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Updated: May 25, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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

Published on: February 16, 2011

Concept analysis: case management role confusion.

Frances C Gray1, Ann White

  • 1Warrior Transition Unit, McDonald Army Health Center, Fort Eustis, VA, USA. francegray2@aol.com

Nursing Forum
|February 8, 2012
PubMed
Summary
This summary is machine-generated.

Nurse case managers (NCMs) experience role confusion due to unclear expectations, impacting patient care. Developing a conceptual model and defined skill set for NCMs is crucial for role clarity and emphasizing the patient-nurse relationship.

Related Experiment Videos

Last Updated: May 25, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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

Published on: February 16, 2011

Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Behavior

Background:

  • Nurse case managers (NCMs) are vital for quality healthcare delivery.
  • The precise role of NCMs remains debated, lacking a defined conceptual model.
  • Published literature lacks a clear definition for the NCM role.

Purpose of the Study:

  • To explore the concept of role confusion in nurse case management.
  • To analyze the factors contributing to role ambiguity for NCMs.
  • To advocate for a conceptual model and defined skill set for NCMs.

Main Methods:

  • Conceptual analysis using the Walker and Avant method.
  • Comprehensive literature search from 1980-2010 across multiple databases (e.g., PubMed, CINAHL, ERIC).
  • Synthesis of findings to identify patterns of role confusion.

Main Results:

  • Role confusion in NCMs stems from undefined expectations and organizational structures.
  • NCM positions are often not patient-centered and underutilize nursing expertise.
  • The phenomenon of role confusion in NCM is significantly under-researched in nursing literature.

Conclusions:

  • A conceptual model for the NCM role is essential for professional clarity.
  • Establishing a distinct nursing skill set for case management enhances the patient-nurse relationship.
  • Defining the NCM role improves function and emphasizes patient-centered care.