rding the credibility of case managers, particularly among older physicians: "Relationships with other healthcare workers can be troublesome if the case manager's role is not understood clearly. This is even a potential problem in relationships with other nurses." For instance, nurse case managers often encounter a need to resolve duplication of services issues with public health nurses. Where nurse case managers are able to establish collaborative working relationships with their colleagues, case management often leads to an improvement in working relationships.
Although nurses are generally assigned the case management function because of their breadth of knowledge of hospital and community services, occasionally other healthcare professionals are more appropriate in this role. For instance, physicians might serve as case managers in emergency room environments. Likewise, social workers might be more effective in ambulatory or extended care settings. Further research studies are needed on the role
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