Predictors of dropout and burnout in AIDS volunteers: a longitudinal study

Should I Stay or Should I Go? Motives and Barriers for Sustained Collective Action Toward Social Change

Israel's year-long protest calling for Prime Minister Netanyahu's resignation created an opportunity to examine unique factors influencing sustained collective action (SCA; i.e., repeated participation in social movement action for the same cause). As little is known about how to explain such dedication, we compared a well-established set of predictors of one-time collective action (CA) with a new predictors set of SCA, focusing on collective instrumental and socio-emotional (CISE) motivations grounded in previous participation experience, to predict subsequent participation. In a unique longitudinal design, we tracked protestors over 6 weeks. Our findings showed that less emotional exhaustion, more subjective effort into participation, and a perceived closer timeframe for desired social change positively predicted SCA. This differentiates SCA from CA-moreover, as one-time CA predictors did not predict SCA, this suggests a need for a new model to explain SCA based on CISE motivations that reflect continuous goal pursuit.

Exploring the Experiences of Volunteer Assistance Dog Puppy Raisers from the Same Program at Two Australian University Campuses

Assistance dogs are beneficial; however, accessing one can be challenging due to the time, cost, and high failure rates associated with training. A major factor contributing to a high failure rate appears to be the competency of volunteer puppy raisers (PRs), with returning PRs typically more effective than first-time PRs. However, there remains a gap in the literature dedicated to examining PRs' experiences and how they are affected by the raising programs. This study analysed two groups of PRs (N = 16) from the same university-based program in different Australian regions (i.e., one regional and one suburban). Semi-structured interviews were conducted and analysed both inductively and deductively. The inductive approach identified four major themes that helped to understand the PRs experiences throughout the program: expectations as a PR, organisational and environmental support and suitability, the intensity of PR workload, and practical support. The deductive analysis identified four functions of volunteerism relevant to PRs' motivations: altruism (values), egoism (enhancement), interacting with others (social), and learning new skills (understanding). Overall, the results obtained from the two groups were consistent with past findings suggesting the benefits of organisational and practical support. These findings further develop our understanding of how to enhance puppy-raising experiences.

The Intervening Effects of Perceived Organizational Support on COVID-19 Pandemic Stress, Job Burnout and Occupational Turnover Intentions of Collegiate Sport Athlete-Facing Professionals

Already a challenging position in higher education, collegiate sport athlete-facing professionals have been exposed to excessive stress amid the COVID-19 pandemic that can result in emotional exhaustion and a mass exodus of valued employees within collegiate sport organizations. Accordingly, based on COR theory, we aimed to assess the intervening effects of perceived organizational support that can mitigate job burnout and occupational turnover intentions due to pandemic stress. A total of 427 academic support professionals in National Collegiate Athletic Association (NCAA) Division I organizations responded to an online survey measuring pandemic stress, job burnout, occupational turnover intention, and organizational support. Hypotheses were tested through a serial-mediation analysis using the PROCESS macro for SPSS Model 6. Results showed that pandemic stress had a statistically significant effect on occupational turnover through job burnout. It was also confirmed that organizational support fully mediates the relationship between pandemic stress, job burnout, and occupational turnover. Overall, our findings highlight the importance of providing adequate organizational support towards employees under a high level of stress due to the pandemic. As ASPs adapt to the “new normal,” college sport organizations can assist employees by catering the support they provide to meet changing needs, especially by leveraging technologies that have been advanced during the pandemic. Further implications of the findings on collegiate sport organization literature are offered, as are suggestions for future research.

Prevalence of burnout syndrome among Italian volunteers of the Red Cross: a cross-sectional study

Burnout syndrome (BOS) is a work-related constellation of symptoms characterized by emotional exhaustion, depersonalization, and personal accomplishment. A cross-sectional survey was performed to study the prevalence of BOS among a randomly selected sample of 280 Italian Red Cross volunteers. A socio-demographic questionnaire and the Maslach Burnout Inventory (MBI)-HSS were used to collect data. 241 volunteers participated (response rate: 86.1%). A significant proportion of the workers had BOS subscale scores in the highest tertile: emotional exhaustion 8.0%, depersonalization 35.9% and perceived lack of accomplishment 23.5%, respectively. Volunteers in emergency care reported higher levels of emotional exhaustion (p=0.004) and depersonalization (p=0.001), and lower level of personal accomplishment (p=0.042) than volunteers engaged in non-healthcare social and administrative duties. These findings support the opportunity of a set of administrative, organizational and individual preventive interventions for emergency volunteers' mental health.

