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Biomedical subjects

J D Kagle

Publications and source records attributed to J D Kagle.

10 recordsLinked to original sources

Confidentiality after Tarasoff.

Following the Tarasoff decision, many social workers believe that they have a duty to warn third parties of the danger posed to them by clients. However, a careful analysis of this decision and the cases and statutes that have followed indicates that social workers' duty under the law is circumscribed. This article describes social workers' duty under the law and outlines standards of care for assessing and responding to threats of harm. It places the duty to protect third parties into the larger context of social workers' ethical and legal obligation to protect confidentiality.

Adult↗

Dual relationships and professional boundaries.

Social workers enter into dual relationships when they engage in more than one relationship with a client, becoming social worker and friend, employer, teacher, business associate, or sex partner. This article reviews the research on dual relationships in the therapeutic professions and outlines the legal, ethical, and practice issues involved. The article defines dual relationships as boundary violations and provides a case example to show how even a posttermination friendship can be harmful to a client. Recommendations for preventing and responding to dual relationships are included.

Adult↗

Record keeping: directions for the 1990s.

In studies conducted in the late 1980s, managers and direct service workers agreed that their biggest record-keeping problems were caused by lack of time. This article describes how 114 agencies in 20 states tried to resolve this problem Agencies were more successful when they simplified recording and allocated new resources to the task. This article outlines the techniques these agencies used and contrasts those that were more successful with those that had mixed or poor results. The findings suggest directions for record keeping in social services agencies in the 1990s, when agencies will face critical choices about how to use limited resources.

Forms and Records Control↗

Understanding patient satisfaction and dissatisfaction with health care.

Patient satisfaction or dissatisfaction is a complicated phenomenon that is linked to patients' expectations, health status, and personal characteristics, as well as health system characteristics. This article presents a cross-sectional study of the relationship among these factors using data collected from a large sample of university employees. The primary hypothesis, that patients' expectations would be the best predictor of satisfaction, was supported by the data. Health status, personal characteristics, and health system characteristics were not strong predictors. The findings suggest that patients may base their evaluations on sophisticated expectations and that those expectations vary from one sociodemographic group to another. Implications for social work practice in health care are highlighted.

Adult↗

Cancer patients and their co-workers: a study.

One way to gain a better understanding of cancer patients' experiences in the workplace is to study their relationships with their co-workers. A study of 61 cancer patients who continued to work during treatment or who returned to work following treatment found that, in general, these cancer patients believed that their co-workers had positive attitudes toward them. Nevertheless, some reported that they encountered changed and sometimes difficult interactions with their co-workers. Their experiences suggest ways in which social workers can help cancer patients prepare for their encounters with co-workers.

Adult↗

Privacy versus accountability: a health care dilemma.

Social work practitioners are obligated both to document their services to clients and to protect information about their clients from unwarranted access and use. In the current environment of social work practice in the health care field, these obligations often conflict. This article describes and offers solutions to the dilemma of privacy versus accountability. If social workers maximize the protection offered by the four principles of privacy: confidentiality, anonymity, client access, and abridgment , they can safeguard personal information while still meeting accountability standards.

Civil Rights↗

Evaluating social work practice.

Few studies have explored the criteria by which social work practice is generally evaluated. This study, which used written case analogues, found that information on both the process and outcome of a case is used in making evaluative judments of practitioners' performance.

Employee Performance Appraisal↗