Not surprisingly, one of the first objections I get for promoting and creating robust volunteer programs for long-term care communities is that it appears that I’m supporting the use of free labor. Nothing could be further from my mind! For sure, there are a lot of regulations and laws governing the use of volunteers but that should not deter you from creating and taking full advantage of a strong volunteer program.
For this reason, I’ve made it my mission to identify and highlight nursing home volunteer programs that have successfully created positive and sustaining partnerships between nursing home paid staff and volunteers. In these programs, paid staff and volunteers compliment one another rather than compete with each other. The professional staff view and embrace their volunteers as an indispensable component for providing great and personalized care. Rather than seeing the volunteers as free labor to be exploited, the staff welcomes them as their working partners. The volunteer is an integral part of the care team and thus rejecting that “us and them” culture.
Like any great program, great volunteer programs do not
happen overnight. Successful volunteer programs like the those that
I’ve written about or witnessed first-hand require a careful, sober, well-thought-out, intentional effort guided by professional
volunteer managers. The process of
creating and sustaining a successful volunteer program involves everyone in the life of the nursing home beginning with the
management team, the medical staff, the housekeepers, the dietitians, the social workers, and life enrichment coordinators to name a few.
Working with the Department of Labor, unions if they are involved, and other regulatory bodies such as Health and Human Services, in the development of your volunteer program, and the volunteer job descriptions will ensure that duties assigned to the volunteers are not in violation of labor laws and do not give the appearance of replacing staff with free labor. In talking with the Baycrest Health, Director of Volunteers, Janis Sternhill at Baycrest Health in Toronto, during my visit, she said that in 30 years of their volunteer program history, there might have been two or three times when their labor union objected to a job description, but working together they were able to resolve those issues.
After 25 years of recruiting and training volunteers for nursing homes and witnessing first-hand the impact of outstanding and well-managed nursing home volunteer programs, I am confident in my claim that nursing home owner/operators would do well to make serious investments in their volunteer programs. Current research shows that when you can discover and address the underlying individual needs and desires of the people under your care, you will likely be providing not only quality care but you will be maximizing their quality of life as well, and that means improving customer satisfaction and positive outcomes for them and for your professional staff.
A “listening ear”
Certainly, there is no doubt that the professional staff must be trained to garner to have this deeper level of insight into their resident’s lives and what matters to them. However, the reality is that time may not be on their side. Recently, while visiting someone in a nursing home, the hallway outside the person’s room I was visiting, was chaotic as calls lights were going off, and aides were running about trying to meet everyone’s needs. Discovering underlying needs is one area where volunteers can be very effective. They can be trained to befriend and learn what matters to the person they are visiting. They, the volunteer becomes the “listening ear,” learning and then if appropriate and respecting confidentiality, relaying what they have learned to the professional staff.
Beyond being present for your people, staff in the exemplary programs were surveyed as to what help a volunteer could be trained to provide, again without violating labor laws and or giving the appearance of exploiting people as free labor. From the programs that I have had the privilege of studying, the director of volunteers give the new volunteer a general orientation and training. The volunteer is then asked as to what department or area of the nursing home they would like to be involved. With that knowledge, the volunteer manager then works with the staff in that area to discover what their needs are and how the volunteer may complement their effort.
Finally, the volunteer program is not about free labor, it’s about providing community support, for an often overwhelmed care staff. The volunteer program is about exposing people from the community at-large to the long-term care community and like me, and many other people for that matter, going on to become more deeply involved. Lastly, the volunteer program broadcasts the message, “We care. We care enough to go the extra mile to make sure that the people in our care have the very best and that includes great volunteers who have the ‘luxury of time’ to give to your loved-ones.”
Let me help you!
If you would like to learn more about how I can help you create or enhance your nursing home volunteer program, please contact me. I would love the opportunity to help you.
For the past several months, actually since the first weekend in October, I’ve been experiencing some of the most excruciating pain a back injury can offer, or at least it feels that way. Mary and I love to take walks and on Saturday mornings during the summer and into early fall, we like to walk to the farmer’s market near our home to buy our week’s supply of fresh tomatoes, cucumbers, peppers, onions, corn, and jostle and bump our way through the crowds of people on a similar mission.
On this particular October Saturday morning, I woke refreshed, got dressed, had my cups of coffee, and with my large green reusable cloth bag folded under my arm, headed off to the market with Mary. As we have many times in the past, we filled our bags with healthy goodies and started our trek back to our home. As we approached the not-so-steep hill that leads to our house, I began to feel a gnawing pain in the lower part of my back. The further up the hill we walked, the worse the pain became.