Predicting Attrition Among Hospice Volunteers

To explore those factors predicting continued involvement among hospice volunteers, this study collected data from questionnaires distributed among 53 individuals who were hospice volunteers, to include personal demographics and measures of locus of control, burnout, hospice self-efficacy, spirituality, and death anxiety. Participants were then contacted between 6 and 8 months later to assess whether they were still actively volunteering for hospice. Those who remained in hospice reported less burnout when adjusting for previous volunteer experience, age, education, and duration of volunteering and a combination of burnout, spirituality, and hospice self-efficacy accurately predicted group membership (completers vs. dropouts) in 82% of the cases. The implications of these exploratory findings for the retention of hospice volunteers are discussed in the context to carefully screening persons before they enter the hospice volunteer role and providing hospice volunteer training for them.

Volunteer peer support and befriending for carers of people living with dementia: An exploration of volunteers' experiences

With ageing populations and greater reliance on the voluntary sector, the number of volunteer-led peer support and befriending services for carers of people with dementia in England is set to increase. However, little is known about the experiences of the volunteers who deliver these interventions, many of whom are former carers. Using in-depth semi-structured interviews with 10 volunteer peer supporters and befrienders, this exploratory study investigated volunteers' experiences of delivering the support, the types of relationships they form with carers and their perceptions of its impact upon them and on carers. Data were analysed using framework analysis. Findings showed that volunteers benefitted from their role due to the 'two-way' flow of support. Experiential similarity and having common interests with carers were considered important to the development of mutually beneficial relationships. Volunteers perceived that carers gained emotional and social support, which in turn improved the carers' coping ability. Being able to see positive changes to carers' lives was important for volunteers to gain enjoyment and satisfaction from their role. However, volunteers also identified challenges with their role, such as dealing with carers' emotions. Future research should investigate ways of reducing potential burden on volunteers and explore the impact of volunteering specifically on former carers of people with dementia.

Burnout in HIV/AIDS Volunteers: A Socio-Cultural Analysis among Latino Gay, Bisexual Men, and Transgender People

Understanding factors associated with burnout among HIV/AIDS volunteers has long-ranging implications for community organizations and prevention. Using a cross-sectional sample of Latino gay/bisexual men and transgender people (N=309), we assess potential correlates of burnout identified by multiple theories, including factors associated with volunteering (experiences, motives) and contextual factors (stigma, sense of community). Reporting negative volunteering experiences was positively associated with burnout, while being motivated by personal HIV/AIDS experiences and having a greater sense of GLBT community was negatively related to burnout. The study highlights central challenges and opportunities to retain volunteers from marginalized communities.

Motivationaler und gesundheitsschädigender Prozess bei Deutschen Hospizhelfern

Zusammenfassung. Eine möglichst lang anhaltende Bindung (Retention) ehrenamtlicher Hospizhelfer an ihre Freiwilligentätigkeit und die Erhaltung der psychischen Gesundheit sind für ambulante Hospizdienste angesichts steigender Zahlen an hochaltrigen Menschen in unserer Gesellschaft sowie zeit- und ressourcenaufwendiger Qualifikation der Ehrenamtlichen wichtige Kenngrößen. Basierend auf dem Job Demands-Resources Modell (JD-R) untersuchte die vorliegende Studie mögliche Prädiktoren für die Absicht, in der Freiwilligentätigkeit zu verbleiben (Retentionsabsicht), und die psychische Gesundheit bei 110 ehrenamtlichen Hospizhelfern. Im Sinne des motivationalen Prozesses zeigten wir einen positiven direkten Effekt der Ressourcen freiwilliger Hospizhelfer auf deren Retentionsabsicht. Zudem fanden wir einen signifikanten negativen indirekten Effekt von Anforderungen auf die psychische Gesundheit der Freiwilligen, welcher über Burnout vermittelt wurde. Insgesamt sprechen die Ergebnisse für eine hohe Ausprägung der Retentionsabsicht von ehrenamtlichen Hospizhelfern und für geringe Burnout-Werte, jedoch bei mehr als einem Viertel der Studienteilnehmer für Depressivitätswerte, die einer weiteren Diagnostik bedürfen.

