title: Role transition from caregiver to case manager--Part II.
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 presented a theoretical model that demonstrated the interplay of significant factors in the process of role transition and discussed how this model could 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: URAC-accredited case management program at Citizens and Hanover Insurance Companies, USA. nancys@ismi.net
authors.forename: Nancy
authors.initials: N
authors.lastname: Schmitt
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000209:etiology / Q000523:psychology; D017028:Caregivers / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D019090:Case Management / Q000458:organization & administration*; D005260:Female; D017144:Focus Groups; D006301:Health Services Needs and Demand; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D008875:Middle Aged; D016294:Models, Nursing; D008960:Models, Psychological; D009042:Motivation; D024802:Nurse's Role / Q000523:psychology*; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D015279:Organizational Culture; D009936:Organizational Innovation; D010563:Personnel Turnover; D036301:Qualitative Research; D012649:Self Concept; D012933:Social Identification