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释放潜力:“快乐缔造者”对缓解痴呆症护理工作劳动力短缺的潜在影响:阿姆斯特丹一家长期护理机构从护理到幸福的范式转变。

Unlocking Potential: The Potential Impact of 'Happymakers' in Alleviating the Labor Shortage in Dementia Care Work: The Paradigm Shift From Care To Well-Being At An Amsterdam-Based Long-Term Care Facility.

作者信息

Van Dullemen Caroline, Boersma Petra, Nies Henk

机构信息

Ben Sajet Centre, Amsterdam, The Netherlands.

VU University Amsterdam, Departement Public Administration & Political Science, The Netherlands.

出版信息

Int J Integr Care. 2025 Jul 30;25(3):17. doi: 10.5334/ijic.8579. eCollection 2025 Jul-Sep.

Abstract

INTRODUCTION

This study aims to identify success factors and challenges of an integrated care model, with an underlying goal of addressing the labor shortage in dementia care. The research investigates the interdisciplinary communication in a long-term care facility in Amsterdam, focusing on the collaboration between the so-called 'Happymakers' (non-medically trained staff) and qualified personnel. The Relational Coordination Theory serves as theoretical framework, emphasizing the need for shared goals, knowledge, and mutual respect for effective communication.

METHODS

Using qualitative methods, the research involved interviews with thirty staff members in 2022.

RESULTS

Work satisfaction was rated very positively. The collaboration between the 'Happymakers' and qualified care workers was generally positive, perspectives on risk perception and task alignment varied. Trust and a culture allowing mistakes were deemed crucial.

DISCUSSION CONCLUSION

Overall, the findings suggest that the integration model which includes the paradigm shift from care to well-being, positively influences care quality as well as job satisfaction potentially alleviating the labor market shortage. The study suggests further research on strategies for integrating formal with informal care work and comparative research between integrated dementia care and more traditional, medical oriented types of care.

摘要

引言

本研究旨在确定综合护理模式的成功因素和挑战,其根本目标是解决痴呆症护理方面的劳动力短缺问题。该研究调查了阿姆斯特丹一家长期护理机构中的跨学科沟通情况,重点关注所谓的“快乐缔造者”(未接受过医学培训的工作人员)与专业人员之间的合作。关系协调理论作为理论框架,强调有效沟通需要共同目标、知识和相互尊重。

方法

采用定性方法,该研究在2022年对30名工作人员进行了访谈。

结果

工作满意度得到了非常积极的评价。“快乐缔造者”与专业护理人员之间的合作总体上是积极的,但在风险认知和任务协调方面的观点存在差异。信任和允许犯错的文化被认为至关重要。

讨论结论

总体而言,研究结果表明,包括从护理到福祉的范式转变的整合模式,对护理质量和工作满意度产生了积极影响,有可能缓解劳动力市场短缺问题。该研究建议进一步研究整合正式与非正式护理工作的策略,以及综合痴呆症护理与更传统的、以医疗为导向的护理类型之间的比较研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f10/12315673/e210a84d4a52/ijic-25-3-8579-g1.jpg

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