台灣高齡個案管理師之角色職責與核心能力建構

Establishment of Role and Core Competencies of Geriatric Case Managers in Taiwan

游詠晨(Yung-Chen YU) ； 張瑩如(Ying-Ju CHANG) ； 胡芳文(Fang-Wen HU)

《護理雜誌》 69卷1期 (2022/02) Pp. 51-62

https://doi.org/10.6224/JN.202202_69(1).08

摘要

背景：高齡者疾病複雜且常伴隨功能障礙，需持續、整合及利用相關資源，達到從預防、治療至長期復健的多面向與連續性整合照護。個案管理能提供整合性照護服務，以避免照護資源片段和重複，能貼近高齡照護需求。建立高齡個案管理師角色職責及核心能力，將有助於台灣發展高齡個案管理師角色。目的：建構台灣高齡個案管理師之角色職責與核心能力。方法：首先以個案管理師關鍵詞進行文獻搜尋，初擬高齡個案管理師之角色職責及核心能力。再者，進行修正型德菲法專家共識程序，針對初擬角色職責及核心能力描述之重要性及清晰度評分。結果：經過二回合修正型德菲法專家共識程序，總計4個角色與36個核心能力，其收斂度達94.4%。台灣高齡個案管理師角色職責及核心能力，包含：個案管理者（18項核心能力）、協調者（6項核心能力）、諮詢者（6項核心能力）、實證實務工作者（6項核心能力）。結論／實務應用：本結果可應用於未來發展高齡個案管理師培訓課程之參考，以期提升高齡照護品質。

關鍵字

個案管理師 ； 高齡者 ； 角色 ； 核心能力

並列摘要

Background: Older adults have unique and complex care needs that are multifaceted, continuous, and integrated and that span prevention and treatment to long-term rehabilitation. Case managers are able to integrate healthcare and social resources to help older adults and their caregivers manage the needs of daily life. Therefore, identifying the role and core competencies of geriatric case managers in Taiwan is crucial. Purposes: To develop the role and core competencies of geriatric case managers in Taiwan. Methods: Based on a review of the literature, a two-round modified Delphi technique was used to evaluate the framework of the geriatric case manager role and core competencies. Experts were invited to join a panel to review and rank the importance of each role and competency within the context of the Delphi technique. Results: Four roles and 36 core competencies of geriatric case managers were identified, and 94.4% consensus was reached in round two. The roles and core competencies included care expert (18 competencies), coordinator (6 competencies), consultant (6 competencies), and evidence-based practitioner (6 competencies). Conclusion/Implications for Practice: Training programs may be developed for geriatric case managers based on the results of this study to further promote the quality of provided geriatric care.

並列關鍵字

case managers ； elderly ； role ； core competency

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