Table 3

SWOT analysis of the MyCare Ageing programme

Strengths
Patient:
  • Provide person-centred support.

  • Expands support system especially for vulnerable population.

  • Reduce anxiety and stress for patients.

  • Reduce patient loneliness when transitioning home.

  • Opportunity for social connection.


Volunteers:
  • Enriching and meaningful experience for volunteers.

  • Skill development for volunteer.

  • Volunteers part of the team.


Hospital:
  • Addresses an identified gap.

  • Cost reduction in hospital.

  • Preventing avoidable remissions.

  • Free up allied health staff/clinicians time on ward.

  • Reduce hospital staff burden.

  • Increased awareness of dementia and delirium.

  • Could facilitate early discharge.


Programme design:
  • Novel.

  • Mutually beneficial relationship between volunteer and client.

  • Proactive and preventive.

  • Positive benefits for volunteers and clients.

  • Early intervention provided.

Weaknesses
Patient:
Patient confidentiality.
Volunteers:
  • Recruitment and turnover – filling gap during transitions.

  • Ongoing support volunteers and consultation/supervision.

  • Crisis training required for volunteers.

  • Travel for volunteers – geographic catchments.

  • Large time commitment.

  • Lack of continuity of volunteers.

  • Variation and unstandardized approach of volunteers.

  • Not having immediate professional support for volunteers.

  • Volunteers are not paid so consideration of specific training and not asking too many demands of the volunteers is required.

  • Clarity surrounding the role of the volunteer – home based and hospital based?

  • Boundaries of volunteers.

  • Uncertainty of recruitment.

  • Matching of volunteers to patients.

  • Need safety and risk assessment.

  • Overlap or competition with other hospital-based volunteer programmes.

Opportunities
Patient:
  • Patient may be able to stay at home for longer.

  • Positive outcomes for families.


Volunteer:
  • Training.

  • Educating community – reduce stigma regarding cognitive impairment.

  • Volunteer drives programme.

  • Volunteer support plan.


Hospital:
  • Reduce burden in healthcare system.

  • Provide best practice care in hospitals.

  • Reinvestment cost saving – financially sustainable.

  • Expanding to aged care facilities.

  • Capacity building in the community.

  • Expansion to other hospitals.

  • Grant to allow paid worker (ie, two-tier approach).

  • Develop strong safety framework.

  • Linkage with community services.

  • Role playing as part of training.

Threats
  • Turnover of volunteers.

  • High population of cognitive impairment.

  • Occupational health and safety – unpredictable behaviours, behavioural and psychological symptoms of dementia and safety in the house.

  • Elder abuse – volunteers may identify this is occurring – need to determine how will this be managed.

  • Measurement of outcomes will be difficult (eg, readmission rate).

  • Degree to which readmission is considered a failure for the programme.

  • Securing consent of participants.

  • Integrating different volunteer groups.

  • Staff acceptance.

  • Risk factors (eg, home).

  • Adequate resources.

  • Volunteer regulation and legislation.

  • Baptcare managing volunteers – possibility of communication challenges.

  • Volunteers need to be self-motivated, reliable, independent, honest, thick-skinned and compassionate.

  • Volunteers should not have experienced a recent loss.