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Exploring Role Confusion in Nurse Case Management.
MedLine Citation:
PMID:  23389706     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE/OBJECTIVES:: This is a report of the results of a pilot project conducted to identify the areas where role confusion/ambiguity exists in the practice of nurse case management. METHODOLOGY AND SAMPLE:: A convenience sample of 25 registered nurses practicing as case managers in a small east coast medical treatment facility's outpatient clinics. Participants responded to 2 Likert-type surveys designed to evaluate role confusion from an individual and a team membership perspective. RESULTS:: Analysis indicated that nurse case managers experience role confusion in the specific areas of conflicts between time resources, capabilities, and multiple individual roles. There was no identified role confusion associated with membership on multidisciplinary teams. The application of the Synergy Model as a theoretical framework for nurse case management serves as a benchmark for the implementation of evidence-based practices. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE:: This project could serve as the starting point for the development of a skill set for nurse case managers, for the standardization of the practice, and for the recognition of nurse case management as a legitimate nursing subspecialty.
Authors:
Frances C Gray; Ann White; Judith Brooks-Buck
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Professional case management     Volume:  18     ISSN:  1932-8095     ISO Abbreviation:  Prof Case Manag     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-2-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101291585     Medline TA:  Prof Case Manag     Country:  -    
Other Details:
Languages:  ENG     Pagination:  66-76     Citation Subset:  -    
Affiliation:
Frances C. Gray, DNP, RN, CCM, is a 2012 graduate of the Doctor of Nursing Practice program at the University of Southern Indiana, Evansville, IN. Dr. Gray is currently employed as an Assistant Professor at Norfolk State University, Norfolk, VA. Ann White, PhD, RN, MBA, is the Dean of the College of Nursing and Health Professions at the University of Southern Indiana, Evansville, IN. Dr. White served as the faculty mentor for Dr. Gray from August 2010 until April 2012. Judith Brooks-Buck, PhD, is an Associate Professor in the Graduate Professional Education program at Virginia State University, Petersburg. Dr. Buck served as the Practice Partner for Dr. Gray from August 2010 until April 2012.
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