Care management in Chile: perceptions and meanings from a managerial perspective
Abstract
Introduction: Nurses in managerial positions play a key role within hospitals.
Objective: To explore the meanings that nurses in managerial roles attribute to the implications of care management within the Chilean hospital context.
Material and method: Qualitative research with an interpretative approach, employing an embedded case study design. Participants were purposively selected with inclusion criteria being nurse deputy directors of care management with over one year of experience in the role. Content analysis as described by Bardin was conducted, focusing on units of meaning (text decomposition) followed by category development (classification). NVivo® V14 software was used to optimize analysis. The study was positively reviewed by the Deontological Committee (Reference: CD 392022) and the Scientific Ethical Committee of SSVSA (Memo 062019).
Results: Three nurses were interviewed. One main category emerged: “Implications of the care management construct within the hospital structure,” which addressed the research purpose. From this, six subcategories surfaced, illustrating various ways care management is approached, the challenges faced, reflective processes, risks of “losing ground,” and how implementation can be measured through indicators and care standardization.
Conclusions: Chilean regulation on care management has left a significant mark on the hospital structure; however, it remains a fluid construct requiring greater professional, social, and legal recognition.
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