Lemire A M, Austin C D
J Case Manag. 1996 Spring;5(1):32-40.
Care Planning is one of the most important responsibilities of the case manager in home care. Research on how care plan decisions are made is scarce in the case management literature. The purpose of this exploratory study was to determine the factors that influence the decision-making process of case managers within the Edmonton Home Care Program (EHCP) when developing care plans. A volunteer sample of six EHCP case managers from three different disciplines was selected: two registered nurses (BScN), two occupational therapists (BScoT), and two social workers (BSW). With the use of fictional case studies, these professionals were asked to construct care plans. Individual semi-structured interviews and a group session permitted in-depth exploration of their decision-making process. Findings suggest that client and/or caregiver characteristics appear to be the most influential in determining care plans. It was also found that case managers are not comfortable with fiscal accountability.
护理计划是家庭护理中个案管理员最重要的职责之一。在个案管理文献中，关于护理计划决策如何制定的研究很少。这项探索性研究的目的是确定在制定护理计划时，影响埃德蒙顿家庭护理项目（EHCP）中个案管理员决策过程的因素。从三个不同学科中选取了六名EHCP个案管理员作为志愿者样本：两名注册护士（护理学学士）、两名职业治疗师（职业治疗学学士）和两名社会工作者（社会工作学士）。通过使用虚构的案例研究，要求这些专业人员制定护理计划。通过个人半结构化访谈和小组会议深入探讨了他们的决策过程。研究结果表明，客户和/或护理人员的特征似乎对确定护理计划最具影响力。研究还发现，个案管理员对财务问责制不太适应。