The impact of volunteering on the volunteer: findings from a peer support programme for family carers of people with dementia

With an ageing population, there are increasing numbers of experienced family carers (FCs) who could provide peer support to newer carers in a similar care situation. The aims of this paper are to: (i) use a cross-sectional study design to compare characteristics of volunteers and recipients of a peer support programme for FCs of people with dementia, in terms of demographic background, social networks and psychological well-being; and (ii) use a longitudinal study design to explore the overall impact of the programme on the volunteers in terms of psychological well-being. Data were collected from programmes run in Norfolk, Northamptonshire, Berkshire and four London boroughs between October 2009 and March 2013. The volunteer role entailed empathic listening and encouragement over a 10-month period. Both carer support volunteers (N = 87) and recipient FCs (N = 109) provided baseline demographic information. Data on social networks, personal growth, self-efficacy, service use and well-being (SF-12; EuroQol Visual Analogue Scale; Hospital Anxiety and Depression Scale; Control, Autonomy, Self-Realisation, Pleasure-19) were collected prior to the start of the intervention (N = 43) and at either 3- to 5 month or 10 month follow-up (N = 21). Volunteers were more likely than recipients of support to be female and to have cared for a parent/grandparent rather than spouse. Volunteers were also more psychologically well than support recipients in terms of personal growth, depression and perceived well-being. The longitudinal analysis identified small but significant declines in personal growth and autonomy and a positive correlation between the volunteers' duration of involvement and perceived well-being. These findings suggest that carers who volunteer for emotional support roles are resilient and are at little psychological risk from volunteering.

Proximal and Distal Antecedents of Funeral Attitudes: A Multidimensional Analysis

This study examined proximal and distal antecedents of funeral attitudes among 436 volunteers aged 18 to 88. Based upon a factor analysis which yielded two factors representing attitudes toward funerals, labeled Pragmatic and Emotional Impact, results suggested a multidimensional structure of funeral attitudes. As hypothesized, for both of these factors, as well as the measures defining them, proximal antecedents (e.g., grief and funeral specific variables) accounted for more unique variance in funeral attitudes than did distal antecedents (e.g., personality and sociodemographic characteristics). Implications for the funeral as an intervention in the larger context of bereavement adjustment are discussed.

The HIV/AIDS caregiver identity as a double-edged sword: a discourse analysis on HIV/AIDS caregiving in South Africa

This article discusses the identity of HIV/AIDS caregivers as constructed by a group of HIV/AIDS caregivers at a non-profit organisation in South Africa. During a 12-month period data were collected through interviews with the organisation's staff and volunteers. Using discourse analysis, the study identified a caregiver identity constructed by participants. This caregiving identity acts as a double-edged sword: while the rewards of caregiving act as a buffer against stressful experiences, the prescriptive nature of the caregiver identity is taxing, and may explain burnout among HIV/AIDS caregivers. The study concludes that for support systems for HIV/AIDS caregivers to be effective, the social culture and identity of HIV/AIDS caregivers must be considered.

[Voluntary work in social and health care: a critical review of assessment instruments]

BACKGROUND

Due to an increasing need for voluntary workers in the provision of care for care-dependent people, sustainable recruiting, retention, and quality management strategies are required. In this regard, assessment instruments (AI) are helpful as a basis for obtaining information and planning. The aims of this critical review are to identify AIs in voluntary work and to analyze and critically appraise their domains, target groups, and psychometric properties.

METHODS

A systematic search with an interdisciplinary emphasis was conducted in Medline, CINAHL, PsycINFO and other socioscientific databases. After the selection of identified articles, 12 research papers remained for analysis and were summarized in a critical review.

RESULTS

In total, 15 AIs, 13 domains (e.g., motivation, satisfaction), and 4 target groups could be identified. The domain "motivation" and the target group "voluntary workers in hospice/palliative care" were most frequently represented. Currently, there are no instruments available which cover a broad range of domains and target groups.

