The process of developing the professional identity of the Nurse Case Care Manager: A Grounded Theory Study

Maria Bertuol; Veronica di Niro; Cristina Tagliabue; Valentina Ventre; Piero Cusenza; Chiara Taffurelli; Leopoldo Sarli; Giovanna Artioli

doi:10.23750/abm.v91i6-S.10019

The process of developing the professional identity of the Nurse Case Care Manager: A Grounded Theory Study

Authors

Maria Bertuol Post graduate Specialization in “Case /Care management in hospital and on the territory for health professions”, University of Parma, Italy
Veronica di Niro Post graduate Specialization in “Case /Care management in hospital and on the territory for health professions”, University of Parma, Italy
Cristina Tagliabue Post graduate Specialization in “Case /Care management in hospital and on the territory for health professions”, University of Parma, Italy
Valentina Ventre Post graduate Specialization in “Case /Care management in hospital and on the territory for health professions”, University of Parma, Italy
Piero Cusenza Post graduate Specialization in “Case /Care management in hospital and on the territory for health professions”, University of Parma, Italy
Chiara Taffurelli University Teaching Hospital, Parma, Italy
Leopoldo Sarli Department of Medicine and Surgery, University of Parma, Italy
Giovanna Artioli Azienda USL-IRCCS di Reggio Emilia, Italy

DOI: https://doi.org/10.23750/abm.v91i6-S.10019

Keywords:

care management, professional identity, influence factors, professional competences, culture evolution, Case Manager, nurse, development, Grounded Theory, case management

Abstract

Background and purpose. The Nurse Case Care Manager (NCCM) is still an emerging figure in the Italian healthcare context. The knowledge of the dynamics inherent in the process of identity development shows how they can be decisive for the affirmation and recognition of this new role. The aim of the study was therefore to analyse the psychosocial processes of developing the identity of the NCCM for a better understanding of the variables that influence its development. Methods. A qualitative study with Grounded Theory method was conducted. From December 2018 to January 2019, 20 semi-structured interviews were given to the NCCM of the Emilia Romagna Region and the Lombardy Region. The analysis of the material has led to a structuring of the theoretical model on the processes of development of professional identity. Results. Two main conditions have been identified: that of the “LOST CASE MANAGER” and that of the “CASE MANAGER DIRECTOR”. This process requires time, perseverance, courage and personal skills. Two transversal background concepts have been identified, namely “available space” and “relationship with the family”. Conclusion. The process of developing the NCCM’s professional identity encounters several obstacles. Among these, in particular a lack of recognition by operators highlighting the need for greater organizational clarity in the context in which the professional operates, in order to facilitate the inclusion of the NCCM clarifying skills and effectiveness profile.

References

Lukersmith MS, Millington M, Salvador-Carulla L. What is case management? A scoping and mapping review. Ir J of integrated care 2016, 16(4).

de Sá Mororó DD, Enders BC, de Carvalho Lira ALB, da Silva CMB, de Menezes RMP. Concept analysis of nursing care management in the hospital context. Acta Paulista de Enfer 2017, 30(3):323.

Maria GRG, Sheila CRVM. Systematization of nursing care and the formation of professional identity. Revista brasileira de enfermagem Reben 2016, 70(2):436-441.

Rizanya I, Hariyatib RTS, Handayanib H. Factors that affect the development of nurses’ competencies: a systematic review. Enferm Clin 2017, 27(1):154-157.

Fitzgerald AM. The experience of professional identity development in graduating nursing students. Univ of North Colorado 2016.

Kantek F, Şimşek B. Factors relating to professional self concept among nurse managers. J of clinical nurs 2017, 26(23-24):4293-4299.

Rasmussen P, Henderson A, Andrew N, Conroy T. Factors Influencing Registered Nurses' Perceptions of Their Professional Identity: An Integrative Literature Review. The J of Continuing Educ in Nurs 2018, 49(5):225-232.

Leong YMJ, Crossman J. New nurse transition: success through aligning multiple identities. J of health organ and manage 2015, 29(7):1098-1114.

Hoeve YT, Jansen G, Roodbol P. The nursing profession: public image, self concept and professional identity. A discussion paper. J of advanced nurs 2014, 70(2):295-309.

Joo JY, Huber DL. Barriers in case managers’ roles: A qualitative systematic review. Western j of nurs res 2018, 40(10):1522-1542.

Willetts G, Clarke D. Constructing nurses’ professional identity through social identity theory. Int j of nurs pract 2014, 20(2):164-169.

Smith AC. Role ambiguity and role conflict in nurse case managers: an integrative review. Professional Case Management 2011, 16(4):182-196.

Dwyer D. Experiences of registered nurses as managers and leaders in residential aged care facilities: a systematic review. Int J of EBH 2011, 9(4):388-402.

Charmaz K. Constructing Grounded Theory. 2nd Edition SAGE 2014.

Glaser BG, Strauss AL. The discovery of Grounded Theory. Strategies for qualitative research. New York: Aldine Publishing Company 1967. Trad. it. La scoperta della Grounded Theory. Strategie per la ricerca qualitativa. Armando 2009.

Sasso L, Bagnasco A, Ghirotto L. La ricerca qualitativa. Una risorsa per i professionisti della salute. Milano: Edra 2015.

Charmaz K. Discovering chronic illness: using GT. Social S&M 1990, 30:1161-1172.

Glaser BG. Theoretical Sensitivity. The Sociology Press 1978.

Bichi R. La conduzione delle interviste nella ricerca sociale. Roma: Carocci 2007.

Coggi C, Ricchiardi P. Progettare la ricerca empirica in educazione. Roma: Carocci Editore 2005.

Glaser BG. Theoretical Sensitivity. The Sociology Press 1978.

Cosentino C, Bettuzzi M, Campioli G, Di Marco V, Giacopuzzi G, Marinoni I, Orlandini L, Palermo A, Pattacini S, Artioli G. Individual and social variables and their effect on Case/Care Manager Job Satisfaction: an exploratory study. Acta bio-med: Atenei Parmensis 2017, 88(3):59.

Foà C, Bertuol M, Deiana L, Rossi S, Sarli L, Artioli G. The Case/Care Manager in Eating Disorder: roles and responsibilities. Acta Bio Med 2019, 90 (11-S), 17-28.

Foà C, Bertinelli S, Boschini A, "et al". Care Case Managers’ Job Satisfaction: a first contribution to the Italian validation of the Job Satisfaction Scale. Acta Bio Medica For H Professions 2016, 87(2):38-48.

Hammarberg SAW, Hange D, André M, Udo C, Svenningsson I, Björkelund C, Petersson EL, Westman J. Care managers can be useful for patients with depression but their role must be clear: a qualitative study of GPs’ experiences. Scandinavian j of primary health care 2019, 37(3):273-282.

Rocco G, Affonso DD, Mayberry LJ, Stievano A, Alvaro R, Sabatino L. The evolution of professional nursing culture in Italy: metaphors and paradoxes. Global qualitative nurs research 2014, 1:2333393614549372.

Franco M, Tavares P. The influence of professional identity on the process of nurses' training: an empirical study. Leadership in H Serv 2013, 26(2):118-134.

Meissner E, Radford K. Importance and performance of managerial skills in the Australian aged care sector–a middle managers' perspective. J of nursing management 2015, 23(6):784-793.

Johnson M, Cowin LS, Wilson I, Young H. Professional identity and nursing: contemporary theoretical developments and future research challenges. Int nurs rev 2012, 59(4):562-569.