Novak D A
Capstone College of Nursing, University of Alabama, Tuscaloosa 35487-0358, USA.
Nurs Case Manag. 1998 Nov-Dec;3(6):231-7; quiz 238-9.
Delphi and focus group methods were used to identify nurse case managers' (NCMs') opinions regarding their professional role. This study convened 15 NCMs from a regional medical center in the southeastern United States. Findings present the highest-rated items influencing the NCM role, as well as a definition and model depicting the role's essential elements. In study questionnaires, participants were asked to identify and subsequently rate items in seven categories. The overall highest-rated item was the personal attribute of critical thinking and prioritizing. The second highest-rated response was the critical function of coordinating a multidisciplinary plan of care. Interdisciplinary support and participative decision making were consistently ranked as important organizational factors. In the category of impact on health care outcomes, identifying patient needs and services was highly rated. Participants suggested that NCM assignments should be based on clinical knowledge and expertise, with a focus on prevention. Practice implications, based on the findings, are emphasized.
采用德尔菲法和焦点小组法来确定护士个案管理者（NCMs）对其专业角色的看法。本研究召集了来自美国东南部一家区域医疗中心的15名护士个案管理者。研究结果呈现了影响护士个案管理者角色的评分最高的项目，以及描述该角色基本要素的定义和模型。在研究问卷中，参与者被要求识别并随后对七个类别的项目进行评分。评分最高的总体项目是批判性思维和优先排序的个人属性。评分第二高的回答是协调多学科护理计划的关键功能。跨学科支持和参与式决策一直被列为重要的组织因素。在对医疗保健结果的影响类别中，识别患者需求和服务的评分很高。参与者建议，护士个案管理者的任务分配应基于临床知识和专业技能，并注重预防。基于这些发现，强调了对实践的启示。
