2015 waves of the China Health and Retirement Longitudinal Study. It estimated the effects of neighborhood social reciprocity on older adults' mental health and tested the mediating effects of the frequencies of physical activity, social interaction with neighbors, and volunteering experience. RESULTS: The results indicated that more neighborhood social reciprocity related to better mental health. The effects of the three mediators were statistically significant and enhanced mental health. In addition, the effects of the mediators were strengthened by neighborhood social reciprocity, and vice versa. CONCLUSIONS: In China, neighborhood social reciprocity influenced older adults' mental health directly and through the mechanisms of the frequencies of physical activity, social interaction with neighbors, and volunteering experience.


Assuntos
Exercício/psicologia , Relações Interpessoais , Saúde Mental/estatística & dados numéricos , Características de Residência/estatística & dados numéricos , Voluntários/psicologia , Idoso , China , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Voluntários/estatística & dados numéricos
6.
Artigo em Inglês | MEDLINE | ID: mdl-31454962

RESUMO

BACKGROUND: Chronic pain is common among older adults and is associated with adverse physical and psychological outcomes. Given the burden of pain and limited healthcare resources, devising innovative and cost-effective ways of managing chronic pain is of high priority. The aim of this paper is to explore the experiences and perceptions of peer volunteers (PVs) in a peer-led pain management program among nursing home residents in Hong Kong. METHODS: Forty-six PVs were recruited and trained to lead a pain management program (PAP). The PAP consisted of one 1 hour session per week for 12 weeks. It included 20 min of physical exercises performed under the supervision of PVs, followed by 30 min of pain management education, including information on pain situations, the impacts of pain, the use of drugs and non-drug strategies for pain management, demonstrations, and return demonstrations of various non-drug pain management techniques. Quantitative data were collected from questionnaires (demographics, pain situation, and pain knowledge) for all PVs. Qualitative data (PVs' experiences in leading the PAP, their perceived benefits, barriers encountered, and recommendations for improving the PAP) were collected at week 12 (upon completion of the PAP). Data were analyzed using the Statistical Package for Social Sciences and content analysis for qualitative data. RESULTS: A total of 46 PVs were recruited (34 females, 74%), with a mean ± SD age of 61.0 ± 5.1 years. Thirty-one of them reported having chronic pain. Before the training, their self-rated pain knowledge was 40.0 ± 20.5 (maximum 100 points) while their actual pain knowledge score was 86.1 ± 10.6 (maximum 100 points). The PVs reported an improvement in their knowledge and skills after leading PAPs. No PVs reported having received any negative comments about their role in leading the PAP but mentioned that they had received feedback on how to improve the program. CONCLUSIONS: This study provides further evidence that peer-led pain management programs are feasible and can lead to positive experiences for the PVs. Peer support models are coming into wide use because they show promise in helping patients to manage chronic conditions. Peer volunteers will become important resources in elderly care. The barriers that were identified may lead to improvements in the design and planning of future PAPs.


Assuntos
Dor Crônica/tratamento farmacológico , Terapia por Exercício/educação , Terapia por Exercício/métodos , Casas de Saúde/estatística & dados numéricos , Manejo da Dor/métodos , Educação de Pacientes como Assunto/métodos , Voluntários/psicologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Hong Kong , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Grupo Associado , Inquéritos e Questionários , Voluntários/estatística & dados numéricos
7.
Artigo em Inglês | MEDLINE | ID: mdl-31455027

RESUMO

Improvement of volunteering rates in the Netherlands is important because increased productivity among older adults would contribute to societal sustainability in the light of population aging. Therefore, a better understanding of volunteer motivations of Dutch older adults is needed. The Volunteer Functions Inventory (VFI) for assessing volunteer motivations has good psychometric properties and is adapted to several languages, but no validated Dutch translation yet exists. The aim of the current study is to validate the VFI for use in the Dutch older population (60 years and over). The Dutch-translated VFI (6 scales, 30 items) is included in the Lifelines 'Daily Activities and Leisure Activities add-on Study', which was distributed among participants aged 60 to 80. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) are performed to assess the validity of the translated VFI. Internal consistency is assessed by computing Cronbach's α's. Results of the EFA (N = 4208) point towards a six-factor solution with a nearly perfectly clean structure. Deletion of three problematic items results in a clean factor structure. CFA results indicate moderate model fit (RMSEA = 0.06, CFI = 0.90, TLI = 0.89). Cronbach's α's (0.78 to 0.85) indicate good internal consistency. Goodness-of-fit indices are sufficient and comparable to those obtained in the validation of the original VFI. The current study provides support for use of the Dutch-translation of the VFI (6 scales, 27 items) to assess volunteer motivations among Dutch volunteers aged 60 years and over.


