Hwang Yunhee, Lee Gaeon
College of Nursing, Dong-A University, Busan, Korea.
J Korean Acad Nurs. 2023 Oct;53(5):556-569. doi: 10.4040/jkan.23031.
This phenomenological study tried to understand the essence of the transitional care experience of medicaid case managers and its structural meaning. In addition, it was attempted to establish a system of transitional care and seek support measures for medicaid case managers.
The participants of this study were 7 medicaid case managers who had spent more than 1 year and 6 months in medicaid pilot project. Data were collected with individual in-depth interviews from June to December 2021. The data were analyzed by Giorgi's phenomenological analysis method.
The seven constituents derived from the results of this study were 'struggle to establish a living environment', 'dedication to supporting independent living', 'anxiety about safety', 'pressure on care responsibilities', 'distress in building the pilot project', 'pride in role', and 'expectation for improvement'.
The study results provide a comprehensive understanding of the transition care reality for medicaid case managers. They also shed light on managers' perceptions and attitudes. These findings can serve as fundamental information for establishing support measures for medicaid case managers and transitional care systems.
本现象学研究旨在理解医疗补助项目个案管理者过渡性护理体验的本质及其结构意义。此外，本研究试图建立一个过渡性护理体系，并寻求针对医疗补助项目个案管理者的支持措施。
本研究的参与者为7名在医疗补助试点项目中工作超过1年6个月的医疗补助项目个案管理者。2021年6月至12月期间，通过个人深度访谈收集数据。采用 Giorgi 的现象学分析方法对数据进行分析。
本研究结果得出的七个要素为“努力建立生活环境”“致力于支持独立生活”“对安全的焦虑”“护理责任压力”“建立试点项目的困扰”“对自身角色的自豪”以及“对改善的期望”。
研究结果提供了对医疗补助项目个案管理者过渡性护理现实的全面理解。它们还揭示了管理者的认知和态度。这些发现可为建立针对医疗补助项目个案管理者的支持措施和过渡性护理体系提供基础信息。
