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¹ÚÀºÁØ ( Park Eun-Jun ) - °æ¿ø´ëÇб³ °£È£Çаú
±èÃá¹Ì ( Kim Chun-Mi ) - ¿©ÁÖ´ëÇб³ °£È£Çаú
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Abstract
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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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KeyWords
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Case management, Qualitative research, Community health services
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