CONCLUSION

To support sustainability and quality of care in volunteerism, the development of new AIs is necessary.

Differences and Similarities among Volunteers who Drop out During the first Year and Volunteers who Continue after eight Years

Differences and similarities between 130 volunteers who remain for more than eight years in the same non-profit organization and 110 volunteers who quit during the first year were analyzed in this paper. Both groups were chosen from a sample of 851 volunteers that were working as volunteers when we assessed the independent variables (Time 1). After a 12-month follow-up (Time 2), 209 (25%) of them had dropped out and 642 (75%) continued in the same organization. Using the previous time, we formed two groups made up of those who dropped out and had been in the organization less than a year and those who continued and had been in the organization more than 8 years. Results show that differences and similarities between both groups are coherent with the three-stage model of volunteer's duration (Chacón, Vecina, & Dávila, 2007). This model includes the functional approach of volunteers' motivations (Clary & Snyder, 1991), and the role identity approach (Callero, 1985), and indicates that people will remain as volunteers insofar as this satisfies the motivations that are relevant for them at the first stage, they develop organizational commitment at the second stage, and they develop role identity as volunteers at the third stage. More specifically, results show that it is possible to predict 85% of the cases correctly using seven variables. Volunteers who remain after eight years feel a higher level of emotional exhaustion, a higher level of organizational commitment, and a strong role identity as volunteers. They are also highly satisfied with the friendships in the organization and have a stronger intention to remain at the long term (2 years).

Burnout and connectedness in the job demands-resources model: studying palliative care volunteers and their families

This study examined the role of burnout and connectedness in the job demands-resources (JD-R) model among palliative care volunteers. It was hypothesized that (a) exhaustion mediates the relationship between demands and depression, and between demands and retention; (b) cynicism mediates the relationship between resources and retention; and (c) connectedness mediates the relationship between resources and retention. Hypotheses were tested in 2 separate analyses: structural equation modeling (SEM) and path analyses. The first was based on volunteer self-reports (N = 204), while the second analysis concerned matched data from volunteers and their family members (N = 99). While strong support was found for cynicism and connectedness as mediators in both types of analyses, this was not altogether the case for exhaustion. Implications of these findings for the JD-R model and volunteer organizations are discussed.

Stressors and coping strategies for HIV-test counselors giving rapid HIV-test results: an exploratory qualitative study

Stress has been extensively researched in the HIV services field. Yet, research regarding stress related to HIV-test counseling has solely focused on stressors related to giving results, even though stress on the HIV test counselor can occur at many points within a counseling session. This exploratory, qualitative study examines the stressors faced and coping mechanisms utilized by HIV-test counselors at AIDS service organizations (ASOs) during rapid HIV-test counseling sessions. Forty-two HIV test counselors were interviewed regarding HIV-test counseling sessions in which they provided preliminary-positive/reactive, negative/nonreactive, and invalid results. Regardless of the test result, HIV test counselors faced stressors, including giving HIV test results; dealing with emotions; difficult clients; self-doubt; and systemic stressors. Most stress was managed through social support, preparatory coping strategies, respite, and putting things into perspective. Despite the exploratory nature of the study, the findings suggest that strengthening support bases and improving current training standards will increase the well-being of HIV test counselors.

Self-reported altruistic and reciprocal behaviors among homosexually and heterosexually experienced adults: implications for HIV/AIDS service organizations

Prior studies find that gay men and lesbians volunteer in HIV/AIDS service organizations at high rates. However, no population-based study has investigated the mechanisms involved. Using data from the General Social Survey, a nationally representative biennial survey that in 2002 and 2004 interviewed 2031 sexually experienced adults, the authors examine levels of empathic concern, altruistic values, and the past year occurrence of altruistic and reciprocal behaviors among homosexually and exclusively heterosexually experienced adults. Overall, women reported higher levels of empathic concern and stronger altruistic values relative to men while men reported engaging in a wider variety of altruistic behaviors than did women. In gender-specific comparisons, homosexually experienced men reported stronger altruistic values than did exclusively heterosexual men but levels of empathic concern and the range of altruistic and reciprocal behaviors engaged in did not vary appreciable. Among women, homosexually experienced women reported engaging in a wider range of altruistic behaviors than exclusively heterosexual women, but did not differ in their levels of empathic concern or strength of altruistic values. Findings support the existence of some small sexual orientation-related differences in altruistic values and altruistic and reciprocal behaviors. These have implications for HIV-related volunteerism. One surprising finding in this study was that approximately 17% of homosexually experienced men had donated blood in the year prior to interview despite the prohibition against doing so.

