Purpose The aim of this study was to explore the causes and effects of burnout experienced by insurance review nurses working in hospitals.
Methods: Data were collected from April to May, 2021, using focus group interviews. The study enrolled 19 insurance review nurses with at least one year of experience. Data were analyzed using the content analysis method.
Results: Causes of burnout were divided into three categories: eight subcategories (feeling of insufficient competence in an insurance review, closed mind in a limited working space, incompetency from other departments, harsh words and deeds that exclude me, insurance cuts controlling my work performance, cloudy mind chased by the billing date, ineffective hospital information systems, and question with no answer) and 23 causes. The impact of burnout was divided into three categories: six subcategories (experiencing mental and physical symptoms, projecting one’s feelings into family or neglecting them, withdrawing myself, wearing a mask, decreased work performance, and desiring to leave one’s work), and 14 concepts.
Conclusion: This study provides basic data for strategy development to prevent and solve burnout problems among insurance review nurses. It is important to develop programs and policies to solve the burnout problem of insurance review nurses in the future.
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Purpose This study aimed to identify nursing students’ experience with the Nursing Management Practicum based on the service design concept to provide a basis for an ideal subject design.
Methods: This study was a qualitative research that analyzed the experience of students and their clinical instructors based on the blueprint of Nursing Management Practicum. Focus group interviews were conducted with 13 graduates from two nursing schools and 11 clinical instructors from three hospitals.
Results: The students went through six stages during the practicum. They met clinical instructors during the ward orientation and learning activities in wards and met school instructors during the general orientation and conference. The students perceived the learning activities and teaching from the clinical instructors in wards as the most important practicum factors.
Conclusion: This study provided information which helped us to understand nursing students’ experience with the Nursing Management Practicum as the time passed by. This information can be used to improve students’ experience with the practicum and convert the subject into a more learner-centered education.
Purpose The aim of this study is to identify and understand the meaning and essence of the working difficulties experienced by physician assistants. Methods This qualitative study used focus group interviews and conventional content analysis. Participants included physician assistants with over 1 year of experience working in general hospitals. Fifteen people formed four focus groups with three to four people in each group. Results Six categories of difficulties faced by physician assistants were derived from the results. These were: the "lack of an education system", "unclear professional duties", "shortage of substitute workforce", "conflict with the nursing department", "dual management structure", and "unstable roles and uncertain futures". Participants experienced difficulties in their jobs because the systematic educational system was inadequate, and due to there was uncertainty regarding the scope and extent of their work. As professional nursing staff, they experienced hindrances in their development and increased anxiety owing to their uncertain futures. Conclusion To overcome the difficulties faced by physician assistants in their work, it is necessary to legally recognize and clarify their roles as well as to establish a systematic education system.
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