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

Journal of Korean Academy of Nursing 2012³â 42±Ç 2È£ p.149 ~ 160
KMID : 0806120120420020149
¹ÚÀºÁØ ( Park Eun-Jun ) - °Ç±¹´ëÇб³ °£È£Çаú

±èÃá¹Ì ( Kim Chun-Mi ) - ¼±¹®´ëÇб³ °£È£Çаú
ÀÓ½ÂÁÖ ( Lim Seung-Joo ) - È£¼­´ëÇб³ °£È£Çаú

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
»ç·Ê°ü¸®, ÁúÀû ¿¬±¸, ±Ù°ÅÀ̷йæ¹ý·Ð, ¿ªÇÒ ÀüÀÌ, ¿ªÇÒ ÀûÀÀ
Case management, Qualitative research, Professional role, Nurse¡¯s role, Medical assistance
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