Effects of Medicaid Case Manager's Communication Competence and Stress on Their Job Satisfaction

Article information

Res Community Public Health Nurs. 2019;30(2):195-205
Publication date (electronic) : 2019 June 28
doi : https://doi.org/10.12799/jkachn.2019.30.2.195
Associate Professor, Department of Nursing, Hoseo University, Research Institute for Basic Science, Asan, Korea.
Corresponding author: Lim, Seung Joo. College of Nursing, Hoseo University, 90 Hoseo-ro, Babang-eub, Asan 31499, Korea. Tel: +82-41-540-9534, Fax: +82-41-540-9558, seungju62@hanmail.net
Received 2018 August 08; Revised 2019 May 02; Accepted 2019 May 09.

Abstract

Purpose

This study was conducted to identify effects of Medicaid Case Manager's communication competence and stress on their job satisfaction.

Methods

The current work is descriptive research, and the participants were 154 medicaid case managers. Data were collected between May and July, 2017 through Embrain, a specialized research organization. The data were analyzed using independent t-test, ANOVA, and multiple regression.

Results

The mean communication competence of the medicaid case managers was 3.61, stress 1.76, and their job satisfaction 2.74. Age and average monthly compensation brought significant differences in their job satisfaction. Their communication competence was correlated with stress (r=−.35, p<.001), but not with their job satisfaction. The stress was the most influential factor in job satisfaction (β=−.45).

Conclusion

The results of this work show that the medicaid case managers' communication competence was not an influence factor of their job satisfaction, which is different from implications from the previous studies and needs confirmation through future research. In addition the results of this study also suggest that stress management can be a useful approach to the improvement of medicaid case managers' job satisfaction.

Notes

This research was supported by the Academic Research fund of Hoseo University in 2017(1041231-170331-HR-054).

