Ethical and Policy Factors in Care Coordination
Slide 1:
In health care, above all, it is the nursing profession with the ethical principles and the policies that are the most precious. They do not only provide us with direction on the issue of domestic violence. They provide us with a pathway towards the best care. Nurses attend to the physical needs of sufferers and play the role of well-living trailblazers (Argyropoulos et al., 2024). NURS FPX 4050 Assessment 2: Ethical and Policy Factors in Care Coordination: The current presentation will explore the fine ties between the ethical standards on policy provisions and their influences on the coordination and continuum of care, which will be the critical thematic line, but with a central focus on domestic violence.
Slide 2:
Governments, as the policymakers, take center-stage in the organization of healthcare, where their influencing role is mainly felt when it comes to care coordination. The above policies prescribe the framework of healthcare organizations’ adoption and application by decision-makers, stakeholders, patients, and doctors, including to such a degree that it serves to sway many aspects of how healthcare services are delivered. One of the most influential policies in this area is the implementation of healthcare schemes like the Affordable Care Act (ACA). NURS FPX 4050 Assessment 2: Ethical and Policy Factors in Care Coordination: Through this policy, a shift occurred in the delivery of healthcare services by encouraging the collaboration of multiple professionals and using a value-based care approach (Brown et al., 2022). The Accord stipulates that to be paid, healthcare providers are expected to demonstrate that they have delivered proper care, which leads to improved patient outcomes and cost savings. It has bred initiatives like accountable care organizations (ACOs), patient-centered medical homes (PCMHs), and some quality and cost-saving instruments through linked care.
Slide 3:
Data privacy and confidentiality, including HIPAA, are the main factors of governmental policies about care coordination. In addition to liability to patient information under HIPAA, it deprives information systems in healthcare settings of the opportunity to share health data (Liao et al., 2019). This may cause problems for the coordination of care activities because healthcare practitioners must master strict regulations while supporting the exchange of secure information and ensuring timely communication among team members.
Slide 4:
Medicaid Expansion (ME), which, as of now, has extended medical care access to millions of low-income adults. Even though the Medicaid and coverage criteria can differ from state to state, it risks smooth patient care coordination as patients move from different jurisdictions or get care from providers in different states. (mosiacsite, 2022) These inequalities remind us of the essentiality of equalized policies and procedures so that medication management care teams will function seamlessly across the borders of flu and the organization.
Slide 5:
While care coordination can cause moral dilemmas and ethical questions from different national, state, and local statutory bodies, it still creates problems in identifying who is responsible for these issues. An excellent way to illustrate this is the Medicaid work requirements that some states are implementing to oblige beneficiaries to either work or get involved in some other activities that will allow them to maintain their eligibility for coverage. Besides, advocates state that these conditions help to personalize and self-rule and fight back the tendency of non-work while the denouncers existing is that it discrepant between the issue of low-income and the ones with a disability or a particular disease who may come across some gaps to satisfy the work requirements (Singhal & Gulati, 2020). NURS FPX 4050 Assessment 2: Ethical and Policy Factors in Care Coordination: By establishing such conditions, we raise ethical questions related to fairness and access to health care, for those who cannot fulfill these conditions will no longer benefit from the health care services, which is a violation of the sanctity of the principles of the beneficence and justice in health care provision.
Slide 6:
Access to reproductive services can be among jurisdictions, including the provision of contraception or abortion, and it would create ethical dilemmas for care coordination. As an example, at the state level, the ban on abortion clinics and the mandatory 48-hour waiting period can affect voters’ decisions about their reproductive health (Smith et al. (2022)). With care planners, tackling the complicated legal and ethical landscape is not ruled out. On the contrary, this management should balance patients’ rights and state regulations, as these can affect the quality and timeliness of care.
Slide 7:
Policy area issues centered on immigration control, including providing health services to undocumented immigrants and creating ethical guidelines for care coordination teams. Immigration rights hold a fear that once they have been deported or detained, they will avoid necessary medical treatment. Therefore, it leads to delays in the administration of the treatment. It is still the ethical duty of care coordinators to give medical care to all, including the ones who lack adequate documentation while challenging the legal hurdles and possible consequences for themselves and the institutions they practice (Tust, 2022). These provisions emphasize the relationship and interplay between ethical code, law, and practicalities of care coordination, highlighting the importance of complete and personnel care in the health delivery system.
Slide 8:
The code of ethics for nurses constitutes an essential component of the planning and provision of multi-professional, enabling, and continuity of care for people in need, especially in family violence cases. As patient advocates, nurses are also obligated to follow the rules of ethics in making sure that their patients get the best and safest care administered, considering compassion and devoid of judgment. When mentioning the code of ethics in the context of domestic violence, the nurse must identify the signs of abuse and consider the whole safety of the patient while maintaining his autonomy, keeping confidentiality, and respecting the patient’s autonomy in focus (Dheensa & Feder, 2022).