Challenges in providing services in methadone maintenance therapy clinics in China: service providers' perceptions

BACKGROUND

The Methadone Maintenance Therapy (MMT) program has been initiated in China since 2004. As of the end of November, 2008, 558 MMT clinics had been established countrywide. The objective of this study was to elucidate the difficulties and challenges as perceived by service providers working in MMT clinics.

METHODS

One service provider from each of the 28 MMT study clinics in Zhejiang and Jiangxi Provinces of China participated in a face-to-face in-depth interview for about 1-2h to describe their perceptions of working in MMT clinics. Qualitative data were analysed using ATLAS.ti. The grounded theory was used to guide the data analysis.

RESULTS

Participants identified major problems in providing services in MMT clinics including lack of resources, professional training, and institutional support. Difficulties in pursuit of career, concern for personal safety, low income, heavy working load, and poor opinion of MMT by Chinese society often contributed to greater stress and burnout among the service providers.

CONCLUSION

The MMT programs in China desperately need additional resource allocation and institutional support for the current and perhaps future expansion of the programs. The service providers are in urgent need of professional training to improve the quality of care they can offer MMT clients.

Stigmatization and shame: consequences of caring for HIV/AIDS patients in China

Using a representative sample of 478 doctors, nurses, and lab technicians working with people living with HIV/AIDS (PLWHA), a cross-sectional study was conducted to assess the impact of the AIDS epidemic on medical care systems and service providers in China. Correlation analyses showed significant association between internalized shame reported by service providers and their perception of being stigmatized due to working with PLWHA. Multivariate analyses revealed that the perceived level of institutional support for AIDS care was significantly related to the stigmatization and shame reported by the service providers. The study findings suggest that improved institutional support for AIDS care at the facility level and HIV-related stigma reduction intervention are crucial to maintain a high quality performance by the workforce in the health care system.

Key components of a theory-guided HIV prevention outreach model: pre-outreach preparation, community assessment, and a network of key informants

Although outreach frequently is used to provide community-based HIV prevention services to members of underserved populations, researchers may not be familiar with the specific components of and factors influencing outreach and how systematic community outreach methods can be used to recruit participants for research purposes. This article describes key components of a theory and PRECEDE-based outreach model developed and used as part of a broader study examining the feasibility of enhancing access to STD clinical services for sexually transmitted diseases in order to reduce HIV incidence. We present a three-part outreach model and describe lessons learned from implementing it. Factors that improved access to key informants who could facilitate participant recruitment during the outreach process included sustained project visibility in the community, outreach worker affiliation with trusted community-based organizations, and development of a reliable network of key informants. This model enabled a systematic approach to reaching community members and documenting the steps taken to do so.

Recognizing HIV/AIDS volunteers’ stressors and desire for support

Little research has focused on experiences of volunteers for people living with HIV/AIDS but other research on caregivers for this population illustrates the stress often experienced. This study identifies stressors experienced by volunteers for people with HIV/AIDS, and determines the types of social support needed to help volunteers cope with the stressors identified. Six volunteers were interviewed at a small non-profit organization in Appalachia providing such services. Participants indicated that providing services for people with HIV/AIDS is a rewarding experience; however, stress and frustration played a large role in their experiences with the organization. Further, the results of this study indicate that emotional and informational social support may help volunteers cope with stressors associated with providing services for people with HIV/AIDS.