References

1. Kim JS, Lee KJ. Effectiveness analysis on medicaid case management and its implications. Health and Welfare Policy Forum 2012;191:50–59.
2. Oh JJ. On-the-Job experiences of medical aid managers. Korean Journal of Occupational Health Nursing 2009;18(1):84–97.
3. Ministry of Health and Welfare. 2018 Guideline of medicaid management [Internet] Sejong: Ministry of Health and Welfare; 2018. cited 2018. August 4. Available from: http://library.mohw.go.kr/Users/bogun/K/Go/PdfViewer.aspx?mastid=87443&pdf_url=K0044717.pdf.
4. Ahn YH. Effects of medicaid case management program and its policy directions. Korean Journal of Care Management 2010;5:67–84.
5. Kim SO, Cho JH. Trends of research on the case management of medicaid beneficiaries in Korea. Journal of Korean Public Health Nursing 2015;29(3):412–425. 10.5932/JKPHN.2015.29.3.412.
6. Park EJ, Kim CM. Case management process identified from experience of nurse case managers. Journal of Korean Academy of Nursing 2008;38(6):789–801. 10.4040/jkan.2008.38.6.789.
7. Park EJ, Kim CM, Lim SJ. Role Transition from clinical nurse to case manager for medical-aid beneficiaries: Taking root in a barren land. Journal of Korean Academy of Nursing 2012;42(2):149–160. 10.4040/jkan.2012.42.2.149.
8. Choi JM, Oh JJ, Lee HJ. A study of job stress and job satisfaction of medical aid client managers. Korean Journal of Occupational Health Nursing 2008;17(2):146–154.
9. Song MK, Yoo EK. Influencing factors on the work performance competence of medicaid case managers. Health and Social Welfare Review 2015;35(1):211–242. 10.15709/hswr.2015.35.1.211.
10. Jang MR, Min SY. A study on factors affecting medicaid case management of burnout. The Kyonggi Journal of Public Administration 2012;23:113–140.
11. Choi JM. Job analysis of medical care client managers based on DACUM. Korean Journal of Occupational Health Nursing 2011;20(3):299–307. 10.5807/kjohn.2011.20.3.299.
12. Jaegal D, Kim TH. The causal relationship between job satisfaction and the life satisfaction of local government employees. Korean Journal of Local Government Studies 2007;11(3):7–34.
13. Jeong GS, Jung MS. Job satisfaction among Korean nurses: A literature review. The Journal of Muscle and Joint Health 2013;20(3):235–246. 10.5953/JMJH.2013.20.3.235.
14. Song MK. Experiences of health care utilization among medical aid excessive users in Korea [dissertation] [Seoul]: Hanyang University; 2015. 152.
15. Lee AK, Yeo JY, Jung SW, Byun SS. Relations on communication competence, job-stress and job-satisfaction of clinical nurse. Journal of the Korea Contents Association 2013;13(12):299–308. 10.5392/JKCA.2013.13.12.299.
16. Lim SJ. Self-esteem, communication competence, and job satisfaction of public health officials in local government. Journal of the Korean Data Analysis Society 2016;18(2):1065–1078.
17. Park SH, Yon MH. A study on the effectiveness of communication group counseling program on communication ability, interpersonal relationship, stress & job satisfaction - focused on corporate environment. Korean Journal of Counseling 2009;10(2):887–910.
18. Sveinsdottir H, Biering P, Ramel A. Occupational stress, job satisfaction, and working environment among Icelandic nurses: A cross-sectional questionnaire survey. International Journal of Nursing Studies 2006;43(7):875–889. 10.1016/j.ijnurstu.2005.11.002.
19. Jung YM, Jang HK. Research on job stress of hospital workers in Busan. Journal of the Korea Contents Association 2010;10(5):241–251.
20. Hur KH. Construction and validation of a global interpersonal communication competence scale. Korean Journal of Journalism & Communication Studies 2003;47(6):380–408.
21. Koh KB, Park JK, Kim CH. Development of the stress response inventory. Journal of Korean Neuropsychiatric Association 2000;39(4):707–719.
22. Lee SH, Shin JH, Han JH, Jang SC, Shin HS. Effect of belly button meditation (BBM) on stress response, physical symptoms, work flow of the workers. The Korean Journal of Stress research 2017;25(1):8–16.
23. Kang GS. Relationship between mindful attention awareness, coping, stress responses in nursing students. Journal of the Korea Entertainment Industry Association 2018;12(7):289–297. 10.21184/jkeia.2018.10.12.7.289.
24. Jeong JY, Gu MO. The influence of stress response, physical activity, and sleep hygiene on sleep quality of shift work nurses. Journal of the Korea Academia-Industrial cooperation Society 2016;17(6):546–559. 10.5762/KAIS.2016.17.6.546.
25. Park SA, Yun SN. Measurement of job satisfaction of nurses and health workers in health centers. Journal of Nurses Academic Society 1992;22(3):316–324.
26. EMBRAIN. Macromill group company [Internet] Seoul: EMBRAIN; 2019. cited 2019. March 4. Available from: http://www.embrain.com/.
27. Im SB, Kim EK. Interpersonal communication competence and difficult communication experiences of preceptor nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing 2008;17(4):471–480.
28. Kim SY, Kim SM. MBTI personality types, ways of coping with job stress, and job satisfaction of visiting working at a public health care center. Korean Academy of Basic Medicine & Health Science 2016;9(2):51–59.
29. Yi HJ, Cho YC. Relationship between job stress and job satisfaction among nurses in general hospitals. Journal of the Korea Academia-Industrial cooperation Society 2015;6(8):5314–5324. 10.5762/KAIS.2015.16.8.5314.

Article information Continued

Funded by : Hoseo Universityhttps://dx.doi.org/10.13039/501100002634
Award ID : 1041231-170331-HR-054

Table 1

General Characteristics (N=154)

Table 1

Table 2

Level of Main Variables (N=154)

Table 2

Table 3

Differences of Job Satisfaction by General Characteristics (N=154)

Table 3

Table 4

Correlation with Main Variables (N=154)

Table 4

Table 5

Multiple Regression on Job Satisfaction (N=154)

Table 5