Professional Case Management最新文献

{"title":"The Commission for Case Manager Certification® Becomes the Commission™.","authors":"Lynn S Muller","doi":"10.1097/NCM.0000000000000873","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000873","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550709","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":"Communication Breakdown in Patients With Alzheimer Disease: An Evolutionary Concept Analysis.","authors":"Sara Rahimi, Maryam Momeni, Marzieh Khatooni","doi":"10.1097/NCM.0000000000000892","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000892","url":null,"abstract":"<p><strong>Background: </strong>Impaired communication is a common problem for many people with Alzheimer disease (AD), which results in behavioral disturbances and psychosocial distress. The current literature lacks a clear and unified conceptual definition of communication breakdown in AD, which limits its effective management.</p><p><strong>Aim: </strong>This article aims to clarify the concept of communication breakdown in patients with AD by identifying its attributes, antecedents, and consequences to propose a new operational definition of the concept.</p><p><strong>Data sources: </strong>A systematic search was conducted on the databases such as Cochrane Database of Systematic Reviews, PsycINFO, Scopus, Medline, Social Sciences Index, and EMBASE between the years 2010 and 2026.</p><p><strong>Design: </strong>Rodgers' evolutionary framework of concept analysis (2000) was used as a guide for analyzing the communication breakdown concept.</p><p><strong>Results/conclusion: </strong>Four main attributes were extracted to describe and propose a coherent definition of communication breakdown in patients with AD that encompass cognitive and memory impairment, language impairment, failure of concentration and attention, and behavioral and emotional disorder.</p><p><strong>Implications for case management practice: </strong>This concept analysis provides an operational and new definition that will improve knowledge of issues related to communication breakdown in AD, which can be used by family caregivers, case managers, and health care providers when preventing and managing communication problems in patients with AD.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406117","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":"Exploring the Correlation Between Work Engagement and Self-Efficacy in Nurse Case Managers: A Cross-Sectional Study.","authors":"Ke Yuan, Duoduo Hou, Jie Zhu, Huimin Li, Caihong Li, Fengli Gao","doi":"10.1097/NCM.0000000000000846","DOIUrl":"10.1097/NCM.0000000000000846","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the correlation between work engagement and self-efficacy among nurse case managers (NCMs) in China, analyzing the influencing factors and their implications for enhancing professional development and health care service quality.</p><p><strong>Primary practice settings: </strong>The research was conducted in a Chinese hospital with NCMs position and training.</p><p><strong>Methodology and sample: </strong>A cross-sectional design was used to recruit 76 NCMs through convenience sampling. The participants were registered nurses with at least 12 months of case management experience. Data were collected via online surveys, including demographic questionnaires, the NCM Self-Efficacy Questionnaire, and the Chinese version of the Utrecht Work Engagement Scale. Statistical analyses were performed using IBM SPSS 27.0.</p><p><strong>Results: </strong>NCMs reported moderate levels of work engagement (73.42 ± 18.36) and self-efficacy (92.93 ± 14.56), with a significant positive correlation between them (r = 0.621, p < .001). Full-time NCMs exhibited higher scores in both constructs compared to part-time NCMs (p < .05). The workload had a significant impact on outcomes, with optimal self-efficacy observed at 11-20 new cases monthly. NCMs' major challenges included insufficient time/energy (86.8%), lack of institutional/departmental support (64.5%), and absence of dedicated positions (57.9%). Desired supports were hospital/leadership endorsement (94.7%), multidisciplinary collaboration (93.4%), and defined responsibilities (81.6%).</p><p><strong>Implications for case management practice: </strong>The findings emphasize the need for systemic support, including establishing full-time NCM positions, optimizing workloads, and enhancing organizational support. Addressing these barriers can improve work engagement, self-efficacy, and service effectiveness, contributing to the sustainable development of case management in China's health care system.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"31 4","pages":"168-177"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139296","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 Care Management Model for a Remote Japanese Island: A Qualitative Study on the Long-Term Care Needs.","authors":"Takao Sakai","doi":"10.1097/NCM.0000000000000858","DOIUrl":"10.1097/NCM.0000000000000858","url":null,"abstract":"<p><strong>Purpose/objectives: </strong>This study qualitatively explores the long-term care needs of elderly residents on Sakushima, a remote Japanese island, to identify essential factors for maintaining independent and meaningful lives.