Professional Case Management最新文献

{"title":"Sharpest Tool in the Case Manager's Toolbox.","authors":"Kathleen Moreo","doi":"10.1097/NCM.0000000000000832","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000832","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 6","pages":"274-276"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sepsis Survivors' Functional Recovery and Symptom Experience Following Intensive Care Unit Hospitalization.","authors":"Daniel Liebzeit, Amiritha Kumar, Maria Hein, Yelena Perkhounkova, Anna Krupp","doi":"10.1097/NCM.0000000000000805","DOIUrl":"10.1097/NCM.0000000000000805","url":null,"abstract":"<p><strong>Purpose of study: </strong>The purpose is to describe sepsis survivors' functional recovery and symptom experience following Intensive Care Unit (ICU) hospitalization.</p><p><strong>Primary practice settings: </strong>Academic Medical Center, Community Living.</p><p><strong>Methodology and sample: </strong>This longitudinal observational study recruited participants during hospitalization at two adult ICUs in a single Midwestern academic medical center. Participants completed surveys to assess function and symptom experience at baseline (discharge), 1-month, 3-months, and 6-months post-discharge.</p><p><strong>Results: </strong>Participants were non-Hispanic Whites with mean age 55.4 years (SD = 17.0). The majority were discharged to home (78.6%), with 3 (21.4%) discharged to a skilled nursing facility or acute rehabilitation unit. Participants had notable improvements in mobility, self-rated health, and fatigue from discharge to 6-months post-discharge. Increases in mobility from discharge to 1 month, 3 months, and 6 months were statistically significant (α < .05). Decreases in fatigue from discharge to 1 month and 6 months were statistically significant (α < .05). Cognitive and social engagement and other symptom experience measures did not differ significantly during the study period.</p><p><strong>Implications for case management practice: </strong>Findings reveal trends in mobility recovery and symptom experience post-hospitalization, which are important considerations post-ICU sepsis hospitalization. This study reinforces the need to promote early mobilization of patients during hospitalization and work with patients to develop strategies for mobility recovery post-hospitalization, as part of a comprehensive plan which integrates a client's medical, behavioral, social, psychological, functional, and other needs. The authors encourage assessment of common symptoms, including pain, fatigue, anxiety, and sleep disturbance, experienced by sepsis survivors during and post-hospitalization. As a result, case managers will be better positioned to implement evidence-based interventions to promote recovery and reduce symptom burden and improve outcomes. Evidence-based interventions should include those that are centered on client's functional and symptom-related needs, preferences, safe mobility, and facilitate awareness of and connections with community supports and resources.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"261-270"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empower. Educate. Excel: CMSA's Case Management Learning Pathways.","authors":"Janet Coulter","doi":"10.1097/NCM.0000000000000839","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000839","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A New Year's Resolution for Continuing Education: Reaching Higher for Greater Knowledge and Impact.","authors":"Vivian Campagna","doi":"10.1097/NCM.0000000000000837","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000837","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why Research Is Important.","authors":"Lisa Parker-Williams","doi":"10.1097/NCM.0000000000000838","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000838","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Practice Environment Scale-Nursing Work Index for Measuring Hospital Case Management Practice Environment.","authors":"Kristen A Berryman, Rula Btoush, Olga F Jarrín","doi":"10.1097/NCM.0000000000000835","DOIUrl":"10.1097/NCM.0000000000000835","url":null,"abstract":"<p><strong>Purpose of study: </strong>The Practice Environment Scale of the Nursing Work Index (PES-NWI) is widely used to measure the practice environment across nursing populations. Case management is a specialty focused on care coordination to meet the clinical and financial goals of medically and socially complex individuals across the care continuum. Despite its importance, limited research exists on the hospital case management practice environment, and no instrument currently measures this concept. This study aimed to adapt and validate the psychometric properties of a hospital case management version of the PES-NWI.</p><p><strong>Primary practice setting: </strong>Acute care hospitals where case managers practice.</p><p><strong>Methodology and sample: </strong>Following expert panel feedback, the PES-NWI was adapted and shortened from 31 to 23 items for use in hospital case management. A convenience sample of 160 hospital case managers across the United States was recruited via social media and professional networks. The psychometric evaluation included assessments of validity (content validity via expert panel review, known-groups construct validity, and factor analysis) and reliability (Cronbach's alpha and item-total correlations).</p><p><strong>Results: </strong>Participants included case managers working in 34 states. Most were female (92%) from the nursing discipline (79%) and social work (21%). Nearly 60% held case management certification, and 40% had over 10 years of experience in the field of case management. Factor analysis revealed a four-factor structure with items cleanly loading between 0.44 and 0.74. The four factors represented Supportive and Participatory Leadership, Staffing and Resource Adequacy, Opportunities for Professional Development, and Fostering Teamwork and Collaboration. The factor structure of the adapted instrument differs from that of the original PES-NWI, indicating a need for further testing. Nevertheless, the adapted instrument demonstrates strong internal consistency (overall Cronbach's alpha of 0.93) and item-to-total correlations from 0.37 to 0.80.