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Role Transition from Clinical Nurse to Case Manager for Medical-aid Beneficiaries: Taking Root in a Barren Land
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Eun-Jun Park, Chunmi Kim, Seung Joo Lim
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J Korean Acad Nurs 2012;42(2):149-160. Published online April 30, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.2.149
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 Abstract
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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.
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Citations
Citations to this article as recorded by  - Experience of Clinical Adaptation among Nurses in Intensive Care Unit
Jin Young Hong, Sue Kyung Sohn
Journal of Korean Critical Care Nursing.2024; 17(1): 1. CrossRef - Perceived barriers to implementing case management for medical‐aid beneficiaries in South Korea
Jeonghyun Cho, Chongwon Park, Jinah Lee, Jiyoung Park
Health & Social Care in the Community.2022; 30(1): 372. CrossRef - Effects of Medicaid Case Manager's Communication Competence and Stress on Their Job Satisfaction
Seung Joo Lim
Journal of Korean Academy of Community Health Nursing.2019; 30(2): 195. CrossRef - Case management effectiveness for managing chronic illnesses in Korea: a systematic review
J.Y. Joo, M.F. Liu
International Nursing Review.2019; 66(1): 30. CrossRef - Experience of Hospital Administrative Nurses' Work Adjustment
Hyun-Ju Lee, Jae-Hyun Ha, Yun-Seo Jung, Jungmi Yun
Journal of Korean Academy of Nursing Administration.2019; 25(5): 424. CrossRef - The Coping Experience of Nursing Students in Clinical Practice: Trying to be a Meaningful Presence
Doo Nam Oh, Young-Rhan Um, Chunmi Kim, Sejin Ju, Jung Hyun Choi, Myung Sook Park
The Journal of Korean Academic Society of Nursing Education.2016; 22(4): 430. CrossRef
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Case Management Process identified from Experience of Nurse Case Managers
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Eun-Jun Park, Chunmi Kim
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J Korean Acad Nurs 2008;38(6):789-801. Published online December 31, 2008
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DOI: https://doi.org/10.4040/jkan.2008.38.6.789
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Abstract
PDF
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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 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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Citations
Citations to this article as recorded by - Association of Medicaid coverage with emergency department utilization after self-harm in Korea: A nationwide registry-based study
Ga In Han, Sikyoung Jeong, Insoo Kim, Min Ah Yuh, Seon Hee Woo, Sungyoup Hong, De-Chih Lee
PLOS ONE.2024; 19(6): e0306047. CrossRef - Experiences of Transitional Care for Medicaid Case Managers
Yunhee Hwang, Gaeon Lee
Journal of Korean Academy of Nursing.2023; 53(5): 556. CrossRef - Perceived barriers to implementing case management for medical‐aid beneficiaries in South Korea
Jeonghyun Cho, Chongwon Park, Jinah Lee, Jiyoung Park
Health & Social Care in the Community.2022; 30(1): 372. CrossRef - Effects of Medicaid Case Manager's Communication Competence and Stress on Their Job Satisfaction
Seung Joo Lim
Journal of Korean Academy of Community Health Nursing.2019; 30(2): 195. CrossRef - Case management effectiveness for managing chronic illnesses in Korea: a systematic review
J.Y. Joo, M.F. Liu
International Nursing Review.2019; 66(1): 30. CrossRef - Social Network, Self-Care Agency and Quality of Life of High-risk Beneficiaries in Case Management of Medicaid
Ju Young Park, Jung Tae Son
Journal of Korean Academy of Community Health Nursing.2017; 28(4): 421. CrossRef - Comparing the Needs of Case Management between Medical Aid Beneficiaries with Simple and Multiple Chronic Diseases
Yang Heui Ahn, Yeonok Suh, Ok Kyung Ham, Hee Kyung Kim
The Korean Journal of Rehabilitation Nursing.2015; 18(2): 98. CrossRef - Trends of Research on the Case Management of Medicaid Beneficiaries in Korea
Soon Ock Kim, Jeonghyun Cho
Journal of Korean Public Health Nursing.2015; 29(3): 412. CrossRef - Case Management for Medical Aid Beneficiaries in Korea: Findings from Case-control Study
Hee-Sun Shin, Jin-Joo Oh
Asian Nursing Research.2014; 8(4): 274. CrossRef - Utilization of long-term care services under the public long-term care insurance program in Korea: Implications of a subsidy policy
Hongsoo Kim, Soonman Kwon, Nan-He Yoon, Kyung-Rae Hyun
Health Policy.2013; 111(2): 166. CrossRef - Role Transition from Clinical Nurse to Case Manager for Medical-aid Beneficiaries: Taking Root in a Barren Land
Eun-Jun Park, Chunmi Kim, Seung Joo Lim
Journal of Korean Academy of Nursing.2012; 42(2): 149. CrossRef - Change in Healthcare Utilization by Disease Severity after Case Management for Medicaid
Seung Joo Lim
Journal of Korean Academy of Community Health Nursing.2010; 21(3): 321. CrossRef
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The Life of Elderly Women Living Alone
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Chunmi Kim, Moon Hee Ko, Moon Jeong Kim, Joohyun Kim, Hee Ja Kim, Jin Ha Moon, Kyoung Seon Baek, Haeng-Mi Son, SangEun Oh, YoungAe Lee, Jung-Sook Choi
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J Korean Acad Nurs 2008;38(5):739-747. Published online October 12, 2008
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DOI: https://doi.org/10.4040/jkan.2008.38.5.739
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Abstract
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Purpose
This study aimed to uncover the fundamental nature of living alone in female elderly.
Methods
The phenomenological research approach developed by van Manen was adopted.
Results
The theme was ‘taking a firm stand alone on the edges of life’. The composition elements of living alone experienced by elderly women were as follows: 1) Corporeality: participants perceived their bodies by their health status. Unhealthy participants were suffering with diseases and dependant on other persons, while healthy participants were free from family responsibility and kept on moving. 2) Spatiality: participants felt both freedom and loneliness while they stayed home. 3) Relationality: participants felt pity and yearning for their bereaved husband and sometimes talked to his picture. According to their children’s filial piety, participants were pleased or displeased. However, they incessantly devoted themselves to their children. 4) Temporality: participants considered the rest of their life as extra-time which was proceeding to death, and tried to keep themselves busy before they died.
Conclusion
A nurse should understand the multifarious aspects of elderly women’s life, and then intervene to consolidate their strengths for self-supporting the final years of life.
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Citations
Citations to this article as recorded by - The Effect of Health-Related Habitual Consumption and Lifetime on Subjective Health of One Person Households: Focusing on Comparison between Non-One Person Households and Generations
Ji Kyeung Ha, Seonglim Lee
Family and Environment Research.2017; 55(2): 141. CrossRef - A Study on the Experience of Depression in Elderly Women Living Alone
Mi-Ra Won, Kwang Ja Lee
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(3): 195. CrossRef - Different Influence of Risk Factors on Self-rated Health between The Economically Poor and Non-poor Elderly Populations Living Alone: Based on One Sub-area in Seoul
Young-Mi Ko, Youngtae Cho
Korean Journal of Health Education and Promotion.2013; 30(2): 41. CrossRef - Dying old: and preferably alone? Agency, resistance and dissent at the end of life
Allan Kellehear
International Journal of Ageing and Later Life.2009; 4(1): 5. CrossRef
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