The Relationship Between the Big Five Personality Factors and Burnout: A Study Among Volunteer Counselors

In the present study of 80 volunteer counselors who cared for terminally ill patients, the authors examined the relationship between burnout as measured by the Maslach Burnout Inventory (C. Maslach, S. E. Jackson, & M. P. Leiter, 1996) and the 5 basic (Big Five) personality factors (A. A. J. Hendriks, 1997): extraversion, agreeableness, conscientiousness, emotional stability, and intellect/autonomy. The results of 3 separate stepwise multiple regression analyses showed that (a) emotional exhaustion is uniquely predicted by emotional stability; (b) depersonalization is predicted by emotional stability, extraversion, and intellect/autonomy; and (c) personal accomplishment is predicted by extraversion and emotional stability. In addition, some of the basic personality factors moderated the relationship between relative number of negative experiences and burnout, suggesting that personality may help to protect against known risks of developing burnout in volunteer human service work.

The role of individual, interpersonal, and organizational factors in mitigating burnout among elderly Chinese volunteers

OBJECTIVE

This study examined the role of individual, interpersonal, and organizational factors in mitigating burnout among elderly Chinese volunteers in Hong Kong.

METHODS

A total of 295 elderly Chinese volunteers were individually interviewed on their demographic characteristics, voluntary service experience, physical health status, general self-efficacy, social support, satisfaction and perceived benefit from volunteer work, and burnout symptoms. Exploratory factor analysis was first performed to determine the underlying dimensions of burnout experience. Correlation analyses were then conducted to explore associations among major variables. Hierarchical regression analyses were also performed to unearth the relative contribution of various factors in predicting burnout among elderly volunteers.

RESULTS

A two-factor structure of burnout, namely lack of personal accomplishment and emotional depletion, was found. Demographics, individual, interpersonal, and organizational factors were significant predictors of lack of personal accomplishment. In particular, personal accomplishment was best predicted by a long duration of voluntary work service and high levels of self-efficacy, work satisfaction, and perceived benefit. For emotional depletion, only demographics and individual factors were significant predictors. A low level of emotional depletion was best predicted by older age, a short duration of voluntary work experience, and good health.

CONCLUSIONS

Burnout experience was evident among elderly Chinese volunteers. There were different predictors of affective and cognitive components of burnout. Findings have significant implications to attenuate burnout symptoms among elderly volunteers.

Buddy programs for people infected with HIV

The purposes of this correlational study were to describe and compare clients' and volunteers' perceptions of a buddy program for people infected with HIV and to identify relationships between social support and clients' quality of life. Clients' social support was assessed with the Interpersonal Support Evaluation List(ISEL), and their quality of life was assessed with the Medical Outcomes Study-HIV (MOS-HIV) Scale. Clients' and volunteers' perceptions of satisfaction and assistance with activities were assessed with researcher-developed instruments. A convenience sample of 46 client-volunteer dyads was recruited from five AIDS service organizations. Clients perceived adequate levels of social support, moderate amounts of assistance, high levels of satisfaction with client-volunteer relationships, and moderate to low quality of life. A positive relationship was found between clients' and volunteers' perceptions of satisfaction. Relationships were found between ISEL subscales and the Health Transition and Mental Health subscales of the MOS-HIV and the MOS-HIV total scale scores. The findings of the study provide support for the continuation of buddy programs.

Predictors of retention among HIV/hemophilia health care professionals

Health care professionals working with individuals with chronic medical illness, especially those infected with the Human Immunodeficiency Virus (HIV), may be at risk for burnout and departure due to various job stresses such as the death of patients and social stigma. Factors that prevent burnout and employee attrition are seldom studied. Two hundred thirteen staff (doctors, nurses and mental health workers) at a representative sample of Hemophilia Treatment Centers (HTC) completed instruments to measure Burnout (Maslach Burnout Inventory), and perceived job stresses and satisfaction (job tasks, interactions with colleagues and patient care). The staff were surveyed again after two years and their job status determined after 4 years. After 4 years, 35% of the staff had left the field of Hemophilia/HIV care. Univariate tests found that retention was significantly associated with initial job satisfaction, being married and low levels of stress with colleagues. Burnout, as measured by the Maslach Burnout Inventory, at baseline, was unrelated to job retention over 4 years. An adjusted multiple logistic regression of all significant variables found that colleague support was most related to retention (OR=2.8, CI=1.49,5.1). We conclude that attrition of highly trained staff is a significant issue for patients and HTCs. These data suggest the important role that a well-functioning team can have in buffering the inevitable stresses associated with HIV care. Mental Health professionals have considerable expertise in addressing these issues.