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Evidence-Based Nurse Case Management Practice in Community Health

Joo, Jee Young PhD, RN; Huber, Diane L. PhD, RN, NEA-BC, FAAN

doi: 10.1097/NCM.0000000000000058

Purpose of Study: The purpose of this study was to investigate and compare the type of nurse case managers' (NCMs') practice on patients' quality outcomes in community settings.

Primary Practice Setting(s): Nurse case management (CM) practice with NCMs in community-based settings.

Methodology and Sample: The design of this study was an exploratory, descriptive secondary analysis of 4 types of service by 11 NCMs, delivered to selected Medicare beneficiaries in community settings. Descriptive statistics and ANOVA tests were calculated.

Results: The majority of CM services were delivered in home care services in the community. Most of the 4 types of services—home, telephone, clinic, and mixed care—positively changed patients' quality measure outcomes—self-care activities of daily life, quality of life, and well-being. However, there were no modes that were statistically significant in patients' quality measure outcomes at the p < .05 level in the 2-year time frame.

Implications for Case Management Practice: It is imperative to know the most effective and efficient types of CM services in community health for evidence-based NCMs practice. The results contribute to understanding how community health nurses may choose to select home care interventions for effectiveness. Thus, NCMs' practice needs to be capitalized on by practicing health administrators for health care management services within the current dynamic health policy environment.

Jee Young Joo, PhD, RN, is Assistant Professor, College of Nursing, University of Missouri–St. Louis. Her cognate area is health care management and community health.

Diane L. Huber, PhD, RN, NEA-BC, FAAN, is Professor, the College of Nursing and the College of Public Health, the University of Iowa, Iowa City, Iowa, where she is the Coordinator of the Nursing and Health Systems DNP program.

Address correspondence to Jee Young Joo, PhD, RN, College of Nursing, University of Missouri-St. Louis, 211 NAB, One University Boulevard, St. Louis, MO 63121 (e-mail:

The authors report no conflicts of interest.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins.