Molina-Gil María José, Guerra-Martín María Dolores, Diego-Cordero Rocío De
South Seville Health Management Area, Andalusian Health Service, 41071 Seville, Spain.
Nursing School, Osuna University, 41640 Seville, Spain.
Healthcare (Basel). 2025 Apr 23;13(9):974. doi: 10.3390/healthcare13090974.
The aging population and the increasing prevalence of chronic diseases necessitate new healthcare models. Case-Management Nurses (CMNs) emerge as a promising alternative to enhance patient care.
To explore CMNs' perceptions of the impact on health, resources, and professional satisfaction.
A qualitative study using semi-structured interviews was conducted with CMNs from a southern Spanish province. This study adheres to the Standards for Reporting Qualitative Research (SRQR). The population consisted of 61 CMNs. Three analytical categories of a theoretical or deductive nature were identified, directly related to this study's objective. This study was approved by the Andalusian Biomedical Research Ethics Committee (Code: 1139-N-22) and conducted in accordance with the Declaration of Helsinki. Data analysis was performed using ATLAS.ti.
The sample was comprised of 31 CMNs (24 women). The mean age was 56.3 years. A total of 12 CMNs had more than 20 years of experience. Interviews were conducted between October and November 2022. Within each category, different emerging subcategories were identified: 1. Impact on health: Patients and caregivers. 2. Impact on resources: Computer tools, effectiveness/efficiency of the CMNs, and material resources. 3. Impact on professional satisfaction: Positive professional satisfaction and negative professional satisfaction.
The findings suggest that the practice of CMNs in primary care improves the health and quality of life of patients and their caregivers while reducing healthcare resource utilization. CMNs reported high levels of job satisfaction. These findings support the implementation of this care model to optimize the management of chronic patients in home and residential care settings. However, larger-scale quantitative studies are needed to confirm these results and explore their generalizability.
老龄化人口以及慢性病患病率的不断上升使得新的医疗保健模式成为必要。病例管理护士（CMNs）成为提升患者护理水平的一种有前景的选择。
探讨病例管理护士对健康、资源和职业满意度影响的看法。
对西班牙南部一个省份的病例管理护士进行了一项采用半结构化访谈的定性研究。本研究遵循定性研究报告标准（SRQR）。研究对象包括61名病例管理护士。确定了三个理论性或演绎性的分析类别，与本研究目的直接相关。本研究经安达卢西亚生物医学研究伦理委员会批准（代码：1139 - N - 22），并按照《赫尔辛基宣言》进行。使用ATLAS.ti进行数据分析。
样本包括31名病例管理护士（24名女性）。平均年龄为56.3岁。共有12名病例管理护士有超过20年的工作经验。访谈于2022年10月至11月进行。在每个类别中，确定了不同的新兴子类别：1. 对健康的影响：患者和护理人员。2. 对资源的影响：计算机工具、病例管理护士的有效性/效率以及物质资源。3. 对职业满意度的影响：积极的职业满意度和消极的职业满意度。
研究结果表明，病例管理护士在初级保健中的实践提高了患者及其护理人员的健康水平和生活质量，同时减少了医疗资源的使用。病例管理护士报告的工作满意度较高。这些结果支持在家庭和居家护理环境中实施这种护理模式以优化慢性病患者的管理。然而，需要更大规模的定量研究来证实这些结果并探索其普遍性。
