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Assessment of Veterans Affairs Case Managers Using a Leadership Conceptual Framework
Lisa Y Perla1,2,3, Erin S Barry1,2,3, Neil E Grunberg1,2,3
1Lisa Y. Perla, PhD, MSN, CFNP, is a nursing research scientist, certified family nurse practitioner, certified rehabilitation nurse, and certified case manager. Dr. Perla is the National Polytrauma Coordinator in Veterans Affairs, Central Office in Washington, DC. Her recent doctoral research investigated the use of a leadership framework for evaluating VA case managers.
Professional Case Management
|March 31, 2023
Summary
Registered nurses (RNs) and social workers (SWs) in Veterans Affairs (VA) case management reported increased satisfaction and decreased burnout in 2019 compared to 2018. RNs consistently showed higher satisfaction and lower burnout than SWs.
Area of Science:
- Healthcare Management
- Nursing Leadership
- Social Work Practice
Background:
- Case management is crucial for veteran satisfaction and healthcare coordination within the Veterans Affairs (VA).
- Leadership skills like communication, resource management, and professionalism are vital for effective case management.
- Registered nurses (RNs) and social workers (SWs) play key roles in providing VA case management services.
Purpose of the Study:
- To assess and compare leadership perceptions and job satisfaction among RNs, SWs, and case managers (CMs) in the VA.
- To analyze trends in VA case management performance using the leader-follower framework (LF2) and the annual VA All Employee Survey (AES).
- To understand how these factors influence veteran satisfaction and healthcare coordination.
Main Methods:
- Utilized the leader-follower framework (LF2) to analyze data from the VA All Employee Survey (AES).
- Compared responses of RNs, SWs, and CMs across different clinical settings, including telehealth, during the COVID-19 pandemic.
- Analyzed changes in satisfaction and burnout scores between 2018 and 2019.
Main Results:
- RNs and SWs reported higher satisfaction with leadership character and mutual respect in 2019 versus 2018.
- Conversely, RNs and SWs reported lower satisfaction with leadership competence, context, communication, and increased burnout in 2019.
- RNs consistently demonstrated higher satisfaction and lower burnout scores than SWs in both 2018 and 2019, irrespective of their role.
Conclusions:
- RNs and SWs experienced mixed changes in satisfaction and burnout, with overall trends showing potential concerns.
- RNs consistently reported better outcomes (satisfaction, burnout) compared to SWs within the VA case management context.
- Findings highlight the need for further discussion and research into the factors influencing satisfaction and burnout among VA healthcare professionals.
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