Assuntos
Escolha da Profissão , Motivação , Psicometria/normas , Traduções , Voluntários/classificação , Voluntários/psicologia , Idoso , Idoso de 80 Anos ou mais , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Países Baixos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Voluntários/estatística & dados numéricos
8.
Midwifery ; 77: 117-122, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31319366

RESUMO

BACKGROUND: Cesarean birth is common in the United States and associated with increased incidence of medical complications and maternal dissatisfaction. Doula support is associated with improved maternal and newborn outcomes but is often restricted to vaginal birth. The aim of this scoping study was to explore the experiences of volunteer doulas who provide support to women during cesarean birth. METHODS: Qualitative study using semi-structured interviews with nine doula volunteers from one program to assess their experiences caring for clients in the operating room (OR). RESULTS: Doulas described their experiences supporting cesarean births in relation to four different relationship-level themes, relationships between: doulas and their clients (and clients' support persons); doulas and the physical environment (OR, labor and delivery unit); doulas and the OR interprofessional team; and doulas and the program culture. Doulas described perceived strengths and weaknesses of the OR-based program, and suggested improvements and future development opportunities. CONCLUSION: Doulas volunteering within this program highly valued their perceived role in the care of women experiencing cesarean birth, including reports of increasing evidence-based practices such as SSC and early breastfeeding initiation in the OR. These doulas reported successfully working around the physically challenging OR environment and alongside the cesarean interprofessional team.


Assuntos
Cesárea/normas , Doulas/psicologia , Adolescente , Adulto , Cesárea/métodos , Cesárea/psicologia , Doulas/educação , Doulas/estatística & dados numéricos , Feminino , Humanos , Gravidez , Avaliação de Programas e Projetos de Saúde/métodos , Pesquisa Qualitativa , Voluntários/psicologia , Voluntários/estatística & dados numéricos
9.
PLoS One ; 14(7): e0218597, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31260482

RESUMO

BACKGROUND: Funding shortages and an ageing population have increased pressures on state or insurance funded end of life care for older people. Across the world, policy debate has arisen about the potential role volunteers can play, working alongside health and social care professionals in the community to support and care for the ageing and dying. AIMS: The authors examined self-reported levels of care for the elderly by the public in England, and public opinions of community volunteering concepts to care for the elderly at the end of life. In particular, claimed willingness to help and to be helped by local people was surveyed. METHODS: A sample of 3,590 adults in England aged 45 or more from an online access panel responded to a questionnaire in late 2017. The survey data was weighted to be representative of the population within this age band. Key literature and formative qualitative research informed the design of the survey questionnaire, which was further refined after piloting. RESULTS: Preferences for different models of community volunteering were elicited. There was a preference for 'formal' models with increased wariness of 'informal' features. Whilst 32% of adults said they 'might join' depending on whom the group helped, unsurprisingly more personal and demanding types of help significantly reduced the claimed willingness to help. Finally, willingness to help (or be helped) by local community carers or volunteers was regarded as less attractive than care being provided by personal family, close friends or indeed health and care professionals. CONCLUSION: Findings suggest that if community volunteering to care for elderly people at the end of life in England is to expand it may require considerable attention to the model including training for volunteers and protections for patients and volunteers as well as public education and promotion. Currently, in England, there is a clear preference for non-medical care to be delivered by close family or social care professionals, with volunteer community care regarded only as a back-up option.


