Related Experiment Video
Updated: Jun 9, 2026
07:14
Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models
Published on: December 23, 2025
Speaking up in case management, part II: implementing speaking up behaviors
1Department of Rehabilitation Medicine, Emory University, Atlanta, GA 30322, USA. jbanja@emory.edu
Professional Case Management
|September 10, 2010
Summary
Case managers must ethically speak up when witnessing deviations from care standards. This article provides strategies for effective professional communication to address these critical situations and ensure patient safety.
Area of Science:
- Healthcare Management
- Professional Ethics
- Patient Safety
Background:
- Case managers frequently observe deviations from established standards of care, policies, and regulations across various healthcare disciplines.
- Silence regarding these deviations, often due to fear of retaliation or lack of organizational support, can jeopardize patient and institutional welfare.
Purpose of the Study:
- To discuss the ethical obligation of case managers to address substandard care observed in colleagues.
- To outline practical strategies and communication techniques for effectively "speaking up" in professional settings.
Main Methods:
- The study's scope encompasses all case management work environments.
- It involves analyzing the ethical imperatives and communication strategies for case managers.
Main Results:
- Healthcare professionals deviating from standards of care pose risks to clients and institutions.
- Despite potential fear of reprisal, organizations and employees can implement strategies to foster a culture of speaking up.
Conclusions:
- Case managers are uniquely positioned to identify and address ignored or violated practice standards within multidisciplinary teams.
- Developing communication skills, understanding organizational dynamics, and fostering supportive leadership are crucial for effectively addressing deviations from the standard of care.
Related Concept Videos
01:25Role of Communication in the Nursing Process II: Planning and Implementation
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time for...
01:26Modeling in Therapy
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
01:30Ethical Dilemmas II
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
01:29Impression Management Techniques III: Aligning Actions
Aligning actions are communicative strategies individuals employ to maintain social harmony and preserve personal identity in the face of potential disruptions to social norms. These actions are particularly important in managing social impressions when one's behavior might be seen as inappropriate, incompetent, or morally questionable.Types of Aligning ActionsThe three principal types of aligning actions are disclaimers, accounts, and apologies.DisclaimersDisclaimers are preventive; they are...
01:15Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...