By the time I was at the top of the hill, I could barely walk.
For the remainder of the walk home, even though it was on level ground, every step I took triggered a sharp pain in my back that was now radiating down my leg. I was able to make it home on my own accord, but by then my back felt as if someone had hit my back with a baseball bat. My leg was cramped and felt as if it was on fire. Confused as to what was happening to me, I wondered how heavy were the bags of vegetables? Yes, they were much lighter than other things I have carried. I concluded that I must have pulled a muscle.
The long and short of it is, I did not pull a muscle, confirmed by weeks of physical therapy and then finally an MRI. The MRI clearly showed that a synovial cyst had formed in the lumbar region of my back and was pressing, without mercy on the nerves of my spinal column. The images of this offending “alien”triggered visits to the pain management clinic and a consult with a neurosurgeon.
This story is far from over, as I have a long way to go.
After ten weeks of enduring this pain, the recent transforaminal epidural steroid injection has provided me with some modest relief, while the scheduled surgery to remove the cyst is still several weeks away. It’s been a long three months. Standing is still very painful, and walking is even more painful. Getting from the couch to the bathroom and back to the sofa is quite an accomplishment for me these days as is any of the other activities of daily living that I need to perform.
Through this experience, I have learned how to create coping strategies.For example, I have a countdown timer on my phone set first to the date of the epidural injection (now complete) and now set to the time of my surgery. Also, I have forced myself to continue to work, teaching online courses and writing. Fortunately, I work from home. And finally, I have used my sense of humor to lighten the atmosphere to what could be a very dark time for Mary and me. But what has struck me the most is what I am learning as a care-receiver. Not being able to do things for myself at the drop of a hat is a real eye-opener. Becoming dependent is a humbling experience. Mary has been a real saint through this time making sure that I have what I need, in addition to her caring for our home.
So, today, as I was thinking about what to write, it occurred to me that I would share my experience with you but then go on to ask you to remember the many, many people living in our communities, that are living in nursing homes, that are depending on someone to care for them. And with that said, I would ask you to remember the men and women who are providing that care.
I would ascribe to them the title as I have to Mary, “Saint.”
Through this holiday season, while many of us will be in our comfortable homes enjoying the company of family and friends, and good food, the people working in nursing homes will be on the job. They will be selflessly caring for people who have little choice but to depend on them for their day-to-day needs. It makes me wonder what that level of dependency feels like and it makes me grateful for the “saints” who are willing to make sure we have what we need.
If you know someone who works in a nursing home, I will encourage you to thank them for what they do. For just as I went from being independent to being dependent during an ordinary morning’s walk so might that be with you. Who will be there to care for you? And how grateful might you be for their help?
If you work in a nursing home, then please accept my heartfelt gratitude for caring for our loved ones living in nursing homes and I wish you the very best for the coming year.
I am thrilled to announce that “Volunteering in Long-Term Communities” volunteer training is now available online!
Over the years, I’ve had the extreme pleasure of training hundreds of volunteers in person, but what always lingered in the back of my mind was the question of reaching a wider audience. There are some 15,000 nursing homes in the United States, and many of them cannot afford to hire a dedicated volunteer manager, and if they do have a volunteer manager, it is likely someone splitting their time between activities and managing the volunteers. As a result, training the volunteers may be limited by time and availability of the “trainer.”
My volunteer management experience taught me early on that managing volunteers is not a part-time job. It requires the volunteer manager to not only work hard to recruit volunteers, but it also includes providing meaningful training so that the volunteer feels prepared and is useful in their role.
Volunteers want training…
Volunteer training does not or should not stop after the initial orientation so providing ongoing training is essential for the volunteer to grow in their position. Research shows that volunteers want ongoing training. And finally, the volunteer manager must work to stabilize the volunteer force by putting processes in place that promote volunteer retention.
While I cannot solve the challenges of funding and time, I can develop volunteer training programs specifically designed for people volunteering in nursing homes and make them accessible to everyone and in their own time. This makes the online training platform extremely valuable to volunteer managers and well as the volunteers.
From my experience in instructional design and teaching online gerontology courses, I have learned what people are looking for in an online course. Those same principles come into play as I design courses for the long-term care volunteer. The training should be “lean and deep,” meaning that the training material is presented in clear and understandable language using various learning styles and that it should be interactive to keep the “trainee” engaged and moving forward.
In this new course, there are eight modules. The first module opens by giving context to the volunteer experience presenting the changes that are taking place in our population, i.e., that the number of people 65 years of age and older is exploding. I want the volunteer to understand the magnitude of the need and statistics associated with the people they will be meeting.