</p><p><strong>Primary practice settings: </strong>This study was conducted in a Japanese remote island, focusing on primary care and community-based long-term care settings. In addition, it is important to note that health care and long-term care resources are gradually becoming depleted as the population declines.</p><p><strong>Findings/conclusions: </strong>Three interconnected themes of needs were identified: (1) Medical Care and Rehabilitation, (2) Challenges of the Natural Environment and Living Infrastructure, and (3) The Centrality of Ikigai and Social Relationships. The findings suggest that a socially constructed care model that formally leverages the island's unique social and occupational structures is essential for supporting the well-being of elderly residents.</p><p><strong>Implications for case management: </strong>A holistic care model integrating medical, environmental, and social support is crucial for remote island populations. Case managers should consider residents' sense of purpose (ikigai) and social ties as vital components of care planning. The authors propose establishing a \"Sakushima Rehabilitation Coordinator\" to provide preventative, lifestyle-integrated interventions. Utilizing \"Special Services for Remote Islands\" can formally support and sustain existing informal care networks. To achieve proper operation of the LTCI system based on regional characteristics, flexible trials and adjustments that take cultural factors and the natural environment into account should be actively promoted.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"162-167"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769392","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":"Exploring Nursing Care Coordination Through Swanson's Theory of Caring: Perspectives of Families of Children and Youth With Special Health Care Needs.","authors":"Régine Placide Reaves, Kate Lui, Inessa Manasyan, Ruth Everett-Thomas","doi":"10.1097/NCM.0000000000000862","DOIUrl":"10.1097/NCM.0000000000000862","url":null,"abstract":"<p><strong>Purpose of study: </strong>Caring for children and youth with special health care needs can be overwhelming for families. Higher levels of need often require more extensive and coordinated support. The burden of caring for children with complex health care needs can result in negative effects for parents and caregivers over time, thus increasing the risk of poor physical, emotional, and social well-being. Nursing care coordination is an evidence-based intervention that provides families with guidance and support by delivering safe and effective care. The quality of coordination, however, can profoundly shape families' experiences. The purpose of this study was to explore caregivers' perceptions of nursing care coordination provided by their child's public health plan through the lens of Kristen Swanson's Middle Range Caring Theory.</p><p><strong>Primary practice settings: </strong>The study was conducted across three counties in Florida.</p><p><strong>Methodology and sample: </strong>A descriptive qualitative design was used. A total sample of nine caregivers and parents were interviewed. Semistructured interviews were used, and data were analyzed utilizing Colaizzi's interpretive method. Categories, subthemes, and themes were created.</p><p><strong>Results: </strong>The findings of this study highlighted caregivers' experiences of successes and challenges with their child's nurse care coordinators. The exploration of caregivers' perceptions led to two major themes: Triumphs of Nursing Care Coordination and Pitfalls of Nursing Care Coordination. The two themes produced five subthemes: (a) It Takes a Village, (b) Being my Voice, (c) Third Class Citizen, (d) Being Out of Touch, and (e) Just a Title.</p><p><strong>Implications for case management practice: </strong>Strengths of care coordination include enhanced access to resources, clear guidance for navigating complex health care systems, and improved understanding of treatment options, all of which help alleviate caregiver strain. While nursing care coordination offers many benefits, challenges with the current infrastructure still exist. Nurses must advocate for policies that alleviate caseload pressures, strengthen continuity of care, and identify barriers like fragmented communication and inadequate staffing. Nurses can foster a sense of support by creating forums where parents and caregivers share experiences, while encouraging decision-makers to stay informed about the challenges these families face.