Hyunjung Moon; In-Sook Lee

doi:10.4040/jkan.2013.43.6.791

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Original Article
Structural Equation Modeling on Case Management Outcomes and Factors Influencing Outcomes in the Community-dwelling Vulnerable Elders: Hyunjung Moon, In-Sook Lee; Journal of Korean Academy of Nursing 2013;43(6):791-800.
DOI: https://doi.org/10.4040/jkan.2013.43.6.791
Published online: December 31, 2013

¹Department of Nursing, Far East University, Eumseong, Korea.

²College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

Address reprint requests to: Lee, In-Sook. College of Nursing, Seoul National University, 28 Yeongeon-dong, Chongro-gu, Seoul 110-799, Korea. Tel: +82-2-740-8828, Fax: +82-2-741-1574, lisook@snu.ac.kr

• Received: September 1, 2013 • Accepted: November 20, 2013

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Abstract
NOTES
REFERENCES

Abstract

Purpose
This study was done to test a structural equation modeling of case management outcomes in order to identify parameters affecting case management outcomes for the community-dwelling vulnerable elders.
Methods
Data were collected from 309 nurses (case managers) and community-dwelling vulnerable elders (clients) from public health centers. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and covariance structure analysis were performed using SPSS Version 18.0 for Windows and Amos 16.0.
Results
The hypothetical model had an acceptable fit: GFI=.97, CFI=.95, RMSEA=.02, SRMR=.05. The factor "case managers' singularity" had the greatest impact on case management outcomes in this model. In addition, the factor "case management practice" influenced case management outcomes; however, client characteristics did not. Case managers' singularity affected case management outcomes directly and indirectly, with case management practice mediating the latter effect.
Conclusion
These results suggest that the causal relationship between case management outcomes and factors influencing these outcomes should be clarified through longitudinal research including a variety of client characteristics. In addition, in future studies, analysis of the effects of programs to improve manpower quality and examine the relationships among case management outcomes should be done.
Keywords: Case management; Vulnerable population; Aged

This manuscript is based on a part of the first author's doctoral dissertation from Seoul National University.

This study was supported by Sigma Theta Tau International, Honor Society of Nursing Lambda Alpha Chapter-at-Large (Korea) in 2011.

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Figure 1

Hypothetical model.

Figure 2

Path diagram for the hypothetical model.

Table 1

General and Health related Characteristics of the Participants (N=309)

BSN=Bachelor of science in nursing; RN-BSN=Registered nurse to bachelor of science in nursing.

Table 2

Descriptive Statistics of the Observed Variables (N=309)

Table 3

Effects of Predictive Variables on Endogenous Variables in the Model

CMP=Case management practice; β=Standardized regression weight; C.R.=Critical ratio; SMC=Squared multiple correlation (R²).

^*p<.05; ^†p<.01; ^‡p<.001.

Figure & Data

REFERENCES

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Structural Equation Modeling on Case Management Outcomes and Factors Influencing Outcomes in the Community-dwelling Vulnerable Elders

J Korean Acad Nurs. 2013;43(6):791-800. Published online December 31, 2013

DOI: https://doi.org/10.4040/jkan.2013.43.6.791

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Structural Equation Modeling on Case Management Outcomes and Factors Influencing Outcomes in the Community-dwelling Vulnerable Elders

Figure 1 Hypothetical model.

Figure 2 Path diagram for the hypothetical model.

Figure 1

Figure 2

Structural Equation Modeling on Case Management Outcomes and Factors Influencing Outcomes in the Community-dwelling Vulnerable Elders

Table 1

General and Health related Characteristics of the Participants (N=309)

BSN=Bachelor of science in nursing; RN-BSN=Registered nurse to bachelor of science in nursing.

Table 2

Descriptive Statistics of the Observed Variables (N=309)

Table 3

Effects of Predictive Variables on Endogenous Variables in the Model

CMP=Case management practice; β=Standardized regression weight; C.R.=Critical ratio; SMC=Squared multiple correlation (R²).

^*p<.05; ^†p<.01; ^‡p<.001.

Table 1 General and Health related Characteristics of the Participants (N=309)

BSN=Bachelor of science in nursing; RN-BSN=Registered nurse to bachelor of science in nursing.

Table 2 Descriptive Statistics of the Observed Variables (N=309)

Table 3 Effects of Predictive Variables on Endogenous Variables in the Model

CMP=Case management practice; β=Standardized regression weight; C.R.=Critical ratio; SMC=Squared multiple correlation (R²).

^*p<.05; ^†p<.01; ^‡p<.001.