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임상간호사에서 의료급여관리사로의 역할 전이 과정: '척박한 땅에 뿌리내리기'

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

  • 투고 : 2011.03.04
  • 심사 : 2012.04.26
  • 발행 : 2012.04.30

초록

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.

키워드

참고문헌

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  2. 간호학생들의 임상실습 대처 경험: '의미 있는 존재가 되기 위해 노력하기' vol.22, pp.4, 2012, https://doi.org/10.5977/jkasne.2016.22.4.430
  3. Experience of Hospital Administrative Nurses' Work Adjustment vol.25, pp.5, 2019, https://doi.org/10.11111/jkana.2019.25.5.424
  4. 의료급여관리사의 의사소통능력과 스트레스가 직무만족에 미치는 영향 vol.30, pp.2, 2019, https://doi.org/10.12799/jkachn.2019.30.2.195
  5. Perceived barriers to implementing case management for medical‐aid beneficiaries in South Korea vol.30, pp.1, 2012, https://doi.org/10.1111/hsc.13410