FACTORS RELATED TO ROLE PERFORMANCE AS CASE MANAGER OF REGISTERED NURSES IN PUBLIC HEALTH CENTERS, BANGKOK
The case manager role is an important role of the nursing profession since it supports access to actual health services in the community by leading multidisciplinary teams in case management. This crosssectional survey studied factors related to role performance of registered nurses as case managers of registered nurses in public health centers of the Bangkok Metropolitan Administration. Subjects were 216 registered nurses. Data were collected using self-administered questionnaires and represented using a statistical software package for percentage, average arithmetic mean, standard deviations. Relationship analysis used the Chi square test and stepwise multiple logistic regression analysis.
The findings indicated that most registered nurses had overall case-manager role performance at a high level at 66.2%. Health service, coordination, use of tools, and management performance had mean scores at a high level. Factors of job description, work effort, work environment, perception of the case manager’s role, and work ability were significantly correlated with performance as case manager (pvalue < .05). Regression analysis showed that factors of task characteristics, perceived role of the case manager, work ability, and working environment were factors that couldpredict 46 % of the variance of performance in the case-manager role of registered nurses and was significantly correlated with overall performance as case manager (p-value < .05).
Study results suggest that nurses should be encouraged as case-manager nurses to be motivated with high morale to perform work. For instance nurses should be given more opportunity and support so they can get case-manager experience through case management. In addition, policy support for case management in the mentoring system should be provided to allow nurses to perform the role of case manager; materials should be provided with an appropriate environment which reduces exposure to operational threats to registered nurses who performed home-visit services.
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