Slide 1

NURS FPX 4050 assessment 2 Ethical and Policy Factors in Care Coordination CG

 In this presentation, I will talk about Ethical and Policy Factors in care coordination. The presentation is intended to educate the direct caregivers in local, state, and federal-sponsored health organizations. The objective is to provide details about the complex issues related to ethical and Policy factors in care coordination for direct caregivers such as the direct care nurses. Thus, I hope to dissect all the issues related to this subject and provide pertinent information to the direct caregivers and any healthcare professional that provide direct caregiving services. 

Slide 2

 The objectives of this presentation 

• Explain the influence of the government policies on direct caregivers, safety, and care coordination in their line of duty.
• Identify the local, state, and national policies that raise ethical dilemma questions in care coordination. 
• Examine the impact of nurse’s code of ethics in continuum and Coordination of care.
• Give examples to demonstrate the relationship between direct caregivers’ government policies, ethics, and care coordination. 

Slide 3

Ethical and Policy issues in care coordination

  Code of ethics, ethical principles, and government policies ensure that nursing professionals, including the direct caregivers, provide quality and safe care to their patients. As a mechanism, they also provide care standards for the nursing professionals to ensure they relate to the patients professionally and provide care according to the set standards. The aim is to ensure that nursing professionals do not risk the patients’ lives while delivering care to them. Another significance of the regulatory mechanisms for nursing practice is minimizing errors and enhancing the quality of care for the safety of the patients. In America, the policies guide the decision-making process on the nursing profession and practices. 

Slide 4 cont.

The nurses are also under the International Council of Nurses and are also impacted by the local, state, and national policies. The nursing profession code of ethics advocates for the safety of the patients and respect for life altruism as the primary care concern. Thus, under the nursing code of ethics, a nursing professional has four primary responsibilities; prevention of illnesses, alleviation of pain, restoration, and health promotion. In practice, this affects all nursing professionals, including the direct caregivers in the local, state, and national health organizations. Also, nursing care is based on four fundamentals; justice, beneficence, autonomy, and nonmaleficence. In practice, these principles guide direct care nurses in making decisions in complicated situations. In compliance with the American Public Health Association, a caregiver should uphold the interdependence of people in a community. Thus, public health should give significance to the health of the community as a whole and the people integrated into it. 

Slide 5

  One of the complex issues of indirect nursing care is the regulatory expectations and their impact on care coordination. The federal, state, and local community has their regulatory mechanism, making this a complex subject. However, every regulatory mechanism promotes professionalism and care quality and safety to the consumers. The regulatory mechanisms also ensure that in the coordination of care, the role of one healthcare provider does not affect that of another in a different line of care provision. For instance, the social workers, direct care nurses, and general nursing professionals are the same healthcare organization. 

Slide 6

NURS FPX 4050 assessment 2 Ethical and Policy Factors in Care Coordination CG

In such cases, the role might negatively affect care coordination, safety, and quality to the patient. Therefore, the regulatory mechanisms guide the responsibilities and functions of each healthcare provider to avoid ensuring there is Coordination. However, in some instances, Coordination presents the nursing professionals with ethical dilemmas in making decisions that would comply with the regulatory mechanisms and serve the best interests of care consumers without causing friction in Coordination. The issues that arise in care coordination also call upon the stakeholders to streamline care systems to minimize ethical dilemmas and other issues that might negatively impact Coordination—for instance, the duplication of roles and conflicting responsibilities might negatively impact care quality and safety. 

Slide 7

The impact of government policies related to health and safety on care coordination

  The primary role of the government is to protect safeguard the well-being of the patients in the healthcare systems. The government achieves this by formulating policies to ensure healthcare practitioners offer safe and quality care to patients. For instance, to protect patients’ private information in the healthcare system, the government formulates policies that guide the handling of patients’ data. As a vital aspect of the care system, the nursing profession has to adhere to this to prevent violation of the patient’s privacy. The Policy as a regularity mechanism also stipulates punitive actions for the violations. The policies also guide the measures that should be taken to coordinate care. For instance, healthcare providers’ access to patient’s’ insurance data should not violate patients’ privacy. In some cases, this results in an ethical dilemma, especially where the caregiver has to make decisions related to patient’s data compliance with the policies and the ethical principles. Thus, where clarity exists, the caregiver should be guided by the policies and ethical principles. However, where the policies, ethical principles, and the roles of caregivers collide, the stakeholders should streamline to improve care safety and quality. 

