Perceptions of professional competence: Cross-disciplinary ratings of psychologists, social workers, and psychiatrists.

Koeske, Gary F.; Koeske, Randi; Mallinger, J.

doi:10.1037/h0079413

Cited by 21 publications

(11 citation statements)

References 9 publications

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“…This estimation is also supported by the findings of Koeske, Koeske and Mallinger's (1993) that psychologists and psychiatrists both gave social workers the highest ratings for warmth. The study participants indicated that their skills in listening, interviewing, developing rapport, and grasping non-verbal messages apparently contribute substantially to the resolution of the ethical dilemmas in hospitals.…”

Section: Role Definitionsupporting

confidence: 63%

Ethical Dilemmas in General Hospitals

Landau

2001

Social Work in Health Care

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Thirty-two hospital social workers, fourteen of them directors of social work services and eighteen direct practitioners, were interviewed about their perception of the factors influencing social workers' contribution to the resolution of ethical dilemmas in general hospitals in Israel. Findings revealed that while ethical decision-making in hospitals is an interdisciplinary process, social workers' contribution to the process is affected by rivalry between social workers and other members of the health team, personality differences, type of ward and the nature of the ethical dilemma. Participants of the study had quite a clear perception of their role and of the unique knowledge-base social work can offer, including knowledge of the individual and family life course, understanding and skills in coping with diseases, and systems thinking. In order to increase their influence in ethical decision-making, the hospital social workers felt they must put more effort into developing their relationships with the other professionals involved in ethical decision-making both by making themselves more indispensable and by making their contribution explicit through greater documentation of their activities. The findings also implied that in order to gain more power and be accepted as equal partners in multidisciplinary teams, hospital social workers should improve their communication skills when interacting with representatives of other heath care professions.

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Section: Role Definitionsupporting

confidence: 63%

Ethical Dilemmas in General Hospitals

Landau

2001

Social Work in Health Care

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“…The benefits of collaboration are usually assumed, while barriers to the full development of collaboration models are more frequently articulated. Obstacles include: lack of time, resources and commitment by organizations and the professions (Nandan, 1997); isolationism and inattention to collaboration within professional training and practice (Hilton, 1995); varying professional socialization processes that lead to competing perspectives on values or patient care issues (Mizrahi & Abramson, 1985); and, continuing competition for turf, status and autonomy (Koeske, Koeske & Mallinger, 1993;Ben-Sira and Szyf, 1992). The impact of managed care on collaborative relationships is yet unclear, although health providers, particularly physicians, have clearly experienced reduced autonomy in patient care decision making.…”

Section: Literature Reviewmentioning

confidence: 99%

Collaboration Between Social Workers and Physicians

Mizrahi

Abramson

2000

Social Work in Health Care

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As health care is being restructured, health care institutions are recognizing that interdisciplinary collaboration is an essential element of both effective patient care and organizational survival. This paper analyzes self-reported views of actual collaborative activities between 50 pairs of social workers and physicians on a specific shared case in an acute care hospital setting. Through examining the degree of congruence in perspectives of each pair of collaborators, we compare the two professions' views of the collaborative process and outcome. Additionally, each profession's outlook on its own and the other profession's roles and responsibilities in the case is examined. Our findings indicate that many social work and physician collaborators share similar perspectives about many aspects of their joint patient care endeavors. Where there was disagreement within a pair, almost always, it was a social worker selecting or discussing a variable when her physician counterpart did not. Physicians were less likely than their social work counterparts to identify patient/family problems related to adjustment to illness and problems connected to hospital and community resources as well. Social workers were much less satisfied with the collaboration, saw many more things that they or their collaborator could have done differently and even perceived more disagreement about the approach to the case than did their physician collaborators. It is important to understand, empirically, the dynamics of successful collaboration and to assist social workers in becoming influential and effective collaborators with other health professionals.

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“…Additionally, a focus on substitution of one provider for another threatens to increase the intensity of existing "turf wars" (Cummings 1990). When health professionals are asked about the type of provider most likely to provide the best level of service, they tend to favor their own profession (Koeske, Koeske, and Mallinger 1993). Although providers themselves often feel that their skills are sufficiently differentiated from other types of mental health workers, purchasers, and even clients, may be less aware of such distinctions (Murstein and Fontaine 1993).…”

mentioning

confidence: 99%

Supply Dynamics of the Mental Health Workforce: Implications for Health Policy

1998

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The U.S. mental health workforce is varied and flexible. The strong growth in supply of nonphysician mental health professionals, ranging from psychologists to "midlevel" professionals like social workers and nurse specialists, helps to offset the dwindling numbers of medical graduates entering the field of psychiatry. Primary care physicians often see patients who have some form of mental illness, which they are not always trained to recognize and treat. The data on the supply of several specialists--psychiatrists, clinical psychologists, and clinical social workers--indicate that the distribution of mental health professionals varies widely by state. The composition, supply, and distribution of workers in this field also affect the care of vulnerable populations. Broader policy questions, including the lack of parity between mental and physical health insurance coverage and barriers to entry by nonphysician professions, may limit the cost-effective expansion of this diverse and dynamic workforce.

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Perceptions of professional competence: Cross-disciplinary ratings of psychologists, social workers, and psychiatrists.

Cited by 21 publications

References 9 publications

Ethical Dilemmas in General Hospitals

Ethical Dilemmas in General Hospitals

Collaboration Between Social Workers and Physicians

Supply Dynamics of the Mental Health Workforce: Implications for Health Policy

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