Developing the Case Managers’ Role-Function Instrument in the

Professional Nursing Care Method

The Case Management

Aulia Rahman, Nursalam and Chandra Panji Asmoro

Faculty of Nursing Universitas Airlangga, Kampus C Mulyorejo, Surabaya, Indonesia

Keywords: Case Managers’ Role-function, Case Management.

Abstract: Introduction: The implementation of case managers’ role and functions needs to be based upon a

standardized guidance enacted by the professional organization of a case manager. In the present day,

however, there is no standardized role-functions format/instrument in accordance with KARS guidance, as

occurred at the RSUD dr. H. Moch. Anshari Saleh in Banjarmasin. This research aims to design the

instrument development of case managers’ role-function in the Professional Nursing Care Method (MAKP).

Methods: This research employs Research and Development method through this following phases: (1)

evaluation; (2) the formulation process of the role-function instrument through focused group discussion; as

well as (3) validity and realibility testing of the care managers’ role-functions instrument. The respondent of

this research will be 100 nurses and 14 case managers who are involved in the Focused Group Discussions

(FGD). Result and Discussion: The result of this research shows that there is no previous role-functions

instrument of case-manager. This research there fore develops a role-functions instrument. The validity and

realibility testing of this research shows that all role-functions instruments generate the mean > r table

(0,195), which shows the high validity and reliability of the instrument developed in this research.

1 BACKGROUND

The implementation of case managers’ role and

functions needs to be based upon a standardized

guidance enacted by the professional organization of

a case manager. This standard will guide the case

managers to implement their responsibilities in an

ethical, effective, and secured manner, which will be

able to protect the client in relations to the functions

given to the case-managers (CMSA, 2010). In order

to optimally implement the role-functions of a case

manager, a format/instrument for the case managers’

role-functions that is matched with a standardized

guidance is required. This guidance comprises of

utility assessment, planning, facilitations and

advocacy, service coordinations, evaluations, and

post-discharge follow-ups (KARS, 2015). This

standard will guide the case managers to do their

responsibilities ethically, effectively, and safely,

therefore enable client protection related to case

managers’ service. In the present day, however,

there is no standardized role-functions instrument in

accordance with KARS guidance, the lack of

knowledge in the documenting process, as well as

the lack of socialization the training of case

managers, which prevented the optimal

implementation of the case managers’ role-functions

and, as a consequence, hinder the quality

improvement of the nursing facility it self. This

problem occurs at the RSUD dr. H. Moch Anshari

Saleh in Banjarmasin. This research aims to

formulate the instrument development for the role-

functions of case managers in the Professional

Nursing Care Method (MAKP), which will be

applied in the RSUD dr. H. Moch. Anshari Saleh in

Banjarmasin. The instrument development will help

the case-managers to optimally implement and

document their role-functions in the nursing process.

2 METHODS

This research is designed as a Research &

Development (R&D) in two phases. The first phase

is the development of instrument for case managers’

role-function in order to establish a valid and

Rahman, A., Nursalam, . and Asmoro, C.

Developing the Case Managers Role-Function Instrument in the Professional Nursing Care Method: The Case Management.

DOI: 10.5220/0008332107430745

In Proceedings of the 9th International Nursing Conference (INC 2018), pages 743-745

ISBN: 978-989-758-336-0

743

reliable instrument. This instrument development is

supported by a statistical analysis a product moment

pearson correlation statistical analysis for validity

test and cronbach alpha for realibility test, as well as

a descriptive analysis. The second phase is

socialisation and the instrument form testing in order

to familiarise the case managers with the case

managers’ role-function instrument. The participants

of FGD is selected through a purposive sampling

technique. The first phase’s population to evaluate

nurses’ familiarity to case managers’ role-function

instrument is 100 nurses, as well as 14 case

managers who are involved in the Focused Group

Discussions (FGD).

3 RESULTS

The result shows that 1) the case managers’ role-

function instruments at the RSUD dr. H. Moch

Anshari Saleh in Banjarmasin from the early

screening instrument (utility assessment), planning,

facilitations and advocacy, service coordination,

evaluation, and post-discharge follow-ups are not yet

fit for evaluation due to the absence of standardized

instrument; 2) the development of the case

managers’ role-function instrument through FGD

and expert meeting; 3) The early screening

instrument (utility assessment), planning,

facilitations and advocacy, service coordination,

evaluation, and post discharge follow-ups is

considered valid and reliable with the means of r

count > r table (0,195). The development of the

case managers’ role-function instrument in the

Professional Nursing Care Method (MAKP): case

management is conducted through cheklist. Several

choices have been reduced at the early screening,

planning, faciltation and advocacy, which is merged

because of the similar meaning in practice.

However, at the service coordination, evalution, and

post discharge follow-ups, the instrument remains in

the previous form as outlined by KARS.

4 DISCUSSION

The development of the case-managers’ role-

function instrument in the Professional Nursing Care

Method (MAKP): case management is conducted

through cheklist (√). Several choices have been

reduced at the Early Screening, Planning, Faciltation

and Advocacy, which is merged because of the

similar meaning in practice. However, at the Service

Coordination, Evalution, and Post-Discharge

Follow-Ups, the instrument remains in the previous

form as outlined by KARS. The instrument form is

divided into two categories. Form A early evaluation

consists of early screening (utility assessment),

planning, post-discharge follow-ups. Form B

implementing notes consists of facilitations and

advocacy, service coordinations, single-formatted

evaluations in accordance with SNARS standard.

5 CONCLUSION

As indicated in the result, this research concludes

that no previous role-functions instrument of case-

manager in RSUD dr. H. Moch. Anshari Saleh in

Banjarmasin. Therefore, this research could not

judge as to whether the role-functions’ instruments

of the case managers are appropriate in accordance

to the Professional Nursing Care Method (MAKP).

However, this research attempts to formulate a new

instrument, which has been declared reliable and

valid. This role-functions instrument use a check list

form formalized in accordance to KARS

standardized guidances. This research therefore

recommends the RSUD dr. H. Moch. Anshari Saleh

in Banjarmasin to include the role-functions’

instrument of case-managers to the patients’ status in

order to makes the documentation and evaluation

processes are standardized in accordance to relevant

policies.

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