KMID : 0806120120420020149
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´ëÇÑ°£È£ÇÐȸÁö 2012 Volume.42 No. 2 p.149 ~ p.160
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Role Transition from Clinical Nurse to Case Manager for Medical-aid Beneficiaries: Taking Root in a Barren Land
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Park Eun-Jun
Kim Chun-Mi Lim Seung-Joo
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Abstract
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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.
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KEYWORD
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Case management, Qualitative research, Professional role, Nurse¡¯s role, Medical assistance
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