title: Role transition from caregiver to case manager, part 1.
abstract: This two-part article explores the process of role transition as it pertains to nurses moving from roles of caregivers to roles of case managers. Part 1 of the article presents a theoretical model that demonstrates the interplay of significant factors in the process of role transition and discusses how this model can be used to examine nurses experience of this transition. Part 2 presents findings from a qualitative study involving interview and focus group data contributed by nurses who have made the transition from caregiver to case manager. Data point to specific tensions experienced by these nurses, which are associated with time-task orientation, interactions and relationships, business culture and objectives, and self-image and professional identity. Recommendations for preparing and supporting nurses through this role are also offered.
authors.affiliation: Citizens and Hanover Insurance Companies, 4142 Highcrest Drive, Brighton, MI 48116, USA. nancys@ismi.net
authors.forename: Nancy
authors.initials: N
authors.lastname: Schmitt
mesh_terms: D000223:Adaptation, Psychological; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology*; D019090:Case Management / Q000458:organization & administration*; D004509:Education, Nursing, Continuing; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D007318:Inservice Training; D007400:Interprofessional Relations; D007587:Job Description; D016294:Models, Nursing; D008960:Models, Psychological; D024802:Nurse's Role / Q000523:psychology*; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration; D011582:Psychological Theory; D036301:Qualitative Research; D012649:Self Concept; D012933:Social Identification; D012944:Social Support; D012951:Socialization