Assuntos
Cuidadores/psicologia , Serviços de Saúde Comunitária/ética , Agentes Comunitários de Saúde/provisão & distribução , Assistência Terminal/psicologia , Voluntários/psicologia , Idoso , Idoso de 80 Anos ou mais , Cuidadores/ética , Cuidadores/organização & administração , Serviços de Saúde Comunitária/organização & administração , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Assistência Terminal/ética , Assistência Terminal/organização & administração , Reino Unido
10.
Rev Infirm ; 68(251): 25-27, 2019 May.
Artigo em Francês | MEDLINE | ID: mdl-31208562

RESUMO

COMPLEXITY OF PREVENTION AND SCREENING PROGRAMMES AMONG MIGRANTS: The healthcare and advice clinic in Nice offers a prevention and screening consultation for migrants, with insecure rights and precarious living conditions, recently arrived in France and wishing to stay. Time, availability and the chance to open up to others help to establish the connection needed to carry out screenings and pass on prevention messages to men and women for whom this is not a priority. A volunteer nurse shares her experience of designing and setting up such a consultation, in partnership with a pulmonologist.


Assuntos
Programas de Rastreamento/organização & administração , Serviços Preventivos de Saúde/organização & administração , Migrantes , Feminino , França , Humanos , Masculino , Enfermeiras e Enfermeiros/psicologia , Encaminhamento e Consulta/organização & administração , Voluntários/psicologia
11.
Health Policy Plan ; 34(4): 298-306, 2019 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-31143930

RESUMO

Of the millions of Community Health Workers (CHWs) serving their communities across the world, there are approximately twice as many female CHWs as there are male. Hiring women has in many cases become an ethical expectation, in part because working as a CHW is often seen as empowering the CHW herself to enact positive change in her community. This article draws on interviews, participant observation, document review and a survey carried out in rural Amhara, Ethiopia from 2013 to 2016 to explore discourses and experiences of empowerment among unpaid female CHWs in Ethiopia's Women's Development Army (WDA). This programme was designed to encourage women to leave the house and gain decision-making power vis-à-vis their husbands-and to use this power to achieve specific, state-mandated, domestically centred goals. Some women discovered new opportunities for mobility and self-actualization through this work, and some made positive contributions to the health system. At the same time, by design, women in the WDA had limited ability to exercise political power or gain authority within the structures that employed them, and they were taken away from tending to their individual work demands without compensation. The official rhetoric of the WDA-that women's empowerment can happen by rearranging village-level social relations, without offering poor women opportunities like paid employment, job advancement or the ability to shape government policy-allowed the Ethiopian government and its donors to pursue 'empowerment' without investments in pay for lower-level health workers, or fundamental freedoms introduced into state-society relations.


Assuntos
Agentes Comunitários de Saúde/psicologia , Voluntários/psicologia , Agentes Comunitários de Saúde/economia , Agentes Comunitários de Saúde/ética , Tomada de Decisões , Etiópia , Feminino , Humanos , Política
12.
J Evid Based Med ; 12(2): 147-154, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31144468

RESUMO

BACKGROUND: Cochrane systematic reviews have plain language summaries (PLSs) that are translated into multiple languages, mostly by volunteers. We aimed to survey volunteer translators to find out their characteristics, motivation, and suggestions to further improve this translation project. METHODS: We surveyed 176 registered volunteer translators from the Cochrane Croatia PLS translation project. A 28-item survey, created for the purpose of this study, was administered via SurveyMonkey in November-December 2017. Translators received an invitation to the survey and two follow-up reminders via e-mail. Primary and secondary outcomes were the characteristics and motivation of volunteers. RESULTS: We received 106 responses (60% response rate) to the survey. The translators were on average (standard deviation) 32 ± 10 years old, they were mostly women (74%), and most of them were medical doctors (29%) or pharmacists (13%). The majority found out about the translation project from acquaintances and colleagues. Most of them indicated that they have still had high motivation for the project, but for the majority, the number of translations decreased over time. When asked what could motivate them to translate more Cochrane PLSs, or to start translating if they did not translate anything yet, the most common answers were: feedback about translation quality, reminders, a workshop for translators and Facebook group for translators. CONCLUSION: Cochrane volunteer PLS translators are a motivated and highly educated group, but their translation output is decreasing with time. Reminders, feedback and education are interventions that should be tested to increase volunteer engagement in such initiatives.


