失智症安全中心个案管理者个案定制管理经验之现象学研究

Eun Ok Kim
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引用次数: 1

摘要

本研究旨在透过分析失智安全中心个案管理者的个案管理经验,寻找失智病患及其家属个案管理实务的方向。选取6家痴呆安全中心11名实施定制化病例管理一年以上并同意参与本研究的病例管理人员(护士和社工)作为研究对象。研究者通过面对面和在线深度访谈引导被试描述他们的经历。访谈数据的定性分析采用Colazzi方法,因为该方法侧重于得出所有研究参与者的共同属性,而不是个人属性。结果表明,研究参与者的经验结构可以通过识别44个构建意义中的17个主题集合来划分为四组。这四个类别分别是:组织环境、压力、应对和成长。本研究的结果证实,为了促进失智安全中心定制个案管理绩效的积极变化,组织重组是必要的,例如重新设置评估体系和标准工作手册。本研究还建议建立公共病例管理转诊系统和痴呆合作模式。此外,还需要进行后续研究,建立监督体系,持续监测和完善痴呆安全中心案例管理实践过程中的工作指导、心理和教育支持。
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A phenomenological study on case managers’ experience of customized case management in dementia safety centers
This study aims to find the direction of case management practice for dementia clients and their families by analysing case management experiences of case managers in dementia safety centers. Eleven case managers (nurses and social workers) from six dementia safety centers who had performed customized case management for more than one year and agreed to participate in this study were selected as study subjects. The researcher guided subjects to describe their experiences through face-to-face and online in-depth interviews. The Colazzi method was used for qualitative analysis of interview data as this method focused on deriving common attributes of all study participants rather than individual ones. Results revealed that the structure of experiences of study participants could be categorized into four groups by identifying 17 topic collections among 44 constructed meanings. These four categorized groups were: organizational environment, stress, coping, and growth. As a result of this study, it was confirmed that organizational reorganization, such as resetting the evaluation system and standard work manual, was necessary in order to promote positive changes of the customized case management performance in a dementia safety center. This study also suggests that a public case management referring system and a cooperation model for dementia should be developed. In addition, follow-up studies are needed to establish a supervision system that can continuously monitor and improve work guidance, psychological and educational support for the case management practice process in dementia safety centers.
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