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 100 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. 2018 Nov/Dec;23(6):294-306. doi: 10.1097/NCM.0000000000000324.
Disrespect among the health and behavioral health workforce may have reached the point of no return. The industry is on heightened alert, as the disruptive behaviors of bullying and lateral violence, plus escalating incidents of workforce harassment and workplace violence incidents, impact every practice setting. These behaviors contribute to concerns around client and professional safety, quality-of-care processes, as well as workforce retention and mental health.
PURPOSE/OBJECTIVES: This article: PRIMARY PRACTICE SETTING(S):: Applicable to all health and behavioral health settings where case management is practiced.
FINDINGS/CONCLUSIONS: Despite glaring improvements in how care is rendered and an enhanced focus on quality delivery of care, organizations must address cultures that support as opposed to negate disruptive workplace behaviors. The emerging regulatory and organizational initiatives to reframe the delivery of care will become meaningless without consistent attention to enforcement of regulatory, policy, and prevention actions.
Professionals who hesitate to confront and address incidents of disruptive and oppressive behavior in the health care workplace potentially practice unethically. Bullying has fostered a dangerous culture of silence in the industry, one which impacts client safety, quality care delivery, plus has longer term behavioral health implications for the professionals striving to render care. Add the escalating numbers specific to workplace violence and the trends speak to an atmosphere of safety and quality in the health care workplace that puts clients and professionals at risk.
医疗及行为健康工作队伍中的不尊重现象可能已到了无法挽回的地步。该行业处于高度警戒状态，因为欺凌和横向暴力等破坏性行为，以及不断升级的工作队伍骚扰事件和工作场所暴力事件，影响着每一个执业环境。这些行为引发了对客户和专业人员安全、护理质量流程以及工作队伍保留和心理健康的担忧。
目的/目标：本文：主要执业环境：适用于所有实施病例管理的医疗及行为健康环境。
研究结果/结论：尽管在提供护理的方式上有明显改进，且更加注重高质量护理，但各组织必须应对那些支持而非否定工作场所破坏性行为的文化。如果不持续关注监管、政策和预防行动的执行情况，新出现的旨在重塑护理服务的监管和组织举措将变得毫无意义。
在医疗工作场所中，那些对破坏和压迫性行为事件犹豫不决、不愿面对和处理的专业人员可能在道德上存在问题。欺凌在该行业中营造了一种危险的沉默文化，这种文化影响客户安全、高质量护理服务的提供，并且对努力提供护理的专业人员有长期的行为健康影响。再加上工作场所暴力事件数量不断增加，这些趋势表明医疗工作场所的安全和质量氛围使客户和专业人员面临风险。