Assuntos
Fortalecimento Institucional , Motivação , Tradução , Voluntários/psicologia , Adulto , Retroalimentação , Feminino , Humanos , Linguagem , Masculino , Pessoa de Meia-Idade , Redes Sociais Online , Farmacêuticos/psicologia , Médicos/psicologia , Inquéritos e Questionários , Revisão Sistemática como Assunto , Traduções , Adulto Jovem
13.
Psychol Health ; 34(11): 1358-1377, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31132015

RESUMO

Objective: Pre-treatment side effect expectancies often influence subsequent experiences; however, expectancy-based reduction strategies are lacking. We explored whether framing information about adverse responses (in positive or negative formats) altered expectancies and experiences of a cold pressor task. We further investigated associations between expectancies and experiences, to inform potential interventions. Design: Healthy volunteers (N = 134), randomised to receive positively- or negatively-framed pre-cold pressor task information, self-rated 12 expectancies for cold pressor experiences, emotional state and coping style. Main Outcome Measures: Self-reports of the same 12-experiences (recorded during and after the experiment) were assessed. Results: Framing had minimal impact on expectancies and experiences; however, discomfort threshold (p = .08, d = 0.22) showed a trend in the expected direction. Hierarchical regressions revealed expectancies uniquely, significantly predicted 6-23% of the variance for 11 subsequent experiences. Following a popular charity event (Ice Bucket Challenge), all participants showed higher 'discomfort thresholds' (p = .001, d = 0.59), and those in the negative frame reported more overall 'discomfort' (p = .01, d = 0.60) than participants in the positive condition. Conclusion: Expectancies uniquely influenced subsequent cold pressor experiences. Framing had minimal impact in this 'analogue' medical setting, only influencing 'discomfort threshold'. 'Discomfort threshold' and overall 'discomfort' were also impacted by a social media challenge, highlighting a potential area for intervention.


Assuntos
Temperatura Baixa/efeitos adversos , Comunicação em Saúde/métodos , Limiar da Dor/psicologia , Dor/psicologia , Feminino , Humanos , Masculino , Dor/etiologia , Autorrelato , Voluntários/psicologia , Voluntários/estatística & dados numéricos , Adulto Jovem
16.
BMC Geriatr ; 19(1): 126, 2019 05 02.
Artigo em Inglês | MEDLINE | ID: mdl-31046693

RESUMO

BACKGROUND: New approaches are needed to address the challenges of demographic change, staff shortages, and societal change in the care of the elderly. While volunteering has barely been established as a pillar of the welfare state in several countries, legislators and nonprofit or community-based organizations in some countries favor the increased integration of volunteers, as they can rely on many dedicated people. When caring for the multimorbid elderly, the transition from hospital to domesticity involves certain risks. Currently, no systematic knowledge exists on whether and how elderly benefit from volunteer support after a hospital stay. Objectives of this systematic review were to (1) identify evaluated approaches with trained volunteers supporting chronically ill, multimorbid elderly one-on-one at the interface between hospital and domesticity; (2) investigate the patient-related effectiveness of the approaches; (3) present the characteristics of the supporting volunteers; and (4) present the underlying teaching and training concepts for the volunteers. METHODS: A systematic search of the following online databases was conducted in April 2017: the Cochrane Library, Medline (PubMed), CINAHL, and PsycINFO (Ebscohost). We included (cluster/quasi-) randomized controlled trials, controlled clinical trials and single-group pre-post design. An institutional search was conducted on eight national institutions from research and practice in Germany. Screening was conducted by one researcher, risk of bias was assessed. Study authors were contacted for study and training details. RESULTS: We identified a total of twelve studies, eight of which evaluated treatment following hospital stay: psychosocial-coordinative support (n = 2), physical-cognitive activation (n = 4), and assistance with medication intake (n = 2). We saw short-term effects with small and medium effect sizes. Most volunteers were women aged between 45 and 61 years. Their training lasted 12-26 h and took place prior to first patient contact. During the intervention, volunteers could rely on permanent supporting structures. CONCLUSIONS: Few studies exist that have evaluated one-on-one-volunteer support following hospitalization, and the effects are inconsistent. As such, further, well-designed studies are needed. The suitability and transferability of the interventions in country-specific settings should be examined in feasibility studies. Furthermore, an international discussion on the appropriate theoretical backgrounds of volunteer training is needed.


