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Barriers in Case Managers' Roles: A Qualitative Systematic Review.
Jee Young Joo1, Diane L Huber2
11 Gachon University, Incheon, Korea.
Western Journal of Nursing Research
|September 2, 2017
Summary
Case managers face barriers like unclear roles and poor training when implementing case management. Standardized protocols and certification can help improve practices and support case managers.
Area of Science:
- Healthcare Management
- Nursing
- Social Work
Background:
- Case management implementation faces significant challenges.
- Qualitative studies offer insights into these challenges.
- Limited focus exists on the specific barriers encountered by case managers.
Purpose of the Study:
- To systematically review qualitative literature.
- To identify barriers faced by case managers during case management implementation.
- To synthesize findings from existing qualitative research.
Main Methods:
- Systematic literature search of five electronic bibliographic databases.
- Inclusion of 10 qualitative studies published between 2007 and 2016.
- Thematic synthesis of identified studies' findings.
Main Results:
- Five key themes emerged as barriers: unclear scope of practice, complex activities, insufficient training, poor inter-professional collaboration, and client relationship issues.
- Identified barriers significantly impede effective case management.
- Barriers impact the quality and efficiency of case management services.
Conclusions:
- Standardized, evidence-based protocols and certification programs are recommended to overcome barriers.
- Enhanced educational and practical support for case managers is crucial.
- Health policymakers and associations should prioritize developing these supports.
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