Department of Psychiatry, Indiana University School of Medicine (IUSM), USA.
Franciscan Health, USA.
Dementia (London). 2020 Jul;19(5):1560-1572. doi: 10.1177/1471301218802739. Epub 2018 Oct 2.
As the prevalence of persons with dementia increases, a larger, trained, and skilled healthcare workforce is needed. Attention has been given to models of person-centered care as a standard for dementia care. One promising role to deliver person-centered care is the care coordinator assistant. An inquiry about care coordinator assistant's job satisfaction is reasonable to consider for retention and quality improvement purposes. We evaluated care coordinator assistants' job satisfaction quantitatively and qualitatively. This study was part of a Centers for Medicare & Medicaid Services Health Care Innovation Award to the Indiana University School of Medicine. Sixteen care coordinator assistants, predominately female, African American or Caucasian, college graduates with a mean age of 43.1 years participated. Care coordinator assistants wrote quarterly case reports to share stories, lessons learned, and/or the impact of their job and completed the revised Job Satisfaction Inventory and Job in General scales during the second year of the Centers for Medicare & Medicaid Services award. For the Job Descriptive Index subscales promotion, supervision, and coworkers and Job in General, care coordinator assistants scored similar to normative means. Care coordinator assistants reported significantly higher satisfaction on the work subscale and significantly lower satisfaction on the pay subscale compared to normative data. Care coordinator assistants completed 119 quarterly case reports. Job satisfaction and teamwork were recurring themes in case reports, referenced in 47.1% and 60.5% of case reports, respectively. To address the demands of increasing dementia diagnoses, care coordinator assistants can constitute a compassionate, competent, and satisfied workforce. Training care coordinator assistants to work together in a team to address the needs of persons with dementia and caregivers provides a viable model of workforce development necessary to meet the growing demands of this population.
随着痴呆症患者的患病率不断上升，需要更多受过专业培训的医疗保健人员。人们已经关注以以人为本的护理模式作为痴呆症护理的标准。提供以人为本的护理的一个有前途的角色是护理协调员助理。出于保留和提高质量的目的，有必要对护理协调员助理的工作满意度进行调查。我们对护理协调员助理的工作满意度进行了定量和定性评估。这项研究是印第安纳大学医学院获得医疗保险和医疗补助服务中心医疗保健创新奖的一部分。16 名护理协调员助理参加了研究，他们主要是女性，非裔美国人或白人，大学毕业，平均年龄为 43.1 岁。护理协调员助理每季度撰写案例报告，分享故事、经验教训和/或工作的影响，并在医疗保险和医疗补助服务中心奖的第二年完成修订后的工作满意度清单和一般工作量表。在职业描述指数分量表的晋升、监督和同事以及一般工作方面，护理协调员助理的得分与标准均值相似。与标准数据相比，护理协调员助理在工作分量表上的满意度显著更高，而在薪酬分量表上的满意度显著更低。护理协调员助理共完成了 119 份季度案例报告。工作满意度和团队合作是案例报告中的反复出现的主题，分别在 47.1%和 60.5%的案例报告中提及。为了满足不断增加的痴呆症诊断需求，护理协调员助理可以成为一支富有同情心、有能力和满意的劳动力。培训护理协调员助理以团队合作的方式满足痴呆症患者和护理人员的需求，为满足这一人群不断增长的需求提供了一种可行的劳动力发展模式。
