CONTEMPORARY NURSING ISSUES AND INNOVATIONS2 Introduction Nursing students get exposed to many different kinds of healthcare professions working together in the healthcare setting to help ensure that patients receive the proper care. This is not only aimed at improving and alleviating their chief complaints but also educate them on how to maintain a healthy lifestyle. One of the critical changes that have occurred in the United States and similar to other countries around the world is the emphasis on healthcare coverage. It also stipulates the finances of individual hospitals according to their re-admission rates per year (Hjelm et al., 2015). This is an essential factor which emphasizes the growing importance of the role of case managers since they are meant to facilitate the patient’s care throughout his or her stay at the hospital. Role managers assess, plan, implement, monitor, and evaluate the possible actions needed to satisfy the health needs of their clients (Fraser et al., 2019). They bridge the gap between families, patients, and health care providers. As a result, they perform the role of social workers in the medical field by running advocacy for the welfare of patients. Case managers get mostly employed by nursing homes, hospitals, health insurance agencies, and home health agencies. Recently, I interviewed Ms. Nikita Wells, a case manager at New Hope Community Services (NHCS) on her role as a case manager. Role of Case Manager Case managers perform different specialized functions. Wells was assigned to ensuring that communities are supported through a different initiative that enhances their health and well- being. According to Joo and Huber (2018), and as noted by Wells, the roles of a case manager vary on a daily encounter. However, her primary goals at NHCS include:
CONTEMPORARY NURSING ISSUES AND INNOVATIONS3 1.Coordinating and providing timely, effective, efficient, equitable, and customer-focused safe care. 2.Managing caseloads plus begins service projects without supervision. 3.Revising cases as they come and oversees their progress. 4.Closing cases when necessary. 5.Assisting patients to attain their goals for their autonomy and well-being. 6.Assisting clients to make informed decisions. 7.Advocating for the clinical treatment decisions of their clients. 8.Facilitating numerous aspects of care, case management, and information exchange with other agencies. 9.Thinking through and developing informed decisions and action plans in case management processes. 10.Organizing social issues with the government and health service providers. 11.Interacting with clients to check their progress and level of satisfaction. 12.Admitting new clients and taking intake reports. 13.Reviewing case files and applications for services The process of case management is similar to that of nursing in many ways. For instance, nursing is a five-stage process, including assessment, diagnosis, planning, implementation, and evaluation (Campello, Ingolfsson & Shumsky, 2016). Similar stages make up case management processes save for the different branding of names us like intake, needs assessment, service planning, and monitoring and evaluation. Patient outcomes
CONTEMPORARY NURSING ISSUES AND INNOVATIONS4 The role of case managers plays a critical role in improving patient outcomes. For instance, case managers give a helping hand to families in terms of basic needs hence helping them attain self-sufficiency (Tahan, Watson & Sminkey, 2015). This is accomplished through programs geared towards creating awareness of how important they are in the lives of patients. Furthermore, case managers advocate for patient safety and treatment, something which doesn't go unnoticed when patients recover. Specific outcomes are improved when case managers treat their customers with the utmost respect and dignity as well as supporting them. As a result, they will help customers to identify their needs and help them integrate the benefits to enhance their self-sufficiency. Consequently, the management of individual cases enhances autonomy and improves family stability. Cases are treated differently through an appraisal system to identify the effectiveness of case management practices. Training and Education A bachelor's degree is the essential requirement for entry-level into case management. However, according to Joo and Huber (2018), the most preferred pathway into case management is a Bachelor’s in Social Work (BSW). Nevertheless, degrees in sociology, psychology, nursing, public administration, urban studies, and healthcare administration can also land one into case management (Fraser et al., 2019). Furthermore, for advancement, the most preferred graduate degrees include public or business administration, social work, and public health. Apart from education, case managers require certification to be familiar with legal requirements as well as regulatory standards inspiring their job. As a result, it makes them competent and become handy in terms of employability.
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CONTEMPORARY NURSING ISSUES AND INNOVATIONS5 Conclusion The roles of case managers are essential in clinical settings. They should, however, possess the relevant skills and expertise to enable them to deliver when it matters the most. Furthermore, there is a thin line between the processes of case management and nursing, although they perform different functions altogether.
CONTEMPORARY NURSING ISSUES AND INNOVATIONS6 References Campello, F., Ingolfsson, A., & Shumsky, R. A. (2016). Queueing models of case managers.Management Science,63(3), 882-900. Fraser, K., Baird, L. G., Laing, D., Lai, J., & Punjani, N. S. (2019). Factors That Influence Home Care Case Managers' Work and Workload.Professional case management,24(4), 201- 211. Hjelm, M., Holst, G., Willman, A., Bohman, D., & Kristensson, J. (2015). The work of case managers as experienced by older persons (75+) with multi-morbidity–a focused ethnography.BMC geriatrics,15(1), 168. Joo, J. Y., & Huber, D. L. (2018). Scoping review of nursing case management in the United States.Clinical nursing research,27(8), 1002-1016. Tahan, H. M., Watson, A. C., & Sminkey, P. V. (2015). What Case Managers Should Know About Their Roles and Functions.Professional Case Management,20(6), 271-296.