Eun-Jun Park; Chunmi Kim

doi:10.4040/jkan.2008.38.6.789

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Original Article
Case Management Process identified from Experience of Nurse Case Managers: Eun-Jun Park, Chunmi Kim; Journal of Korean Academy of Nursing 2008;38(6):789-801.
DOI: https://doi.org/10.4040/jkan.2008.38.6.789
Published online: December 31, 2008

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: August 18, 2008 • Accepted: November 6, 2008

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Abstract
NOTES
REFERENCES

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

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

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Figure 1

Concept analysis by paradigm model.

Figure 2

The process of case management practice

Figure & Data

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