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Park, Kim, and Lim: Role Transition from Clinical Nurse to Case Manager for Medical-aid Beneficiaries: Taking Root in a Barren Land
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2012; 42(2): 149-160.

Published online: 30 April 2012

DOI: https://doi.org/10.4040/jkan.2012.42.2.149

Role Transition from Clinical Nurse to Case Manager for Medical-aid Beneficiaries: Taking Root in a Barren Land

Eun-Jun Park1, Chunmi Kim2, Seung Joo Lim3

1Assistant Professor, Department of Nursing, Konkuk University, Chungju, Korea.

2Associate Professor, Department of Nursing, Sunmoon University, Asan, Korea.

3Assistant Professor, Department of Nursing, Hoseo University, Asan, Korea.

Address reprint requests to: Kim, Chunmi. Department of Nursing, Science, Sunmoon University, Kalsan-ri, Tangjeong-myeon, Asan-si, Chungnam 336-708, Korea. Tel: +82-41-530-2757, Fax: +41-530-2767, cmchoi@chollian.net

Received 4 March 2011       Accepted 26 April 2012

© 2012 Korean Society of Nursing Science

Abstract

Purpose

The purpose of this study was to explain the role transition process to nurse case managers (NCMs) for Medical-aid beneficiaries in Korea.

Methods

Fourteen NCMs were interviewed regarding their experiences of becoming proficient in the new role of case manger. Data were analyzed through the application of grounded theory.

Results

'Taking root in a barren land' was the core category explaining the role transition process of NCMs. They engaged in four stages: launching, trial and error, proficiency, and wait-and-see stages. NCMs showed not only fear but also passion for case management practice. Despite their passion and effort, NCMs went through a period of trial and error. After becoming skilled, NCMs went through a stage of wait-and-see often because of job insecurity related to temporary position or few opportunities for promotion. Factors influencing NCMs' role transition process included their understanding of client characteristics, belief in case management, and support from their colleagues and families.

Conclusion

NCMs experience many challenges in the process of becoming proficient NCMs. To help with their role transition, there is a need for education programs, preceptorship programs, research on their roles and functions, and regulation for securing NCMs' employment and career stability.

Keywords: Case management, Qualitative research, Professional role, Nurse's role, Medical assistance

Figures and Tables

Figure 1
The paradigm model of role transition experience of case managers for medical-aid beneficiaries.
jkan-42-149-g001
Table 1
Concepts, Sub-categories, and Categories related to Role Transition Process of Case Managers for Medical-aid Beneficiaries
jkan-42-149-i001

Notes

This work was supported by Konkuk University in 2012.

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