Fink-Samnick Ellen
Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP, is an award-winning industry thought leader who empowers health care's transdisciplinary workforce through professional speaking, writing, mentoring, and consultation. A subject matter expert on Ethics, Ellen is an esteemed author with more than 90 publications to her credit. She has authored content for many of the industry's knowledge projects for case managers, including chapters on the Ethical Use of Case Management Technology, Workplace Bullying, Collaborative Care, and the Social Determinants of Health. Her contributions to professional case management, ethics, and clinical social work transverse professional associations and credentialing organizations, including roles as subject matter expert, examination item writer, and leadership positions. She is a vibrant professional voice.
Prof Case Manag. 2017 Nov/Dec;22(6):260-274. doi: 10.1097/NCM.0000000000000249.
PURPOSE/OBJECTIVES: PRIMARY PRACTICE SETTING(S):: Applicable to all health care sections where case management is practiced.
FINDINGS/CONCLUSIONS: This article is the third of a 4-part series on the topic of bullying in the health care workplace. Part 3 addresses the dimensions of the bullying boss and leadership, posing major implications for patient safety plus the mental health of staff members. The complex constructs and dynamics broached by the bullying boss and department leadership are explored. These include the underlying forces at play such as power, gender, leadership styles, plus weaves in assessment models. Strategic and proactive management of bullying by leadership is vital to workforce retention and well-being.
The increasing incidence and impact of bullying across all sectors have made it a major workforce performance management challenge. Health care settings are especially tense environments, often making it difficult for individuals to distinguish between bullying behavior and high expectations for staff. Bullying impacts both direct targets and bystanders who witness the assaultive behaviors, with ethical implications as well.Case management is poised to promote a safe health care workplace for patients and practitioners alike amid these intricate circumstances. Understanding types of bullying bosses and leadership styles is integral to a case manager's success in the workplace.
目的/目标：主要实践场景：适用于实施病例管理的所有医疗保健领域。
研究结果/结论：本文是关于医疗保健工作场所欺凌问题的四部分系列文章中的第三篇。第3部分讨论了欺凌型上司和领导力的维度，对患者安全以及工作人员的心理健康具有重大影响。探讨了欺凌型上司和部门领导提出的复杂结构和动态。这些包括权力、性别、领导风格等起作用的潜在因素，以及评估模型中的交织因素。领导层对欺凌行为进行战略和积极的管理对于留住员工和员工的福祉至关重要。
欺凌行为在所有部门的发生率和影响不断增加，使其成为劳动力绩效管理的一项重大挑战。医疗保健环境尤其紧张，这常常使个人难以区分欺凌行为和对员工的高期望。欺凌行为会影响直接目标对象以及目睹攻击性行为的旁观者，也会产生伦理影响。在这些复杂情况下，病例管理有望为患者和从业者营造一个安全的医疗保健工作场所。了解欺凌型上司的类型和领导风格是病例管理人员在工作场所取得成功的关键。