Slide 9
Comprehending the upfront factors of health is crucial in building a case showing how principles of ethics affect interprofessional care. To name a few, socioeconomic status, cultural norms, and availability of health care services do a great job of showcasing that people’s encounters with domestic abuse vary greatly, as well as the timeliness and quality of the care they receive. Nurses must realize and work with these socioeconomic determinants to provide patient-centered care that appreciates the peculiar demands of those who have been through this situation (Kwame & Petrucka, 2021). This then involves working with interdisciplinary teams as well as community organizations that are aimed at removing systemic barriers and fostering the implementation of holistic interventions that deal with not only immediate safety concerns but all the social and economic factors that are contributing to domestic violence.
Slide 10:
The results are credited with moral values and ethical principles based on the accurate data analysis of health inequity levels and the services offered. Nurses can solve the social gap in services while promoting equality through their advocacy for policy changes and financial devotion to domestic violence prevention and treatment. NURS FPX 4050 Assessment 2: Ethical and Policy Factors in Care Coordination: The code of ethics acts like a filter or a filtering tool for nurses aiming to tackle tough ethical dilemmas and take the lead in the care provision.
NURS FPX 4050 Assessment 2: Conclusion
Accordingly, in the study of ethical and policy activities, primarily in domestic violence care coordination, nurses have been enlightened on how tremendously their duties have been enhanced regarding their roles, hence taking better care of their patients. In compliance with the ethics code, they should view the social determinants of health and support equitable access to care. Nursing professionals could play the most crucial role in the survivor’s recovery and in building a humane healthcare system that values compassion, respect, and justice. Amid this journey of the healthcare system, we should remember to value ethical matters and help complete policies that will benefit everyone and not just a few.
References
Argyropoulos, C. D., Izuchukwu Chukwuma Obasi, Damola Victor Akinwande, & Chika Madu Ile. (2024). The impact of interventions on health, safety, and environment in the process industry. Heliyon, 10(1). https://doi.org/10.1016/j.heliyon.2023
Brown, S. J., Carter, G. J., Halliwell, G., Brown, K., Caswell, R., Howarth, E., Feder, G., & O’Doherty, L. (2022). Survivor, family and professional experiences of psychosocial interventions for sexual abuse and violence: A qualitative evidence synthesis. Cochrane Database of Systematic Reviews, 2022(10), 1–200. https://doi.org/10.1002/14651858.cd013648.pub2
Dheensa, S., & Feder, G. (2022). Sharing information about domestic violence and abuse in healthcare: An analysis of English guidance and recommendations for good practice. BMJ (British et al.)Open, 12(6), e057022. https://doi.org/10.1136/bmjopen-2021-057022
Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC (BioMed Care )Nursing, 20(158), 1–10. https://doi.org/10.1186/s12912-021-00684-2
Liao, Y., Thompson, C., Peterson, S., Mandrola, J., & Beg, M. S. (2019). The future of wearable technologies and remote monitoring in health care. American Society of Clinical Oncology Educational Book, 39(39), 115–121. https://doi.org/10.1200/edbk_238919
mosiacsite. (2022, May 17). Shelter. Mosaic Family Services, Inc. https://mosaicservices.org/how-we-help/shelter/
National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Global Health; Forum on Global Violence Prevention. (2020). In brief, managing, reducing, and preventing fear of violence: Proceedings of a workshop. In L. Hamilton & L. Casola (Eds.), PubMed (4th ed., Vol. 2). National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK566100/
National Coalition Against Domestic Violence. (2021). NATIONAL STATISTICS. NCADV; NCADV. https://ncadv.org/statistics
Singhal, M., & Gulati, S. (2020, August 31). Five essential strategies to embrace culturally responsive teaching | faculty focus. Faculty Focus | Higher Ed Teaching & Learning. https://www.facultyfocus.com/articles/equality-inclusion-and-diversity/five-essential-strategies-to-embrace-culturally-responsive-teaching/
Smith, E. P., Yzaguirre, M. M., Dwanyen, L., & Wieling, E. (2022). Culturally relevant parenting approaches among African American and Latino children and families: Toward resilient, strengths-based, trauma-informed practices. Adversity and Resilience Science, 3(4), 1–178. https://doi.org/10.1007/s42844-022-00059-9
tust, A. (2022, December 4). National helpline database. Verywell Mind. https://www.verywellmind.com/national-helpline-database-4799696
(United Nations International Children Emergency Fund)UNICEF. (2019). SCHOOL-BASED VIOLENCE PREVENTION: A practical handbook (pp. 1–28). https://www.unicef.org/media/58081/file/UNICEF-WHO-UNESCO-handbook-school-based-violence.pdf
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