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"153-161"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971010","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":"Under the Umbrella of the Client Advocacy Professional.","authors":"Vivian Campagna","doi":"10.1097/NCM.0000000000000872","DOIUrl":"10.1097/NCM.0000000000000872","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"186-188"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844261","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":"The CMSA Case Management Boot Camp Model: Strengthening Case Management Practice.","authors":"Janet Coulter","doi":"10.1097/NCM.0000000000000878","DOIUrl":"10.1097/NCM.0000000000000878","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"178-181"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785031","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":"Missed Nursing Care of Unsheltered Populations.","authors":"Danisha Jenkins, Julie-Kathryn Graham","doi":"10.1097/NCM.0000000000000877","DOIUrl":"10.1097/NCM.0000000000000877","url":null,"abstract":"<p><strong>Purpose/objectives: </strong>Morbidity and mortality among homeless populations in California continue to grow. Unsheltered individuals suffer from mental illness, physical disability, cognitive impairment, and acute and chronic illness. Many of these individuals qualify for care, yet encounters with nurses often miss these opportunities for care and referrals. We will examine the needs of a local homeless encampment in Southern California, to determine whether missed nursing contributed to their lack of access to health care resources.</p><p><strong>Methods: </strong>Volunteers, licensed registered nurses, were trained for this project and consented to offer nursing care to a local unsheltered encampment. With oversight from the Institutional Review Board, data were collected in the camp to describe demographics and health care needs of those served.</p><p><strong>Results: </strong>The unsheltered population is disproportionate in representation compared with the community at large (21.2% Black vs. 6.4% representation in the greater community and 51% White versus 55.2% in the community at large). Of 236 participants included in the investigation, 33 (14%) had access to a case manager. Having an assigned case manager was significantly associated with access to shelter ( p = .019, φc 0.457), and more commonly associated with challenges in activities of daily living ( p = .011, φc 0.352). Most participants had a recent encounter (discharge within 1 month) with nursing (n = 20,134, or 56.8%).</p><p><strong>Conclusion: </strong>This investigation offers concrete evidence of missed nursing care in unsheltered populations. In addition, access to a case manager was significantly associated with protection (access to shelter), a variable associated with better health outcomes.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"191-199"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844305","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":"The Value of Research and Evidence-Based Practice in Care/Case Management.","authors":"Lisa Simmons-Fields","doi":"10.1097/NCM.0000000000000875","DOIUrl":"10.1097/NCM.0000000000000875","url":null,"abstract":"<p><strong>Abstract: </strong>Patient complexity continues to rise due to multimorbidity, co-occurring behavioral health needs, and persistent health-related social needs. Care/case managers (CMs) are pivotal in navigating fragmented systems, advancing health literacy, and reducing preventable utilization. This article describes why research and evidence-based practice (EBP) are essential to modern CM practice; summarizes national quality trends with emphasis on the Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators (PQI-90); and outlines a multisite initiative to reduce potentially avoidable hospitalizations. Practice changes are highlighted including standardized care plans, proactive visit cadence, and 7-day postdischarge follow-up. These initiatives were supported by cross-functional governance, analytics, and Plan-Do-Study-Act (PDSA) improvement cycles. Lessons learned underscore the impacts of behavioral health, social needs, and technology-enabled workflows. The article concludes with recommendations to leverage embedded predictive models and integrated dashboards to demonstrate outcomes and sustain performance.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"182-185"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785005","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":"Precision Medicine.","authors":"Suzanne K Powell","doi":"10.1097/NCM.0000000000000870","DOIUrl":"10.1097/NCM.0000000000000870","url":null,"abstract":"<p><strong>Abstract: </strong>Perhaps a new type of case management is on the horizon? Currently called precision medicine, personalized medicine, or individualized medicine; it is based on selecting optimal and appropriate therapies built on a patients' genetics or cellular characteristics. As in all evolving medical treatments, this one has much to consider to go mainstream.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"31 4","pages":"151-152"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139264","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}