References

Measuring the impact of Helping in Hospitals: final evaluation report. 2016. https://tinyurl.com/y5hx9g6r (accessed 19 August 2020)

Brown H, Jones L. The role of dining companions in supporting nursing care. Nurs Stand.. 2009; 23:(41)40-46 https://doi.org/10.7748/ns2009.06.23.41.40.c7049

Buys D, Flood K, Real K, Chang M, Locher J. Mealtime assistance for hospitalized older adults: a report on the SPOONS volunteer program. J Gerontol Nurs.. 2013; 39:(9)18-22 https://doi.org/10.3928/00989134-20130614–01

Care Quality Commission. The state of care in NHS acute hospitals: 2014 to 2016. 2017a. https://tinyurl.com/j5td2b8 (accessed 19 August 2020)

Care Quality Commission. 2016 emergency department survey: statistical release. 2017b. https://tinyurl.com/yxevr5md (accessed 19 August 2020)

Care Quality Commission. 2018 adult inpatient survey: statistical release. 2019. https://tinyurl.com/y5c4x673 (accessed 19 August 2020)

Charalambous L. The value of volunteers on older people's acute wards. Nursing Times.. 2014; 110:(43)12-14

The friends and family test: will hospitals raise their game?. 2012. https://tinyurl.com/y54tuhsv (accessed 19 August 2020)

Crossing the quality chasm: a new health system for the 21st century.Washington, DC: National Academy Press; 2001

Evaluation of King's College Hospital volunteering service. 2014. https://tinyurl.com/y2o24akz (accessed 19 August 2020)

Volunteering in acute trusts in England: Understanding the scale and impact. 2013. https://tinyurl.com/y8wvzqua (accessed 19 August 2020)

Through the patient's eyes: understanding and promoting patient-centered care. In: Gerteis M, Edgman-Levitan S, Daley J, Delbanco T (eds). San Francisco CA: Jossey-Bass; 2002

Gilbert J, Appleton A, Jerrim J, Beard C, Russell-Jones D. Assisted feeding for elderly inpatients. Clin Med (Lond).. 2013; 13:(3) https://doi.org/10.7861/clinmedicine.13-3-324

Green S, Martin H, Roberts H, Sayer A. A systematic review of the use of volunteers to improve mealtime care of adult patients or residents in institutional settings. J Clin Nurs. 2011; 20:(13-14)1810-23 https://doi.org/10.1111/j.1365-2702.2010.03624.x

Halford K, Fraser J. Harnessing volunteer skills in health settings. Nursing Times. 2013; 109:(13)14-15

Halldorsdottir S. The dynamics of the nurse-patient relationship: introduction of a synthesized theory from the patient's perspective. Scand J Caring Sci.. 2008; 22:(4)643-652 https://doi.org/10.1111/j.1471-6712.2007.00568.x

Howson F, Sayer A, Roberts H. The impact of trained volunteer mealtime assistants on dietary intake and satisfaction with mealtime care in adult hospital inpatients: a systematic review. J Nutr Health Aging.. 2017; 21:(9)1038-1049 https://doi.org/10.1007/s12603-016-0847-2

Huang CS, Dutkowski K, Fuller A, Walton K. Evaluation of a pilot volunteer feeding assistance program: influences on the dietary intakes of elderly hospitalised patients and lessons learnt. J Nutr Health Aging. 2015; 19:(2)206-210 https://doi.org/10.1007/s12603-014-0529-x

Johnson MF, Heinzerling SB, Mattison K, McGurn J, Rock P, Smith-McMahon D. Emergency department volunteer liason family communication program. J Emerg Nurs.. 1993; 19:(1)34-37

Koivula U, Karttunen S. Volunteers in a hospital—opportunity or threat? Exploratory study from Finland. J Health Organ Manag.. 2014; 28:(5)674-695 https://doi.org/10.1108/JHOM-10-2013-0218

Manning F, Harris K, Duncan R Additional feeding assistance improves the energy and protein intakes of hospitalised elderly patients. A health services evaluation. Appetite.. 2012; 59:(2)471-477 https://doi.org/10.1016/j.appet.2012.06.011

McDonnell A, McKeown J, Keen C, Palfreyman J, Bennett N. Introducing on-ward volunteers to work with patients with dementia. Nurs Older People.. 2014; 26:(4)28-33 https://doi.org/10.7748/nop2014.04.26.4.28.e572

