The process of developing the professional identity of the Nurse Case Care Manager: A Grounded Theory Study.


Journal

Acta bio-medica : Atenei Parmensis
ISSN: 2531-6745
Titre abrégé: Acta Biomed
Pays: Italy
ID NLM: 101295064

Informations de publication

Date de publication:
20 06 2020
Historique:
received: 09 06 2020
accepted: 11 06 2020
entrez: 24 6 2020
pubmed: 24 6 2020
medline: 26 3 2021
Statut: epublish

Résumé

The Nurse Case Care Manager (NCCM) is still an emerging figure in the Italian healthcare context. The knowledge of the dynamics inherent in the process of identity development shows how they can be decisive for the affirmation and recognition of this new role. The aim of the study was therefore to analyse the psychosocial processes of developing the identity of the NCCM for a better understanding of the variables that influence its development. A qualitative study with Grounded Theory method was conducted. From December 2018 to January 2019, 20 semi-structured interviews were given to the NCCM of the Emilia Romagna Region and the Lombardy Region. The analysis of the material has led to a structuring of the theoretical model on the processes of development of professional identity. Two main conditions have been identified: that of the "LOST CASE MANAGER" and that of the "CASE MANAGER DIRECTOR". This process requires time, perseverance, courage and personal skills. Two transversal background concepts have been identified, namely "available space" and "relationship with the family". The process of developing the NCCM's professional identity encounters several obstacles. Among these, in particular a lack of recognition by operators highlighting the need for greater organizational clarity in the context in which the professional operates, in order to facilitate the inclusion of the NCCM clarifying skills and effectiveness profile.

Sections du résumé

BACKGROUND AND PURPOSE
The Nurse Case Care Manager (NCCM) is still an emerging figure in the Italian healthcare context. The knowledge of the dynamics inherent in the process of identity development shows how they can be decisive for the affirmation and recognition of this new role. The aim of the study was therefore to analyse the psychosocial processes of developing the identity of the NCCM for a better understanding of the variables that influence its development.
METHODS
A qualitative study with Grounded Theory method was conducted. From December 2018 to January 2019, 20 semi-structured interviews were given to the NCCM of the Emilia Romagna Region and the Lombardy Region. The analysis of the material has led to a structuring of the theoretical model on the processes of development of professional identity.
RESULTS
Two main conditions have been identified: that of the "LOST CASE MANAGER" and that of the "CASE MANAGER DIRECTOR". This process requires time, perseverance, courage and personal skills. Two transversal background concepts have been identified, namely "available space" and "relationship with the family".
CONCLUSION
The process of developing the NCCM's professional identity encounters several obstacles. Among these, in particular a lack of recognition by operators highlighting the need for greater organizational clarity in the context in which the professional operates, in order to facilitate the inclusion of the NCCM clarifying skills and effectiveness profile.

Identifiants

pubmed: 32573503
doi: 10.23750/abm.v91i6-S.10019
pmc: PMC7975844
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

19-27

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Auteurs

Maria Bertuol (M)

Post graduate Specialization in "Case /Care management in hospital and on the territory for health professions", University of Parma, Italy. maria.bertuol@gmail.com.

Veronica Di Niro (V)

Post graduate Specialization in "Case /Care management in hospital and on the territory for health professions", University of Parma, Italy. veronicadiniro@hotmail.it.

Cristina Tagliabue (C)

Post graduate Specialization in "Case /Care management in hospital and on the territory for health professions", University of Parma, Italy. cris.tag81@gmail.com.

Valentina Ventre (V)

Post graduate Specialization in "Case /Care management in hospital and on the territory for health professions", University of Parma, Italy. valentinaventre94@gmail.com.

Piero Cusenza (P)

Post graduate Specialization in "Case /Care management in hospital and on the territory for health professions", University of Parma, Italy. pierocusenza@hotmail.it.

Chiara Taffurelli (C)

University Teaching Hospital, Parma, Italy. chiara.taffurelli@gmail.com.

Leopoldo Sarli (L)

Department of Medicine and Surgery, University of Parma, Italy. leopoldo.sarli@unipr.it.

Giovanna Artioli (G)

Azienda USL-IRCCS di Reggio Emilia, Italy. giovanna.artioli@ausl.re.it.

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