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Monday, July 21, 2014
  Clinical Accuracy Spoken Here  

Ethics in CM: Ethical Intelligence

Groundbreaking work was done in the 1990s by Daniel Goleman, promoting "emotional intelligence" as the new yardstick for measuring success at work. This concept is discussed in the Athena Forum course on Establishing Your Professional Identity.

A case can be made for the concept of "ethical intelligence" giving rise to ethical competence, demonstrating how emotional intelligence is further associated with success in both the workplace and society.

In addition to emotional intelligence, ethical competence is therefore closely aligned with key case management competencies including:

  • Critical thinking
  • Conflict resolution

[Reference: Ethics in CM, Module E, CM Ethics in the Hospital Setting]

  Excellence in Case Mgmt  

Ethics in CM: Maintain
Professional Boundaries

Maintaining professional boundaries enables clinicians to keep their patients' best interests in mind. The blurring of professional boundaries commonly takes place when a CM or other team member takes care of a patient for an extended period of time.

Professional boundaries are an intricate aspect of the CMs work. They allow for a safe personal connection between patients and their healthcare providers. Communicating with the patient after discharge can present an ethical dilemma.

The power differential generated by the healthcare provider's position of authority and the patient's position of vulnerability creates the need to maintain safe professional boundaries.

[Reference: Ethics in CM, Module E, CM Ethics in the Hospital Setting]

  Improving Patient Care...  

Ethics in CM: Duty to Warn -
An Ethical Dilemma

In health care, duty to warn requires a clinician who has reasonable grounds to believe that a client may be in imminent danger of harming himself or others to warn the potential victims.

The threshold for the duty to warn or protect often rests precariously beside the criteria permitting an exception to confidentiality, placing the healthcare provider in a tenuous position.

Recent verdicts for the defendant psychiatrist in cases claiming a breach of the duty to protect could have an impact on how psychiatrists assess and manage threats made by patients toward third parties.

[Reference: Ethics in CM, Module F, CM Ethics in Amb. and Community-based Health]


Tom RasmussenTom Rasmussen
Athena Forum


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Cathy WrightCathy Wright, BSN, RN
Clinical Editor
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