Waterman H, Waters K, Awenat Y
School of Nursing Studies, University of Manchester, England.
J Adv Nurs. 1996 Nov;24(5):960-7. doi: 10.1111/j.1365-2648.1996.tb02932.x.
An exchange for 1 day a week between a clinical nurse specialist and a lecturer gave rise to the opportunity to evaluate the introduction of case management on a newly created rehabilitation floor at an elderly care hospital. The aims of the study were to examine the feelings and concerns of new case managers, their conception of case management and their perceived educational needs. Qualitative research methods were employed to achieve the aims. Rigour was addressed, in part, through concurrent analysis of data with data collection, which encouraged probing of issues important to research participants. Thematic categories are presented under the headings: 'structure' and 'process'. The data collected revealed vividly that, as with any change, the people involved experienced anxieties and/or confusion over their new roles, but that some of the problems arose from the relocation of staff when the rehabilitation floor was established. Despite these difficulties, there was general enthusiasm for the potential of case management.
每周一天，临床护理专家与讲师进行岗位交流，这为评估老年护理医院新建康复楼层引入病例管理创造了机会。本研究的目的是调查新病例管理人员的感受和担忧、他们对病例管理的概念以及他们认为的教育需求。采用定性研究方法来实现这些目标。通过在数据收集过程中同步分析数据，在一定程度上保证了研究的严谨性，这促使对研究参与者重要的问题进行深入探究。主题类别在“结构”和“过程”标题下呈现。收集到的数据清楚地表明，与任何变革一样，相关人员对自己的新角色感到焦虑和/或困惑，但一些问题是由于康复楼层设立时人员重新调配引起的。尽管存在这些困难，但人们对病例管理的潜力普遍充满热情。