However, I’m careful not to paint a “doom and gloom” picture as some do. Instead, volunteering is an opportunity for the community to become more deeply involved in the life of the nursing home to not only enhance “person-centered” care but to learn first-hand about career opportunities.
From there, the next module deals with ageism and the negative stereotypes that influence the way we view aging and older adults. For me, this is an exciting topic because by the end of this module the volunteer realizes that living in the nursing home is far more than just a “waiting to die” station but instead there is the opportunity for learning and personal growth.
The remaining modules present the various functions of a nursing home and levels of care, communications both verbal and non-verbal and of course, HIPAA, Resident Rights and most important what “person-centered” care really means and how the volunteer can support staff in the delivery of that level of care.
If you oversee the volunteer program at your nursing home then, please consider taking advantage of this online training by encouraging your current volunteers and new volunteers to take this course. Doing so will give them in-depth insight into the aging process and offer them new ideas for creating personalized activities for the people living in your community.
If you are someone that has been thinking about volunteering in a nursing home, this course will give you a solid foundation from which you can rely on and grow in during your volunteer experience.
There is nothing more damaging to a volunteer program than to launch people into a volunteer experience unprepared. More often than not, the volunteers become discouraged and likely do not return while you end up with a “revolving door” volunteer program.
Volunteers, adequately trained, stay on the job adding real value to your long-term care community. However, they need critical insight and tools for that to happen. The learning platform I’m using is user-friendly and is accessible either on your computer or mobile device. The modules are easy to navigate and follow a logical progression, building on upon the other.
Please share this article with the people you know that would appreciate having this resource available to them. If you have questions about the training, feel free to contact me and I would be glad to talk to you.
For the past 25 years, I have been advocating for people to visit the people living in nursing homes. So often nursing home residents do not get visitors which may lead to feelings of loneliness and uselessness.
Over the last seven years I have been advocating for nursing homes to not only expand their volunteer programs but to expand the role of the volunteer in their nursing homes.
With the workforce shortage only growing more acute for the foreseeable future, I believe we need to develop and utilize every resource available to ensure that the people living in nursing homes are getting quality care and have quality of life.
Last year, I made it my mission to search out exemplar or premier volunteer programs and to highlight them at VolunCheerLeader.com. To-date I have identified several great programs, but now it is my extreme pleasure to report on and highlight, in my opinion, what I think might be the premier nursing home volunteer program boasting some 900 adult volunteers and 300 youth volunteers. However, it is going to be a bit of a chore for me to keep this article to a reasonable length. Advocates for volunteers will enjoy this reading on a remarkable volunteer program.
During March of 2016, I attended the American Society on Aging conference. I met several like-minded people also advocating for expanding the role of nursing home volunteers. During our conversations, I was encouraged by them to contact the director of volunteer services at Baycrest, in Toronto, Canada.
I contacted Syrelle Berstein. My initial conversations with Syrelle revealed that Baycrest has been training and recruiting volunteers to provide friendly visits, staff support, administrative support, and encouraging the volunteers to create and facilitate their own activities. I was anxious to go there and see the program first-hand.
Over the next several months, Syrelle retired and Janis Sternhill, M.Ed., stepped into the directorship. I stayed in touch with Syrelle and asked if she would facilitate my visit. She graciously agreed. During the week of June 11, 2017, Syrelle immersed me in the Baycrest culture of care and the Baycrest volunteer program. Having developed the program, she could highlight the salient aspects of the program.
On my first full day in Toronto, Syrelle picked me up at 10 a.m. at the apartment where I was staying, (I use Airbnb these days). We drove to the Baycrest campus which was just a few minutes away. As we entered the campus, I was immediately struck by the enormity of the operation. We drove by building after building, passed by a huge parking lot, and cruised alongside the Baycrest childcare center and then we reached the assisted living high-rise. We parked and began to walk towards the Apotex and Jewish Home for the Aged. I thought to myself, as Syrelle explained what was happening in each building, that this campus is not only comprised of all levels of care but it includes a research center and ties to the University of Toronto. In my mind, this is the perfect setup.
As we approached the glass doors, of the Apotex they automatically parted to the left and right, welcoming us into the foyer of the building. Syrelle logged in as she is now a volunteer herself. The tracking system keeps record of who is in the building and what they are doing.
For the volunteer coordinator, this is great as she can report on volunteer activity in near real time and collect data on the volunteer program.
Once Syrelle logged in, we turned to go through another set of glass doors. As they opened, what I saw literally took my breath away. Before me the ceiling burst upward into a large open area, an atrium that extended eight stories upward culminating into a magnificently sky lit ceiling. (see Figure 2) I was stunned! It was exhilarating! I looked at Syrelle in amazement and asked, “Is this the nursing home?” “Yes,” she said with a big smile. It took a few minutes for me to take it all in and to collect myself.