Volunteering in health and care in England. 2013. https://tinyurl.com/yyooxyge (accessed 19 August 2020)

Munn A, Takeno J. Volunteer and patient advocates in the emergency department. J Emerg Nurs.. 1996; 22:(5)427-8 https://doi.org/10.1016/s0099-1767(96)80167-x

National Clinical Guidelines Centre. Patient experience in adult NHS services: improving the experience of care for people using adult NHS services. Full version of NICE clinical guideline CG138. 2012a. https://tinyurl.com/y2xuuhje (accessed 19 August 2020)

National Institute for Health and Care Excellence. Nutrition support in adults. Quality standard QS24. 2012b. https://tinyurl.com/y4hx6948 (accessed 19 August 2020)

NHS England. Review of the Friends and Family Test. 2014. https://tinyurl.com/y7u99fuf (accessed 19 August 2020)

NHS England. The Friends and Family Test. Updated version. 2015. https://tinyurl.com/znl5ekg (accessed 19 August 2020)

NHS England, NHS Digital. Hospital accident and emergency activity, 2017-18. 2018. https://tinyurl.com/yyu2zzhq (accessed 19 August 2020)

NHS National Quality Board. NHS Patient Experience Framework. 2012. https://tinyurl.com/y42uzllg (accessed 19 August 2020)

O'Sullivan D, Griffin J, O'Sullivan B, Lynch D, Mannix M, Timmons S. Attitudes of staff, patients and family members toward hospital volunteers. International Journal of Aging and Society. 2016; 6:(4)73-80 https://doi.org/10.18848/2160-1909/CGP/v06i04/73-80

Person-centred care in Europe: a cross-country comparison of health system performance, strategies and structures. 2016. https://tinyurl.com/s72hsxc (accessed 19 August 2020)

Picker Institute Europe. Survey Development Report for The Emergency Department Survey 2016. 2016. https://tinyurl.com/y34vfjqe

Prabhu V R, Hanley A, Kearney S. Evaluation of a hospital volunteer program in rural Australia. Aust Health Rev.. 2008; 32:(2)265-270 https://doi.org/10.1071/ah080265

Quinn PT. The evolving role of the patient advocate in the emergency department: the experience of one community hospital. J Emerg Nurs.. 2009; 35:(1)48-49 https://doi.org/10.1016/j.jen.2007.06.023

Roberts HC, De Wet S, Porter K The feasibility and acceptability of training volunteer mealtime assistants to help older acute hospital inpatients: the Southampton Mealtime Assistance Study. J Clin Nurs. 2014; 23:(21-22)3240-3249 https://doi.org/10.1111/jocn.12573

Robinson S, Clump D, Weitzel T The Memorial Meal Mates: a program to improve nutrition in hospitalized older adults. Geriatr Nurs.. 2002; 23:(6)332-335 https://doi.org/10.1067/mgn.2002.130279

Robison J, Pilgrim A, Rood G Can trained volunteers make a difference at mealtimes for older people in hospital? A qualitative study of the views and experience of nurses, patient, relatives and volunteers in the Southampton Mealtime Assistance Study. Int J Older People Nurs.. 2015; 10:(2)136-145 https://doi.org/10.1111/opn.12064

The role of volunteers in the NHS. Views from the front line. 2018. https://tinyurl.com/y3n3nr3u (accessed 19 August 2020)

Safe staffing for older people's wards.London: RCN; 2012

Samaddar K, Samaddar R, Heller P, Celaya M. Emergency department volunteers: defining the position and its effect on the patient experience. Am J Emerg Med.. 2018; 36:(8) https://doi.org/10.1016/j.ajem.2018.01.015

Sanon M, Baumlin KM, Kaplan SS, Grudzen CR. Care and Respect for Elders in Emergencies program a preliminary report of a volunteer approach to enhance care in the emergency department. J Am Geriatr Soc. 2014; 62:(2)365-370 https://doi.org/10.1111/jgs.12646

Sneddon J, Best C. Introduction of mealtime volunteers in a district general hospital. Nurs Stand. 2011; 26:(15-17)37-40 https://doi.org/10.7748/ns2011.12.26.15.37.c8871

