Introduction Integrated and patient-focused healthcare is urgently needed, and there is an important role for case managers in implementing them. However, the understanding of healthcare providers, especially nurse anesthetists, about the role of case managers is still varied and is often considered only as a complement to hospital accreditation. This study aimed to determine the factors that influence the nurse anesthetist’s perception of the role of the case manager. Methods This cross-sectional study involved 369 nurse anesthetists who were selected using cluster sampling. Data collection was done using Google Forms. Furthermore, the data were analyzed using multiple logistic regression to identify the factors that influence the nurse anesthetists’ perception of the role of the case manager. Results From a total of 369 respondents, most (60%) have a positive perception of case managers. Marital status (AOR = 2.3; 95% CI: 1.27–4.15) and knowledge (AOR = 3.2; 95% CI: 2.03–5.07) were significant predictors of the nurse anesthetist’s perception of the role of the case manager. Discussion Even though the majority of nurse anesthetists have positive perceptions, socialization to increase knowledge about case managers is needed to reduce misperceptions about the role of case managers.

Case manager belum melakukan peran dengan optimal. Case manager seperti pelengkap standar akreditasi. Banyak faktor terlibat dalam timbulnya berbagai persepsi ini. Penelitian ini bertujuan untuk mengidentifikasi determinan persepsi perawat tentang peran case manager. Penelitian kuantitatif dengan desain cross-sectional ini melibatkan 296.876 perawat sebagai populasi. Metode sampling menggunakan multistage random sampling, didapatkan sampel sebanyak 399 perawat. Instrumen penelitian menggunakan kuesioner persepsi tentang case manager, kuesioner pengetahuan tentang case manager dan kuesioner kepuasan kerja yang telah dilakukan uji validitas dan reliabilitas.  Kuesioner kelelahan kerja yang telah baku juga digunakan pada penelitian ini dengan nilai cronbach alpha (0,921). Setiap responden telah mengisi kuesioner terstruktur melalui google form dan telah dianalisis menggunakan deskriptif statistik, chi square-test dan binary logistic regression. Penelitian ini menemukan bahwa sebagian besar atau sebanyak 205 (51%) perawat memiliki persepsi positif tentang peran case manager. Faktor pengetahuan dan kepuasan kerja dikaitkan dengan persepsi perawat tentang peran case manager (p=0,002 dan p=0,006). Faktor determinan persepsi tentang peran case manager pada perawat adalah pengetahuan (Adj. OR=2,36, 95% CI 1,30-4,26, p 0,005). Temuan ini mendukung teori yang mana pengetahuan dan kepuasan kerja terkait dengan persepsi tentang peran case manager.

Introduction: Organ dysfunction may lead to critical disease. The critical disease has put many patients to be monitored intensively during medical treatment to restore their body function. Most ventilator usage is to support recovery from respiratory system problems. A ventilator is connected to an Endo Tracheal Tube inserted into the patient’s mouth. This study aims to explore in depth the meaning of patient experience dealing with endotracheal tube insertion during hospitalization in intensive care unit. Methods: This study used a qualitative research design with an interpretative phenomenological approach. This study used purposive sampling, with total 10 participants with inclusion criteria: patient that has endotracheal tube experience more than 2 x 24 hours, 30-70 years of age, conscious, has good memory while in intensive care unit, able to communicate well and are willing to become participants by signing the participant’s informed consent form. The data collection strategy used in-depth interview techniques with semi-structured interview guidelines. Researchers conducted data analysis using NVivo. Results: There are five themes in this study, namely: pain, feeling thirsty, disoriented, feeling anxiety, and hard to communicate verbally. Conclusion: Discomfort experienced in patients while utilizing endotracheal tubes and ventilators affects both physically, psychologically, socially, and spiritually. It takes a lot of courage to survive during those hard times. Patients adapt by praying, showing an obedient attitude, keeping calm, and trying to find out their self-comfort position.