She then gently turned me to the left to see the area where residents, with the help of an army of volunteers, were creating various ceramic pieces and paintings (see Figure 3). This is where I met the first in a series of many Baycrest volunteers, each of them wearing the bright yellow “Baycrest – Volunteer” lanyard and identification badge. The finished items were on display in large picture windows, facing the interior of the atrium. They were quite colorful and added to the ambiance of this beautiful area.
Once I had regained the ability to breathe again, we moved on with our tour of the facility. It was unlike anything I had ever seen or even imagined in regards to a long-term care community.
As we walked and were greeted repeatedly by volunteers and staff, it soon became very apparent to me that Baycrest not only embraces the concept of person-centered care but has successfully created a wonderful authentic, relational culture that is felt from staff to resident, from staff to volunteer, from volunteer to volunteer, and from staff to staff. It was truly amazing. (Amazing was a word I found myself repeating numerous times throughout my stay).
Syrelle arranged for me to attend several of the activities that volunteers were facilitating or for which they were providing support. Our first stop was to a morning session led by a speech pathologist who was assisted by several Baycrest volunteers. In this case, the volunteers could encourage the residents to take part in the exercises while providing some level of comfort and trust for the resident. In some cases, residents feel more comfortable responding to volunteer requests more readily than staff.
Moving on, we attended a comedy hour conceived and facilitated by Baycrest volunteer, Murray. In his early years Murray was a stand-up comic traveling throughout the United States bumping shoulders with the likes of Alan King and Billy Crystal. Today, he was showing clips of his favorite comedians and sharing a few of his own jokes as well. The audience loved it. I’m certain that they received a healthy endorphin boost setting the tone for their upcoming lunch. Murray facilitates this activity weekly.
From there we toured the assisted living area and then had lunch with Larry, the Baycrest volunteer I met in the speech pathology session. From the volunteers that I had the opportunity to meet, Larry represents what I believe Baycrest is looking for in their volunteers, i.e., a high level of commitment, a warm and outgoing personality, possessing the skills to create and/or facilitate activities, having an authentic desire to make a difference in someone’s life, understanding the significance of what they are doing for the staff and residents and finally possessing a great sense of humor. There was a lot of smiling and laughing during my time at Baycrest.
I asked Larry how he came to volunteer at Baycrest. He told me that after retiring he wanted to stay engaged and was seeking out volunteer opportunities. After several unsuccessful tries at various agencies, Syrelle invited him to try Baycrest. That was two plus years ago. He admitted that initially his motivation was not altruistic but rather he just wanted something to do, something where he could make a difference.
Since then he has discovered the richness of volunteering and working with older adults. He recounted stories of his experiences and talked about how much he has learned from the people he has come to know. As with many volunteers, I have interviewed about their experience, Larry too, talked about how much he was getting from the experience and how good it made him feel. This is a theme that is repeated over and over, “I feel like I’m getting so much more than I’m giving.”
In meeting with the new director of volunteer services, Janis Sternhill, I was reminded again, how critical a great director of volunteers is to creating, growing, and maintaining a sustainable volunteer program. Janis’ experience and expert knowledge of volunteer management, research and her obvious passion for both the volunteers and the residents were unmistakable.
As Janis and I talked about the role of the volunteer, Janis addressed the fact volunteers have the time to sit with a resident, get to know them, their likes, their dislikes, their fears, and their joys. Volunteers get to know someone well enough to even know if a smile means they are really happy. “And it’s not just about the time, but it’s also about meeting that honest need to listen to people.”
She continues by saying that the staff are relieved knowing that the resident is relaxed when they go into their room. The resident has a good experience of feeling validated, acknowledged, and like a human being.
“We have volunteers that come onto units and staff cheer because they know the residents are going to be happy…and the staff can focus on those needing their attention.”
I asked Janis if they are measuring the impact of the volunteer visit and she said that the Baycrest researchers have finished two studies. The first two studies focused on the overall engagement of the resident, i.e., how often did they smile, how often did they speak, what were they doing before the volunteer came in, what did they do after the volunteer came in, and what activities were they doing.
The researchers also interviewed staff in the same manner, i.e., what was the staff doing before the volunteer arrived, what were they doing during and after the volunteer visit. Feedback from the staff was included as well, i.e., how was your experience with the volunteer, and what did you notice on the unit when the volunteers were present, what happens when the volunteers are not on the unit?
