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Essential Nursing Care Management and Coordination Roles and Responsibilities: A Content Analysis
Brenda Luther1, Joyce Barra, Marc-Aurel Martial
1Brenda Luther, PhD, RN, is the director of the Masters and Certificate Care Management Specialty and an associate professor at the College of Nursing and within the Gerontology Interdisciplinary Program at the University of Utah. Dr. Luther teaches courses in care management, evidence-based practice, and health promotion. Dr. Luther has specialized in disability care and care management, working with children and their families at Shriners Hospitals for Children, Intermountain Hospital in Salt Lake City, Utah. She started her career in care coordination at Shriners working with public, private, and nonprofit agencies to bring about coordinated and connected services for children in Utah, Idaho, Montana, Wyoming, Arizona, and Colorado. Her clinical interests are care management, successful transition to adulthood for children with disabilities, and health promotion for children with physical disabilities. Joyce Barra, PhD, RN, is currently a faculty member in the graduate program at Weber State University where she teaches courses in educator socialization, assessment, and teaching strategies. She also manages the executive leadership students in their master's practicum. Dr. Barra's past experiences include directorships in ADN, BSN, and MSN programs. Her interests include specialized accreditation, both domestic and international, and interdisciplinary collaboration. Dr. Barra has a background in adult Med-Surg Nursing and a love of qualitative research, especially related to teaching and learning. Marc-Aurel Martial, MPH, BSN, RN, is a clinical instructor at the College of Nursing, University of Utah. He specializes in public and global health and care transitions. He is currently a PhD student at the University of Utah with a focus on improving access to essential public health services and health outcomes for disadvantaged populations, primarily in rural Haiti. His dissertation research project will examine the impact of an anemia prevention and treatment program among preschool children in a rural mountainous community in Haiti.
Care management requires expertise in complex systems and patient needs. Nurses are central to interdisciplinary teams, with informatics crucial for effective care coordination and monitoring.
Area of Science:
- Healthcare Management
- Nursing Science
- Health Informatics
Background:
- Care management roles and responsibilities are frequently cited in prominent publications but remain poorly defined.
- Existing literature highlights the importance of care management but lacks specific role clarity.
Purpose of the Study:
- To define the emerging roles and responsibilities in care management.
- To analyze key themes in care management through landmark publications.
Main Methods:
- Qualitative content analysis of six landmark white papers and exemplars from national organizations.
- Identification and synthesis of care management and coordination roles and responsibilities.
Main Results:
- Care management involves navigating complex systems and addressing multifaceted medical and social needs.
- Nurses play a central role within interdisciplinary teams.
- Informatics is essential for supporting and enhancing care management processes.
Conclusions:
- Care managers must possess experience with complex care systems, diagnoses, and patient/caregiver needs.
- The central, embedded role of nurses in interdisciplinary teams improves communication, teamwork, and reduces patient burden.
- Informatics is vital for care managers to effectively target and monitor key populations requiring care management.
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