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      의료급여 관리사의 실무 경험을 통해서 본 사례관리 과정 = Case Management Process identified from Experience of Nurse Case Managers

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      https://www.riss.kr/link?id=A104100944

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      다국어 초록 (Multilingual 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.
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      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 re...

      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.

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      다국어 초록 (Multilingual 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.
      번역하기

      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 ...

      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.

      더보기

      참고문헌 (Reference)

      1 오복자, "노인 케어매니저의 직무 분석" 한국간호과학회 36 (36): 770-781, 2006

      2 McCracken,G, "The long interview" Sage 1988

      3 Brown, R., "The evaluation of the Medicare coordinated care demonstration: Findings for the first two years" Mathematica Policy Research, Inc 2007

      4 Cesta, T. G, "The case manager’s survival guide: Winning strategies for clinical practice" Mosby. 2003

      5 Lee,K.S, "Report on Symposium: Grounded theory for nursing research" 17 : 105-109, 1987

      6 OECD, "Projecting OECD health and long-term care expenditures: What are the main drivers?"

      7 Dochterman, J. M., "Nursing interventions classification" Mosby 2004

      8 Yamashita, M, "Nurse case management: Negotiating care together within a developing relationship" 41 : 62-70, 2005

      9 Forchuk, C., "Mental health case management in Canada: Job description analyses" 23 : 477-496, 2002

      10 Oh, J. J, "Job analysis and methods for enhancing efficiency of Medical Aid client managers" Dankook University 2007

      1 오복자, "노인 케어매니저의 직무 분석" 한국간호과학회 36 (36): 770-781, 2006

      2 McCracken,G, "The long interview" Sage 1988

      3 Brown, R., "The evaluation of the Medicare coordinated care demonstration: Findings for the first two years" Mathematica Policy Research, Inc 2007

      4 Cesta, T. G, "The case manager’s survival guide: Winning strategies for clinical practice" Mosby. 2003

      5 Lee,K.S, "Report on Symposium: Grounded theory for nursing research" 17 : 105-109, 1987

      6 OECD, "Projecting OECD health and long-term care expenditures: What are the main drivers?"

      7 Dochterman, J. M., "Nursing interventions classification" Mosby 2004

      8 Yamashita, M, "Nurse case management: Negotiating care together within a developing relationship" 41 : 62-70, 2005

      9 Forchuk, C., "Mental health case management in Canada: Job description analyses" 23 : 477-496, 2002

      10 Oh, J. J, "Job analysis and methods for enhancing efficiency of Medical Aid client managers" Dankook University 2007

      11 Ministry of Health & Welfare, "Guidelines for the Medical Aid program in Korea" Author 2008

      12 Shin, Y. S, "Effectiveness of case management for medical aid enrollees" Korea Institute for Health and Social Affair 2007

      13 Guba, E. G., "Effective evaluation" Jossey-Bass 1992

      14 Ko,I.S, "Direction of case management for the Medical Aid enrollees" Ministry of Health & Welfare, National Health Insurance Corporation, Health Insurance Review & Assessment Service, & Korea Human Resource Development Institute for Health and Welfare 2007

      15 Shin,K.R, "Criteria for critique of qualitative nursing research" 26 : 497-506, 1996

      16 Taylor,P, "Comprehensive nursing case management. An advanced practice model" 4 : 2-10, 1999

      17 Park,E.J, "Case management workforce study. Unpublished manuscript" Commission for Case Manager Certification 2007

      18 Challis,D, "Case management in social and health care: Lessons from a United Kingdom program" 2 : 79-90, 1993

      19 Song,M.K, "Case management for the Medical Aid enrollees" Ministry of Health & Welfare, National Health Insurance Corporation, Health Insurance Review & Assessment Service, & Korea Human Resource Development Institute for Health and Welfare 2007

      20 Corbin, J, "Basics of qualitative research" Sage Publications 2008

      21 Rodwell,C.M, "An analysis of the concept of empowerment" 23 : 305-313, 1996

      22 Choi, A. S., "An analysis of nursing research trends about case management published in Korean" 21 : 252-261, 2007

      23 Tahan,H.A, "A substantive theory in acute care case management delivery: Provision of integrated care using a collaborative core team" Columbia University 2003

      24 Kim, C. Y, "A report of the case management pilot project. Seoul: National Health Insurance Corporation, & Graduate School of Public Health" Seoul National University 2004

      25 Ellis-Stoll, C. C., "A concept analysis on the process of empowerment" 21 : 62-68, 1998

      26 Lee, C. S, "A case management practice model focused on the health center for patients with chronic mental illness" 7 : 104-121, 1998

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      학술지 이력

      학술지 이력
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