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Related Experiment Video

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Reflective practice: a framework for case manager development.

Karen Brubakken¹, Sara Grant, Mary K Johnson

¹Aurora Health Care's Community Based Case Management Department, Milwaukee, WI, USA. karen.brubakken@aurora.org

Professional Case Management

|June 8, 2011

Summary

This study developed a reflective practice framework to understand nurse case manager (NCM) development. The framework identifies three practice domains and stages, aiding professional growth and orientation for community-based NCMs.

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Area of Science:

Nursing
Case Management
Professional Development

Background:

Nurse case manager (NCM) roles integrate prior knowledge with unique case management skills.
Community-based case management involves advanced practice nurses caring for chronic conditions.

Purpose of the Study:

To create a framework using reflective practice to identify developmental stages in community-based case management.
To describe the formation and application of this framework.

Main Methods:

Analysis of 24 narratives from community-based nurse case managers.
Identification and grouping of advanced practice behaviors into domains: relationship/partnership, coordination/collaboration, and clinical knowledge/decision making.
Determination of three practice stages (competent to expert) based on behavior variations.

Main Results:

A framework was developed, categorizing nurse case manager practice into three domains and three developmental stages.
The framework identified distinct behaviors and practice variations from competent to expert levels.
Reliability and validity were assessed through additional narrative analysis.

Conclusions:

Reflective writing revealed the complexity of nurse case manager practice.
The developed framework captures the depth of knowledge and skills in community-based case management.
The framework serves as a tool for describing practice development, orientation, and peer review.