Eun-Jun Park; Chunmi Kim; Seung Joo Lim

doi:10.4040/jkan.2012.42.2.149

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Original Article
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):149-160.
DOI: https://doi.org/10.4040/jkan.2012.42.2.149
Published online: April 30, 2012

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: March 4, 2011 • Accepted: April 26, 2012

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Abstract
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REFERENCES

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

This work was supported by Konkuk University in 2012.

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Figure 1

The paradigm model of role transition experience of case managers for medical-aid beneficiaries.

Table 1

Concepts, Sub-categories, and Categories related to Role Transition Process of Case Managers for Medical-aid Beneficiaries

Figure & Data

REFERENCES

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

J Korean Acad Nurs. 2012;42(2):149-160. Published online April 30, 2012

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

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

Figure 1 The paradigm model of role transition experience of case managers for medical-aid beneficiaries.

Figure 1

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

Table 1

Concepts, Sub-categories, and Categories related to Role Transition Process of Case Managers for Medical-aid Beneficiaries

Table 1 Concepts, Sub-categories, and Categories related to Role Transition Process of Case Managers for Medical-aid Beneficiaries