Assuntos
Doença Crônica/psicologia , Doença Crônica/terapia , Serviços de Assistência Domiciliar/tendências , Hospitalização/tendências , Transferência de Pacientes/tendências , Voluntários/psicologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Multimorbidade , Transferência de Pacientes/métodos , Ensaios Clínicos Controlados Aleatórios como Assunto/métodos , Resultado do Tratamento , Voluntários/educação
17.
Global Health ; 15(1): 31, 2019 04 23.
Artigo em Inglês | MEDLINE | ID: mdl-31014353

RESUMO

BACKGROUND: Global Engagement works with health partnerships to establish workforce and educational translation on a global scale to support the National Health Service (NHS). There is growing evidence on how international experiences (through volunteering, exchanges and placements) benefit the NHS through an innovative workforce that develops international best practice and promotes lifelong learning. Most of this evidence has been captured though surveys to returned international volunteers. However, there is limited evidence about how to quantify the value that returned international healthcare volunteers bring back to their country of residence. METHODS: This paper identifies the various benefits to the NHS from returned international healthcare volunteers. The outcomes from returned international volunteers, which have been identified as relevant form a NHS perspective, are linked to three key areas in a multisector analytical framework used by the World Bank to evaluate labour market programmes: (1) Investment climate and Infrastructure, (2) Labor market regulations and institutions, and (3) Education and skills development. The monetary value of these outcomes is quantified through productivity indices which capture the economic value that the achievement of these outcomes have on the quality of the NHS labor force. This model is applied to a dataset of international volunteers provided by the Global Engagement health partnerships. RESULTS: The results suggest that international volunteering generates average productivity gains of up to 37% for doctors and up to 62% for nurses. Average productivity gains estimated from health partnerships data vary depending on duration of volunteering periods and occupational category mix. CONCLUSIONS: Our analysis offers a value for money rationale for international volunteering programmes purely from a domestic and NHS perspective. The valuation method considers only one of the aims of international volunteering programmes: the development of the existing and future NHS workforce. Broader benefits for health system strengthening at a global level are acknowledged but not accounted for. Overall, we conclude that if the acquisition of volunteering outcomes is realised, the NHS can accrue a productivity increase of between 24 and 41% per volunteer, with a value ranging from £13,215 to £25,934 per volunteer.


Assuntos
Cooperação Internacional , Medicina Estatal/organização & administração , Voluntários/psicologia , Eficiência , Humanos , Aprendizagem , Enfermeiras e Enfermeiros/psicologia , Médicos/psicologia , Inquéritos e Questionários
18.
BMC Psychiatry ; 19(1): 116, 2019 04 17.
Artigo em Inglês | MEDLINE | ID: mdl-30999876

RESUMO

BACKGROUND: Volunteers frequently participate in befriending schemes with people with mental illness. This study aimed to explore the motivations and experiences of volunteer befrienders engaging in these schemes in addition to the experiences of befriending recipients. METHODS: Semi-structured interviews were conducted with 38 volunteers and 23 befriending recipients, across 12 mental health befriending schemes in the UK, and analysed using Thematic Analysis. Volunteers highlighted their motivations for wanting to befriend. Individuals discussed their experiences, including the benefits and any challenges. RESULTS: Analysis of interviews revealed the motivations for individuals to volunteer in mental health care, the experiences of both volunteers and recipients of befriending, as well as how complex the role of befriender is. The three overarching themes were (1) Personal growth & altruism as motivations for volunteering, (2) Impact of "doing things" versus "being there" and (3) Negotiating between professional role and friendship. CONCLUSIONS: A number of personal and altruistic factors motivate individuals to volunteer in mental health care. The experiences of both volunteers and befriendees convey important factors affecting these relationships. In particular, the nuance of the befriending role and the ways in which it can impact the lives of recipients. Indeed, such factors need to be considered when formulating these befriending schemes.