And in like manner, the volunteers were asked, “How do you feel when you come onto the unit?” “Do you feel a difference when you are with a resident?” A third study is in progress to collect data at the individual level.
Janis talked about all the tasks that volunteers are doing and/or assisting with behind the scenes.
“Right now, volunteers are assisting in collecting data for the client experience surveys. Our quality department could not do these surveys without the volunteers. They are highly trained and it is ongoing. They get a list of clients to survey and then conduct surveys to find out the quality of life. If you get a company to come in here, you won’t get the same level of engagement as there is with a volunteer.”
As I mentioned above, this supports current research that reveals residents are likely to be more open with volunteers rather than professional staff.
The Baycrest Learning Institute Speaker Series (BLISS) is a new addition to the volunteer program. Professionals from Ryerson University came in and trained people to be facilitators who in turn trained volunteers to facilitate groups and give presentations. The goal however, is not the presentation, but the engagement of the residents in the presentation. Janis offered two examples. The first is a pianist who plays a musical piece and then elicits discussion about how the music makes them feel and other engaging questions. In similar manner, a volunteer from Morocco tells her personal story of life growing up in Morocco.
“This program was volunteer created, volunteer run, volunteer trained, and staff are thrilled.”
When I asked Janis about liability issues, her response was not surprising. “All of our volunteers are highly trained, and starting in January  they have to complete learning modules the same as staff do.” We went on to discuss having liability insurance and there was no “new” news on this topic. You evaluate the tasks volunteers will be doing, identity possible vulnerabilities and then create policies and training to reduce the chance of a mishap.
We discussed the budget and how she justifies the volunteer budget. I believe that it is an ongoing task. I suggested that one must connect volunteer activity to the bottom-line, showing that operations budgets are positively impacted when residents, staff, and families are happy.
Janis points out that,
“We cannot attract young people into gerontology if we don’t give them an opportunity to be exposed to caring for older adults. Providing volunteer opportunities provides that exposure. In like manner, what about the thousands of people who are retiring and looking for “something to do?”
From there, I brought up the subject of labor unions. Janis said that overall the relationship with the unions has been very good, she said, “They get it.” There were instances where the union leaders wanted some adjustments made to job descriptions or clarification as to what the volunteer job was and that the volunteer was not replacing a paid employee who had just left the organization. The unions want to understand what the volunteers are doing.
“If we want our volunteers to be healthy and strong, our aging population to be healthy and strong, there has to be a strong governmental support to support volunteerism.”
In meeting with the volunteer coordinator, Tehila Tewel, I had the opportunity to discuss their recruiting, onboarding and training process. It was reassuring to me, as the founder of Community 360°, that Baycrest also has a stringent vetting process and training protocol. For those of you that follow my articles, you know that I am not only a strong proponent of filtering for highly committed individuals but also adequately preparing the volunteers for the roles that they will be assuming. As a result, as it should be clear by now, Baycrest volunteers are embraced by care staff as a valuable and necessary asset in providing not only quality care but quality of life.
Tehila indicated that they host orientation/information session twice a month attended by some 50 prospective volunteers at each one. At those orientations, attendees receive information about Baycrest, working with our clients, programs offered to clients, wheelchair training, volunteer roles and responsibilities. They are also encouraged to apply.
For those that do apply, they then complete six modules of online training and other screenings and tests as required by the Ontario Long-Term Care Act.
Screening continues when they come in for their interview with a highly trained volunteer interviewer who will place them in the program that matches their skills and Baycrest’s needs. There are many specialized volunteer programs that have been created which require more hands-on training and education. Some of these are offered on-line and others are in classrooms settings. Most of the on-line courses and specialized training provide certificates upon completion. Volunteers are thrilled have the opportunity to learn from our professionals.
As with Community 360°, the attrition rate is high upfront but low on the back-end. One thing I have learned in this process is that no matter how desperate one may be for volunteers, simply putting warm bodies in place will not result in an effective or sustainable volunteer program. Filtering for and training highly committed volunteers is a more difficult path but one that will produce the kind of volunteer program that is in place at Baycrest.
Without exception, volunteers, wearing the yellow “Baycrest – Volunteer” lanyard could be seen everywhere and not just a few. It was so remarkable and refreshing to see, not only the incredible number of volunteers, but that they were truly making a positive impact on the quality of care and quality of life for the people living at Baycrest as well as the staff of Baycrest.
If you are a director of volunteers or are in the process of establishing a volunteer program in your long-term community, please take a good look at the Baycrest volunteer program.
Note: I could have written so much more about the program. For the sake of space and time, I will reserve my full account of this program for my upcoming book: “The Volun-Cheer-Factor.” Stay tuned!