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Table 4 Barriers, Successes, Learnings as Documented by Volunteers

From: Implementing volunteer-navigation for older persons with advanced chronic illness (Nav-CARE): a knowledge to action study

Barriers Successes Learnings
➢ Family and client tensions
➢ Lack of a perceived need for navigation
➢ Difficulties contacting clients or arranging visits
➢ Finding resources, particularly financial
➢ Client symptoms that influenced engagement with navigation
➢ Uncertainty of the illness progression
➢ Emotional impact of long-term relationships with clients.
➢ Managing boundaries
➢ Enhanced client motivation and independence
➢ Ease of navigator/client relationship (friendship development)
➢ Facilitating connections with client’s family
➢ Open and honest communication, including discussions around bad news, illness trajectories, and advance care planning
➢ Legacy conversations (i.e., documenting client’s life story)
➢ Connecting clients with community resources
➢ Client’s support needs will fluctuate alongside their illness
➢ It is not easy to find resources/answers
➢ Clear boundaries are integral to the success of a navigator/client relationship
➢ Frequent and consistent visits and/or check-ins make the navigation process “richer”
➢ Families can identify issues that clients may not
➢ The client/navigator relationship is highly relational and personally impactful
➢ The navigator role is often one of the “friendly visitor”; listening and being present are key