Assuntos
Altruísmo , Amigos/psicologia , Transtornos Mentais/psicologia , Saúde Mental , Motivação , Voluntários/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Transtornos Mentais/terapia , Saúde Mental/tendências , Pessoa de Meia-Idade , Adulto Jovem
19.
Am J Orthod Dentofacial Orthop ; 155(4): 552-559, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30935610

RESUMO

INTRODUCTION: In society, dental professionals, including orthodontists, are often viewed as being solely motivated by money. Nevertheless, numerous orthodontists volunteer for community initiatives where they provide free or heavily subsidized treatment for underserved populations. This study explores the motivations of a group of New Zealand orthodontists who volunteered for one of these initiatives, Wish For A Smile (WFAS), as well as the high and low points of this work. METHODS: Qualitative telephone interviews were conducted with 11 orthodontists who volunteer for WFAS. An inductive data analysis of the data was undertaken and a descriptive qualitative method was chosen. RESULTS: Most participants volunteered for WFAS because they desired to give back to the community. High points of their voluntary work were seeing patients' self-esteem, happiness, and future life chances increase as a result of treatment. Low points included seeing the challenging life circumstances of some WFAS patients and treating some adolescents who appeared not to qualify. A number of participants said WFAS patients were more grateful and cooperative than fee-paying patients, whereas others reported the opposite. CONCLUSIONS: There are many reasons why orthodontists volunteer for orthodontic community initiatives, although many may be motivated by a sense of social responsibility to give back to the community.


Assuntos
Ortodontia Corretiva , Ortodontistas , Cuidados de Saúde não Remunerados , Voluntários , Adolescente , Criança , Feminino , Humanos , Masculino , Má Oclusão/terapia , Nova Zelândia , Ortodontistas/psicologia , Voluntários/psicologia
20.
Geriatr Gerontol Int ; 19(7): 673-678, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30993862

RESUMO

AIM: The present study explored the interactive effects of willingness to volunteer and actual volunteer engagement on the maintenance of functional health among older Japanese adults, using data from a 3-year longitudinal study. METHODS: We used data from the 3-year longitudinal Tokyo Metropolitan Institute of Gerontology Longitudinal Interdisciplinary Study on Aging (1997). We examined 676 older adults aged >65 years from the rural Nangai District who were independent in their basic activities of daily living (BADL). A follow-up study was carried out in 2000. We categorized participants into four groups: "willing volunteers," "unwilling volunteers," "willing non-volunteers" and "unwilling non-volunteers." Logistic regression analyses were carried out to evaluate the interactive effects of willingness to volunteer and actual engagement in volunteering at baseline on BADL decline over a 3-year period. RESULTS: During the follow-up period, 6.6% of willing volunteers, 17.4% of unwilling volunteers, 16.3% of willing non-volunteers and 21.0% of unwilling non-volunteers experienced a decline in BADL. Unwilling volunteers (odds ratio [OR] 2.88, 95% confidence interval [CI] 1.29-6.43) and both non-volunteer groups (willing: OR 2.70, 95% CI 1.28-5.72; unwilling: OR 2.48, 95% CI 1.32-4.64) had significantly higher odds of BADL decline than did willing volunteers. When unwilling non-volunteer was set as the reference, the OR of unwilling volunteers became 1.16 (95% CI 0.55-2.49), suggesting that unwilling volunteers had a similar odds of BADL decline as non-volunteers. CONCLUSION: Volunteer activity is effective for preventing BADL decline only for those who willingly engage. Geriatr Gerontol Int 2019; 19: 673-678.


Assuntos
Atividades Cotidianas/psicologia , Comportamento Cooperativo , Participação Social/psicologia , Voluntários , Idoso , Feminino , Disparidades nos Níveis de Saúde , Humanos , Vida Independente/psicologia , Japão , Masculino , Voluntários/classificação , Voluntários/psicologia , Voluntários/estatística & dados numéricos , Engajamento no Trabalho
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