The care manager meeting the patients' unique needs using the care manager model-A qualitative study of experienced care managers.
Care manager
Collaborative care
Common mental disorder
Nurses
Primary health care
Qualitative study
Journal
BMC family practice
ISSN: 1471-2296
Titre abrégé: BMC Fam Pract
Pays: England
ID NLM: 100967792
Informations de publication
Date de publication:
03 09 2021
03 09 2021
Historique:
received:
04
03
2021
accepted:
18
08
2021
entrez:
3
9
2021
pubmed:
4
9
2021
medline:
25
9
2021
Statut:
epublish
Résumé
Implementation of a care manager in a collaborative care team in Swedish primary care via a randomized controlled trial showed successful outcome. As four years have elapsed since the implementation of care managers, it is important to gain knowledge about the care managers' long-term skills and experiences. The purpose was to examine how long-term experienced care managers perceived and experienced their role and how they related to and applied the care manager model. Qualitative study with a focus group and interviews with nine nurses who had worked for more than two years as care managers for common mental disorders. The analysis used Systematic Text Condensation. Four codes arose from the analysis: Person-centred; Acting outside the comfort zone; Successful, albeit some difficulties; Pride and satisfaction. The care manager model served as a handrail for the care manager, providing a trustful and safe environment. Difficulties sometimes arose in the collaboration with other professionals. This study shows that long-term experience of working as a care manager contributed to an in-depth insight and understanding of the care manager model and enabled care managers to be flexible and act outside the comfort zone when providing care and support to the patient. A new concept emerged during the analytical process, i.e. the Anchored Care Manager, which described the special competencies gained through experience. NCT02378272 Care Manager-Coordinating Care for Person Centered Management of Depression in Primary Care (PRIM-CARE).
Sections du résumé
BACKGROUND
Implementation of a care manager in a collaborative care team in Swedish primary care via a randomized controlled trial showed successful outcome. As four years have elapsed since the implementation of care managers, it is important to gain knowledge about the care managers' long-term skills and experiences. The purpose was to examine how long-term experienced care managers perceived and experienced their role and how they related to and applied the care manager model.
METHOD
Qualitative study with a focus group and interviews with nine nurses who had worked for more than two years as care managers for common mental disorders. The analysis used Systematic Text Condensation.
RESULTS
Four codes arose from the analysis: Person-centred; Acting outside the comfort zone; Successful, albeit some difficulties; Pride and satisfaction. The care manager model served as a handrail for the care manager, providing a trustful and safe environment. Difficulties sometimes arose in the collaboration with other professionals.
CONCLUSION
This study shows that long-term experience of working as a care manager contributed to an in-depth insight and understanding of the care manager model and enabled care managers to be flexible and act outside the comfort zone when providing care and support to the patient. A new concept emerged during the analytical process, i.e. the Anchored Care Manager, which described the special competencies gained through experience.
TRIAL REGISTRATION
NCT02378272 Care Manager-Coordinating Care for Person Centered Management of Depression in Primary Care (PRIM-CARE).
Identifiants
pubmed: 34474682
doi: 10.1186/s12875-021-01523-8
pii: 10.1186/s12875-021-01523-8
pmc: PMC8414763
doi:
Banques de données
ClinicalTrials.gov
['NCT02378272']
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
175Informations de copyright
© 2021. The Author(s).
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