PMID- 30615543 OWN - NLM STAT- MEDLINE DCOM- 20200911 LR - 20200911 IS - 1557-7740 (Electronic) IS - 1557-7740 (Linking) VI - 22 IP - 5 DP - 2019 May TI - Palliative Care Volunteers Have High Workload but No Burnout: A Questionnaire Survey from Tanzania. PG - 493-499 LID - 10.1089/jpm.2018.0246 [doi] AB - Background: In Africa, the core of home-based care (HBC) in the villages is provided by volunteer helpers, individuals chosen to provide both support to patients and important information to health officers. Yet, voluntary work in palliative care and the burden of being a volunteer have not been studied in Africa. Objective: To study the content and burden of volunteer work in the palliative home care of Ilembula District Designated Hospital (IDDH), a secondary care institution in Tanzania. Design: A descriptive prospective study using semistructured and closed questionnaires. Setting/subjects: The modified Palliative Care Evaluation Tool Kit (PCETK) and Professional Quality-of-Life Scale (ProQOL) were used to study the work content and workload of 47 volunteers in the palliative HBC of IDDH. ProQOL was translated to Kiswahili. Fifty-seven health care professionals and students validated the translation. Factorial analysis and Cronbach's alphas were calculated for reliability. Results: Responses to PCETK and ProQOL were received from 34 (72%) to 20 (42%) volunteers, respectively. The Kiswahili translation of ProQSL appeared to be highly reliable. On average, a volunteer worked 20 hours/month and had 22 patients. The main activities included helping with daily tasks, preparing meals, assisting with transport, and reporting the patient's clinical condition to the health care officers. The volunteers reported high satisfaction ratings (average 4.2, standard deviations 0.38) and had higher scores than the validation group in the compassion fatigue scale (2.42 vs. 1.55, p < 0.01) but no burnout. Conclusions: The volunteers had high commitment and workload. Even so, coping strategies for dealing with suffering and death should be better addressed in training. FAU - Poyhia, Reino AU - Poyhia R AD - 1 Department of Clinical Medicin, Oncology and Radiotherapy, Division of Palliative Medicine, University of Turku, Turku, Finland. AD - 2 Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Hospital, University of Helsinki, Helsinki, Finland. AD - 3 Kauniala Hospital, Kauniainen, Ilembula, Finland. FAU - Jaatinen, Anna AU - Jaatinen A AD - 1 Department of Clinical Medicin, Oncology and Radiotherapy, Division of Palliative Medicine, University of Turku, Turku, Finland. FAU - Niemi-Murola, Leila AU - Niemi-Murola L AD - 2 Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Hospital, University of Helsinki, Helsinki, Finland. FAU - Mtega, Aida AU - Mtega A AD - 4 Ilembula District Designated Hospital, Tanzania. FAU - Mpumilwa, Godfrey AU - Mpumilwa G AD - 4 Ilembula District Designated Hospital, Tanzania. FAU - Mmbando, Paul AU - Mmbando P AD - 5 Headquarters of the Evangelic Lutheran Church of Tanzania, Arusha, Tanzania. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190107 PL - United States TA - J Palliat Med JT - Journal of palliative medicine JID - 9808462 SB - IM MH - Adult MH - Burnout, Professional/*psychology MH - Cross-Sectional Studies MH - Female MH - Health Personnel/*psychology/statistics & numerical data MH - Home Health Aides/*psychology/statistics & numerical data MH - Humans MH - Male MH - Middle Aged MH - Palliative Care/*psychology MH - Prospective Studies MH - Reproducibility of Results MH - Surveys and Questionnaires MH - Tanzania MH - Volunteers/*psychology/statistics & numerical data MH - Workload/*psychology/statistics & numerical data OTO - NOTNLM OT - home-based care OT - palliative care OT - relationships OT - volunteer OT - vulnerability OT - women EDAT- 2019/01/08 06:00 MHDA- 2020/09/12 06:00 CRDT- 2019/01/08 06:00 PHST- 2019/01/08 06:00 [pubmed] PHST- 2020/09/12 06:00 [medline] PHST- 2019/01/08 06:00 [entrez] AID - 10.1089/jpm.2018.0246 [doi] PST - ppublish SO - J Palliat Med. 2019 May;22(5):493-499. doi: 10.1089/jpm.2018.0246. Epub 2019 Jan 7.