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Dissertation/Thesis Abstract

Nurse Case Managers' Competency Behaviors in Interprofessional Collaboration During Hospital Discharge Planning
by Antoine-Dixon, Sharon, Ph.D., Kean University, 2020, 218; 28092601
Abstract (Summary)

Background: Improving hospital discharge planning (DCP) is an important need recognized by the federal government to provide safe transitions, and reduce rise in preventable and costly readmissions. Numerous studies demonstrate the need for nurse case managers (NCMs) to improve hospital DCP through inter-professional collaboration (IPC).

Purpose: To examine the effects certification status (certified, non-certified), and years of case management experience in hospital DCP (1-5yrs, 6-15yrs, 16-30yrs ) have on NCMs’ competency behaviors in IPC during hospital DCP.

Research Questions: (1) Does case management certification status make a difference in NCMs’ competency behaviors in IPC during hospital DCP?, and (2) What effect do years of experience in hospital case management DCP have on NCMs competency behaviors in IPC during DCP?

Methodology: A quantitative descriptive cross-sectional survey of 60 NCMs in six hospitals within the Robert Wood Johnson Barnabas Healthcare system in New Jersey (NJ); NJ State Nurses Association, Sigma Theta Tau International (STTI), and Case Management Society of America (CMSA).

Data Collection: Online from January through March, 2020 via Qualtrics web-based survey with 8 demographic questions and the Revised Inter-Professional Competency Attainment Scale (20 items) (ICCAS; Schmitz et al., 2017).

Data Analysis: IBM SPSS version 26.0 (2019) to conduct bivariate tests for hypotheses testing, and examine relationships between the IVs and DVs.

Findings: NCMs’ certification status made no significant difference in NCMs’ competency behaviors in IPC during DCP. A greater number of years of experience in hospital case management DCP was associated with higher Roles and Responsibilities scores at a statistically significant level, r(58)=.33, p<.01. The correlation reflected a medium effect size, where years of experience in hospital case management DCP explained approximately 11% of the variance (.332 = .1089) in Roles and Responsibilities scores.

Implications: The study addressed a gap in empiricism on NCMs’ behaviors in IPC during DCP, the effects on the healthcare system, and the need for further inter-professional education (IPE).

Key Terms: nurse case manager, competency behaviors, inter-professional collaboration, hospital discharge planning, activity theory, organizational theory

Indexing (document details)
Advisor: Al-Makhzoomy, Ibtihal
School: Kean University
Department: Nursing
School Location: United States -- New Jersey
Source: DAI-A 82/3(E), Dissertation Abstracts International
Subjects: Nursing, Educational leadership
Keywords: Nurse case managers, Interprofessional collaboration, Hospital discharge planning
Publication Number: 28092601
ISBN: 9798672138732
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