</p><p><strong>Implications for case management practice: </strong>The adapted instrument, Practice Environment Scale for Hospital Case Management, the first to measure the hospital case management practice environment, demonstrates adequate reliability and validity. It provides a critical foundation for future research and supports the development of evidence-based strategies to enhance hospital case management practice. Understanding this environment is crucial for advancing workforce development, enhancing professional satisfaction, and maximizing the impact of case management in acute care settings.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12483105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Best End-of-Life Care Begins With TRUTH.","authors":"Julie-Kathryn E Graham, Christina Kelley, Gabriella Malagon-Maldonado","doi":"10.1097/NCM.0000000000000817","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000817","url":null,"abstract":"<p><strong>Methods: </strong>This study used a qualitative descriptive design. Through snowball sampling, community members who have experience with loved ones receiving end-of-life care were recruited by snowball-sampling. The interviews lasted approximately 90 minutes. Two open-ended questions were posed, and participants led the discussion by interpreting the questions in any way they wanted and telling the story they wanted to tell. Interviews were transcribed into Excel, and line-by-line analysis was utilized to group data (answers) into developed themes; themes were then broken down into subthemes. Literature was consulted to understand themes further.</p><p><strong>Conclusions: </strong>For decades, research has recommended truth and transparency in end-of-life care discussions with patients, families, and family-centered care. This study demonstrated that, in practice, this is often not done, resulting in further traumatization to families at the end of life. Additional research needs to be done to understand this practice gap and recommend strategies to overcome it.</p><p><strong>Results: </strong>Families experiencing end-of-life care are experiencing extensive acute trauma. The acute stress of this trauma makes information processing and decision-making very difficult. From the discipline of psychology, a person cannot make good decisions when they are experiencing trauma. At end-of-life, person-centered care is family-centered care. A person's individuality is inextricable from who they are to their family. If we do not care for the family, we do not care for our patients.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 5","pages":"229-232"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CMSA's 35th Anniversary: Celebrating Legacy, Inspiring the Future of Case Management.","authors":"Janet Coulter","doi":"10.1097/NCM.0000000000000819","DOIUrl":"10.1097/NCM.0000000000000819","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 5","pages":"218-219"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preparing for New Primary Care Models: The Role of Professional Case Management.","authors":"Hussein M Tahan, Gerri Lamb, Ellen Fink-Samnick, Colleen Morley, Kathleen Moreo","doi":"10.1097/NCM.0000000000000813","DOIUrl":"10.1097/NCM.0000000000000813","url":null,"abstract":"<p><strong>Purpose and objectives: </strong>This paper aims to raise awareness of the case management community about innovative primary care models, like the Making Care Primary (MCP) which has potential to become the foundation for future primary care reform. It provides professional case managers (PCMs), case management leaders, and primary care providers with examples of evidence-based best practices to apply in primary care settings and programs.</p><p><strong>Primary practice settings: </strong>Primary care practices and organizations, ambulatory clinics, community-based primary care.</p><p><strong>Findings/conclusions: </strong>The authors share examples of findings from case management research published over the last 10 years as they pertain to the 3 main domains of MCP-care management, care integration, and community connections-to show the impact case management interventions may have on key outcomes in value-based primary care. The systematic, narrative, and scoping reviews summarized in this paper suggest a set of important case management structures, processes and outcomes relevant to care management, care integration, and community connections that help manage the diverse needs of patients. This evidence is also important in identifying essential case management interventions that ensure person-centered and holistic care and improve patient outcomes especially as they pertain to personal health and wellbeing.</p><p><strong>Implications for case management practice: </strong>The authors of this paper draw attention to the importance of PCMs and their roles in evolving primary care models in the context of teams and effective teamwork. The contributions of PCMs on primary care teams can be extensive and critical to the successful achievement of desirable primary care outcomes for individuals with complex chronic illness and health-related social needs and thus to the overall success of value-based models of primary care. The evidence the authors summarize provide important guidance on best case management practices in primary care that contribute to better health outcomes.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"194-206"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor's Commentary: Evidence-Based Research: A Pillar of Professional Case Management.","authors":"Hussein M Tahan","doi":"10.1097/NCM.0000000000000822","DOIUrl":"10.1097/NCM.0000000000000822","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 5","pages":"220-223"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}