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Related Experiment Videos

Developing and testing a case manager impact profile.

W Anderson-Loftin1, A S Stiles

  • 1College of Nursing, University of South Carolina, Columbia, SC, USA.

Nursingconnections
|May 23, 2002
PubMed
Summary
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This study developed the Nurse Case Manager Impact Profile (NCMIP) to measure rural nurse case manager activities and outcomes. Initial testing shows high reliability, suggesting NCMIP is a promising tool for evaluating rural nursing impact.

Area of Science:

  • Nursing
  • Healthcare Management
  • Health Services Research

Background:

  • Rural nurse case managers play a vital role in hospital settings.
  • Measuring their activities and perceived outcomes is essential for service evaluation and improvement.
  • Existing instruments may not adequately capture the unique contributions of rural nurse case managers.

Purpose of the Study:

  • To develop and test a new instrument, the Nurse Case Manager Impact Profile (NCMIP).
  • To measure the specific activities and perceived outcomes of rural nurse case managers in hospitals.
  • To assess the validity and reliability of the NCMIP.

Main Methods:

  • Development of a 69-item Likert-type questionnaire (NCMIP) with Activity and Outcome scales.
  • Content validity established by nursing case management and rural nursing experts.

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  • Psychometric testing including reliability (internal consistency) and validity (factor analysis) on 302 rural nurse case managers.

    • Main Results:

    • High internal consistency was found for all subscales and the overall scales (alphas ranging from .85 to .93).
    • Factor analysis confirmed the five-dimensional Activity scale and two Outcome subscales.
    • Factor solutions suggested reconceptualization for three Activity subscales and identified overlapping domains in the Outcome Scale, indicating a need for further refinement.

    Conclusions:

    • The Nurse Case Manager Impact Profile (NCMIP) demonstrates promising psychometric properties, including high reliability.
    • Further development and testing are warranted to refine the instrument, particularly the Outcome Scale.
    • The NCMIP can be used cautiously as a tool for assessing rural nurse case manager impact in hospital settings.