J Korean Acad Nurs.  2008 Dec;38(6):789-801. 10.4040/jkan.2008.38.6.789.

Case Management Process identified from Experience of Nurse Case Managers

• Park EJ
• Kim C

• KMID: 820134
• DOI: http://doi.org/10.4040/jkan.2008.38.6.789

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.

Keyword

Case management; Qualitative research; Community health services

MeSH Terms

Adult
Case Management/*organization & administration
Community Health Nursing
Female
Humans
Interviews as Topic
Korea
Managed Care Programs
Nurse-Patient Relations
Nursing Staff/*organization & administration
Power (Psychology)

Figure

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  Figure 1 Concept analysis by paradigm model.

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  Figure 2 The process of case management practice

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