An ethnographic view in day to day life of a nurse case manager
Section: A propósito de un caso
How to quote
Dalfó Pibernat A, Feijoo Cid M, Dalfó-Pibernat E, Rosell Vidal J. A propósito de una mirada etnográfica en el día a día de un enfermero gestor de casos. RIdEC 2016; 9(1):35-40.
Authors
1 Artur Dalfó Pibernat, 2 María Feijoo Cid, 3 Enric Dalfó-Pibernat, 4 Jessica Rosell vidal
Position
1 Enfermero gestor de casos, EAP Horta (Barcelona). Profesor asociado EUI Sant Joan de Déu (UB) 2 Profesora titular del Departamento de Enfermería. Facultat de Medicina. UAB. (Barcelona).3 Enfermero, EAP Gòtic (Barcelona).4 Enfermera, Hospital Quirón (Barcelona).
Contact email: adpibernat@gmail.com
Abstract
Introduction: the present case reports the experience based on a home visit by a nurse case manager (NCM) in primary care (PC). Furthermore, a reflection and analysis from an ethnographic point of view is presented.
Material and methods: this is an ethnographic case in which NCM experience during a home visit is analyzed by means of a dense description. The visited individual, Francisco, was a 84-years-old man with a significant risk for social isolation.
The following methods were used: observation, in-depth semi-structured interview, and integral assessment based on scales/tools to evaluate Francisco's complex state.
Results have been analyzed using a first-person description for the assessment during home visit and a critical analysis to detect items belonging to a lay-person model and a biomedical model. The analysis has been structured with five categories, according to Kleinman (1) (etiology, symptoms, pathophysiology, course of disease, and treatment).
Results: from a NCM view, the main sign is edema, resulting from non-compliance. From the Francisco's point of view, the priority symptom was the need to use the bathroom frequently. As a result of his economic status, he had to use the kitchen burner to heat the house.
Conclusions: an ethnographic view in case management is a potentially effective tool that can be useful to understand the life of people having health-illness-care problems, and allows a more successful care negotiation to be performed by NCM.
Keywords:
ethnography; case report
Versión en Español
Título:
A propósito de una mirada etnográfica en el día a día de un enfermero gestor de casos
Artículo completo no disponible en este idioma / Full article is not available in this language
Bibliography
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