Slide 8

Considerations and supporting endorsements of privacy

 Patient privacy is paramount in the interaction between the caregiver and the patient to enhance trust between the healthcare provider and the patient. According to AMA, it is vital in the interaction and relationship between the patient and caregiver; however, it can only be developed when privacy is assured to the patient. Privacy in this context refers to the confidentially of the patient private information by the caregiver. Beneficence and fiduciary are also imperative because it gives the caregiver responsibility and obligation to promote and protect patients’ health and avoid practices that might cause harm to the patient. The principle also requires a caregiver to respect patients’ rights when the practice involves sharing private information. However, under the fidelity principle, a caregiver can make exceptions when a legal obligation is to share a patient’s confidential information. 

NURS FPX 4050 assessment 2 Ethical and Policy Factors in Care Coordination CG

Slide 9

National, state and local policy raises ethical questions for care coordination.

  The primary function of the policies formulated by the local, state, or national government is to ensure that the healthcare providers adhere specific vital standards of practice. Similarly, for nursing direct caregivers, this applies to ensure the care provided to the patients meets safety and quality standards. However, in some instances, the ethical dilemma questions arise from the direct caregiver’s compliance with the government’s healthcare policies. For example, while the direct caregivers are required to keep the patient’s private information confidential, in some instances, revealing such information may be of health benefits to the patient. The patient is also entitled to his decisions, but in some cases, he might make wrong decisions because of failure to understand the complex health situation. In this case, the ethical dilemma arises on whether the direct caregiver should compel the patient to make the right decision or comply with the government policies. Also, at the local level, the caregiver might face a dilemma when the local policies prohibit the use of certain medications, and according to the caregiver, they would give a lifeline to the patient. 

Slide 10

Impact of the code of ethics for the nurse on the Coordination and continuum of care

 The code of ethics positively impacts the nurses’ functions by guiding decision-making and enabling nurses to perform their duties regardless of challenges, complexities, and social determinants. For instance, the code of ethics allows nurses to to carry out their duties irrespective of the patient’s education, economic stability, neighborhood, and community context. However, the code of ethics presents nurses with ethical dilemma questions in some instances. For instance, the advancement of technology might make it challenging to provide quality care while complying with the code of ethics and also observation best practices for care coordination. In some instances, the high probability of job dissatisfaction may result in burnout as one attempts to comply with the code of ethics while offering quality and observing best practices for care coordination.

References

NURS FPX 4050 assessment 2 Ethical and Policy Factors in Care Coordination CG

Abou Hashish, E. A. (2017). Relationship between ethical work climate and nurses’ perception of organizational support, commitment, job satisfaction, and turnover intent. Nursing Ethics, 24(2), 151-166.

American Public Health Association (APHA, 2018). Principles of Ethical Practice of Public

Health. Retrieved from https://www.apha.org/searchresults?q=principles%20of%20the

%20ethical%20practice%20of%20public%20health

Cooke, F. L., & Bartram, T. (2018). Guest editors’ introduction: human resource management in

health care and elderly care: current challenges and toward a research agenda. Human

Resource Management, 54(5), 711-735.

Edemekong, P. F., & Haydel, M. J. (2019). Health Insurance Portability and Accountability Act

(HIPAA). In StatPearls [Internet]. StatPearls Publishing.

Vermont Ethics Network (2011). Health care ethics: an overview of the basics. Retrieved from

http://www.vtethicsnetwork.org/ethics.html

Williams, G. C. (2014). Self-determination and the patient-health practitioner relationship.

Human Motivation and Interpersonal Relationships (pp. 335-360). Springer, Dordrecht

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