Joo Jee Young, Huber Diane L
1 Gachon University, Incheon, Korea.
2 University of Iowa, Iowa City, IA, USA.
Clin Nurs Res. 2018 Nov;27(8):1002-1016. doi: 10.1177/1054773817717861. Epub 2017 Jun 28.
The purpose of this study is to identify issues of case management (CM) interventions in the United States in recent studies and to identify implications for future research into CM. This study was guided by the following framework for a scoping review. Multiple electronic databases were searched to identify studies published between 2007 and 2016 in the United States and related to nursing CM. Five weaknesses were identified: no clear and consistent definition of CM, lack of theoretical frameworks, lack of standard guidelines in CM practice, lack of precise CM dosage and of process measures, and limited reports of explicit role of nurse case managers and role confusion by nurses. Three strengths were also identified. More rigorous and continuous efforts to develop theoretical frameworks and evaluation tools, as well as clear definitions and precise role descriptions, are required for future research and practice into CM.
本研究的目的是识别近期美国研究中病例管理(CM)干预措施的问题,并确定对CM未来研究的启示。本研究以以下范围综述框架为指导。检索了多个电子数据库,以识别2007年至2016年在美国发表的、与护理CM相关的研究。确定了五个弱点:CM没有明确一致的定义、缺乏理论框架、CM实践中缺乏标准指南、缺乏精确的CM剂量和过程测量,以及护士个案管理者明确角色的报告有限且护士存在角色混淆。还确定了三个优势。未来CM的研究和实践需要更严格和持续地努力来开发理论框架和评估工具,以及明确的定义和精确的角色描述。