Steunenberg B, van der Mast R, Strijbos M, Inouye S, Schuurmans M. How trained volunteers can improve the quality of hospital care for older patients. A qualitative evaluation within the Hospital Elder Life Programme (HELP). Geriatr Nurs.. 2016; 37:(6)458-463 https://doi.org/10.1016/j.gerinurse.2016.06.014

Tassone E, Tovey J, Paciepnik J Should we implement mealtime assistance in the hospital setting? A systematic literature review with meta-analyses. J Clin Nurs. 2015; 24:(19-20)2710-2721 https://doi.org/10.1111/jocn.12913

van der Ploeg ES, Mbakile T, Genovesi S, O'Connor DW. The potential of volunteers to implement non-pharmacological interventions to reduce agitation associated with dementia in nursing home residents. Int Psychogeriatr.. 2012; 24:(11)1790-1797 https://doi.org/10.1017/S1041610212000798

Walton K, Williams P, Bracks J A volunteer feeding assistance program can improve dietary intakes of elderly patients--a pilot study. Appetite. 2008; 51:(2)244-8 https://doi.org/10.1016/j.appet.2008.02.012

Wolford S. Emergency department patient liaison volunteers: A cost containment and visitor satisfaction strategy. J Emerg Nurs. 1995; 21:(1)17-21 https://doi.org/10.1016/s0099-1767(95)80006-9

Wong A, Burford S, Wyles CL, Mundy H, Sainsbury R. Evaluation of strategies to improve nutrition in people with dementia in an assessment unit. J Nutr Health Aging.. 2008; 12:(5)309-312 https://doi.org/10.1007/BF02982660

Wright L, Cotter D, Hickson M. The effectiveness of targeted feeding assistance to improve the nutritional intake of elderly dysphagic patients in hospital. J Hum Nutr Diet.. 2008; 21:(6)555-562 https://doi.org/10.1111/j.1365-277X.2008.00915.x

Impact of volunteers in the emergency department

10 September 2020
17 min read
Volume 29 · Issue 16

Abstract

Background:

Fundamental aspects of patient experience have been reported as substandard in emergency departments. Hospital volunteers can improve the patient experience in inpatient settings. However, evidence is limited on their impact in emergency departments.

Aims:

To determine whether emergency department volunteers could enhance patient experience through assisting with the psychological aspect of patient care and patients' nutritional needs.

Methods:

Patients attending an emergency department responded to a questionnaire as part of a cross-sectional study. Comparisons were made between when the volunteer scheme was running and when there were no volunteers. Outcomes included patient experience of emotional support from staff and access to food and drink.

Results:

Patients present when the volunteer scheme was running reported obtaining food and drink more often (96/124 vs 20/39, % rate difference 26, 95% CI 10–42, P=0.002) and that a member of staff offered them something to eat and drink more frequently (96/146 vs 19/52, % rate difference 29, 95% CI 14–45, P<0.001). There was no difference between patient responses when the volunteer scheme was running and not for emotional support from staff (49/68 vs 14/21, % rate difference 5, 95% CI -17-28, P=0.63).

Conclusions:

Hospital volunteers made a substantial contribution to providing food and drink to patients in the emergency department. Emotional support from volunteers was limited.

Emergency departments in the UK are facing increasing demands and economic pressures (Care Quality Commission (CQC), 2017a; NHS England and NHS Digital, 2018). These pressures along with staff shortages can lead to substandard care. In some instances, aspects of fundamental patient care, such as emotional support and provision of nutrition, have been reported by patients to be poor in emergency departments (CQC, 2017b).

The psychological and emotional aspects of patient care are essential parts of holistic care and the patient experience (Gerteis et al, 2002; Committee on Quality of Healthcare in America, 2001; National Clinical Guidelines Centre (NCGC), 2012; NHS National Quality Board, 2012; Paparella 2016). In the 2018 CQC survey of adult inpatients 28% of patients stated that they were unable to find a staff member to talk about their worries and fears (CQC, 2019). A Royal College of Nursing (2012) report found that 78% of nurses stated that on their last shift, they were unable to adequately comfort patients due to a lack of time. Furthermore, the CQC's survey of emergency department patients in 2016 found that of those who were feeling distressed only 48% felt that a member of staff definitely reassured them and 57% said that a doctor or nurse discussed their fears and anxieties about treatment and their condition (CQC, 2017b). There is therefore a need to improve this aspect of care. This study investigated whether volunteers can help improve patient experience by providing emotional support to patients in the emergency department.

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