Case Management Programs for Staff Nurses

NURSE EDUCATOR: STRATEGIES FOR DEVELOPING AND IMPLEMENTING THE ROLE OF CASE MANAGEMENT

Case management is defined by Siefker, Garrett, Van Genderen and Weis (1998) as the process of helping the patient and his family to find medical solutions to health care problems and difficulties. Normally, case management is said to involve three steps: assignment of primary responsibility for the patient, systematic and regular review of patient progress regarding the medical difficulty, and the development of a plan to address any barriers to progress.

In terms of the Advanced Practice role of Nurse Educator (NE), case management primarily involves designing, implementing and assessing case management programs for staff nurses (DeYoung, 2002). However, the School of Nursing at the University of Wisconsin at Madison (2004) reports that Nurse Educators can, if they choose, also function in the role of case manager and that their expertise in design, assessment, planning, implementation, evaluation would make strong contributions to fulfilling the role.

Nonetheless, it seems reasonable to state that functioning in the role of case manager is probably not going to be a decision the majority of Nurse Educators can make. Therefore, the question can be asked as to how Nurse Educators can function so as to augment their level of involvement in case management? In other words, what can techniques and strategies can Nurse Educators use to develop and implement the case management role?

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. DeYoung, S. (2002). Teaching strategies for nurse educators. Upper Saddle River, NJ: Prentice-Hall. National League for Nursing. (2003). Core competencies of Nurse Educators. Document available: http:// www.nln.org/profdev/competency.htm. Siefker, J. M., Garrett, M. B., Van Genderen, A., & Weis, M. J. (1998). Fundamentals of case management: Guidelines for practicing case managers. St. Louis: C.V. Mosby. Tholcken, M., Clark, M. C. & Tschirch, P. (2004). Case management in the undergraduate curriculum. Journal of Nursing Education, 43(1), 45-48. University of Wisconsin/Madison, School of Nursing. (2004). Overview of clinical specialties and roles. Document available: http://www.son.wisc.edu/ academics/msclinicalspecialties.htm TREATMENT OF DEPRESSION: PATIENTS AT RISK FOR SSRI FAILURE According to Davison, Neale and Kring (2003), about 5.3 percent of American adults suffer from depression, a figure that amounts to about 14 million people. An additional 2.5 percent of all American children are depressed and 8.3 percent of adolescents which brings the total up to around 17 million. Women suffer from depression at higher rates than men. The authors report that one of the most effective pharmacologic treatment for depr

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