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Park and Kim: Case Management Process identified from Experience of Nurse Case Managers
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2008; 38(6): 789-801.

Published online: 31 December 2008

DOI: https://doi.org/10.4040/jkan.2008.38.6.789

Case Management Process identified from Experience of Nurse Case Managers

Eun-Jun Park, 1, Chunmi Kim, 2

1Assistant Professor, Department of Nursing, Kyungwon University, Seongnam, Korea.

2Associate Professor, Department of Nursing, Yeojoo Institute of Technology, Yeoju, Korea.

Address reprint requests to: Kim, Chunmi. Department of Nursing, Yeojoo Institute of Technology, 200 Myeongseong-ro, Yeoju-eup, Yeojoo-gun, Gyeonggi 469-705, Korea. Tel: 82-31-880-5373, Fax: 82-31-885-7041, cmchoi@chollian.net

Received 18 August 2008       Accepted 6 November 2008

Copyright © 2008 Korean Society of Nursing Science

Abstract

Purpose

The purpose of this study was to develop a substantive theory of case management (CM) practice by investigating the experience of nurse case managers caring for Medical Aid enrollees in Korea.

Methods

A total of 12 nurses were interviewed regarding their own experience in CM practice. Data were recorded and analyzed using grounded theory.

Results

Empowerment was the core category of CM for Medical Aid enrollees. The case managers engaged in five phases as follows, phase of inquiring in advance, building a relationship with the client, giving the client critical mind, facilitating positive changes in the client's use of healthcare services, and maintaining relationship bonds. These phases moved gradually and were circular if necessary. Also, they were accelerated or slowed depending on factors including clients' characteristics, case managers' competency level, families' support level, and availability of community resources.

Conclusion

This study helps understand what CM practice is and how nurses are performing this innovative CM role. It is recommended that nurse leaders and policy makers integrate empowerment as a core category and the five critical CM phases into future CM programs.

Keywords: Case management, Qualitative research, Community health services

Figures and Tables

Figure 1
Concept analysis by paradigm model.
jkan-38-789-g001
Figure 2
The process of case management practice
jkan-38-789-g002

Notes

This work was supported by the Korea Research Foundation Grant funded by the Korean Government(MOEHRD) (KRF-2007-331-E00274).

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