NURS FPX 4050 Ethical and Policy Factors in Care Coordination Example

NURS FPX 4050 Assessment 2: Ethical and Policy Factors in Care Coordination

NURS FPX 4050 Ethical and Policy Factors in Care Coordination Assignment Brief

Course: NURS FPX 4050 Coordinating Patient-Centered Care

Assignment Title: Assessment 2: Ethical and Policy Factors in Care Coordination

Assignment Overview:

The primary objective of this assignment is to explore and analyze the ethical and policy factors influencing care coordination, with a specific focus on nursing homes. As healthcare professionals, it is essential to comprehend the ethical principles that guide our actions in care coordination and the policies that shape patient-centered care in various healthcare settings.

Understanding Assignment Objectives:

• Familiarize yourself with the fundamental ethical principles that underpin care coordination in healthcare settings.
• Recognize the significance of the Code of Ethics in shaping responsible nursing practice and its positive impacts on patient care.
• Explore the role of healthcare policies, particularly the Affordable Care Act, in influencing patient-centered care, with a focus on nursing homes.
• Analyze and critically evaluate ethical questions and dilemmas that healthcare professionals may encounter in the care coordination process.
• Identify and comprehend strategies that promote patient-centered care and contribute to the ethical and policy framework of nursing practice.

The Student’s Role:

As a student undertaking this assignment, your role involves comprehensive research on ethical principles, healthcare policies, and their practical implications in care coordination. You are expected to critically evaluate the impact of ethical standards on patient care and explore real-world scenarios where these principles come into play. Additionally, analyze and discuss the role of policies, and propose strategies for fostering patient-centered care within the ethical and policy framework.

NURS FPX 4050 Ethical and Policy Factors in Care Coordination Example

Title Slide:

• Presentation Title: Ethical and Policy Factors in Care Coordination
• Your Name: [Your Name]
• Date: [Current Date]
• Course Number and Title: NURS FPX 4050 Coordinating Patient-Centered Care

Slide 1: Introduction

• Welcome everyone, today we’ll explore Ethical and Policy Factors in Care Coordination, focusing on nursing homes.
• Nurses play a crucial role in adhering to codes of ethics and policies, especially in aging nursing communities.
• These ethical standards serve as a reminder of our commitment to society, evolving with changing values.

Speaker Notes:

• Welcome everyone. Today, we delve into the critical topic of “Ethical and Policy Factors in Care Coordination,” with a specific focus on nursing homes.
• As nurses, it’s paramount to be well-versed in codes of ethics and policies, particularly within aging nursing communities.
• These ethical standards serve as guiding principles, reminding us of our commitment to society, and they evolve alongside shifting moral and societal values.

Slide 2: Ethical Principles in Care Coordination

• Justice: Fair distribution of care among patients.
• Beneficence: Acting in the best interest of the patient.
• Nonmaleficence: Avoiding intentional or unintentional harm.
• Accountability: Taking responsibility for our actions.
• Veracity: Being truthful and transparent.
• Autonomy: Respecting patients’ right to make decisions.
• Fidelity: Being faithful and responsible for professional promises.

Speaker Notes:

• Let’s explore the foundational ethical principles that guide our actions in care coordination.
• Justice emphasizes fair distribution of care, ensuring equitable treatment for all patients.
• Beneficence directs us to act in the best interest of the patient, prioritizing their well-being.
• Nonmaleficence urges us to avoid harm, whether intentional or unintentional, to the patient.
• Accountability requires taking responsibility for our actions in the care coordination process.
• Veracity emphasizes transparency and truthfulness in our communication with patients.
• Autonomy respects the patients’ right to make decisions about their own care.
• Fidelity calls for faithfulness and responsibility in upholding professional promises.

Slide 3: Impact of Code of Ethics

• Protection of Rights, Safety, and Health for the Patient.
  • Prioritizing the patient as the primary concern.
  • Addressing conflicts of interest to safeguard patient well-being.
• Accountability and Responsibility
  • Responsible decision-making reduces malpractice.
  • Thoughtful and purposeful implementation of care decisions.
• Professional Growth
  • Personal and professional growth through continued learning.
  • Preserving wholeness of character and integrity.
• Reduction of Health Disparities and Promotion of Health Diplomacy
  • Commitment to constant learning and preparation.
  • Practicing with various healthcare settings, addressing unique situations.

Speaker Notes:

• Now, let’s look into how adherence to the Code of Ethics positively impacts our practice.
• Protection of Rights, Safety, and Health for the Patient: Our primary commitment is to the patient, ensuring their rights, safety, and health come first. The code guides us in navigating conflicts of interest that may impact patient care.
• Accountability and Responsibility: Embracing accountability aligns with responsible decision-making, reducing the likelihood of malpractice. It fosters thoughtful, planned, and purposeful care decisions.
• Professional Growth: Adhering to ethical standards promotes personal and professional growth. It encourages continued learning, adaptation to evolving care trends, and maintaining competence.
• Reduction of Health Disparities and Promotion of Health Diplomacy: The code emphasizes ongoing learning and preparation, empowering nurses to navigate diverse healthcare settings and address unique situations, particularly in nursing homes.

Slide 4: Health Care Policies affecting Patient-Centered Care

• Patient-Centered Care: Respectful and responsive to individual patient preferences, needs, and values.
• Policies related to the health or safety of nursing homes:
  • Affordable Care Act (ACA) and essential health benefits.
  • Mental health, preventive services, and rehabilitative services.
• State discretion in selecting covered services.

Speaker Notes:

• Patient-Centered Care: This approach ensures that care is respectful and responsive to individual patient preferences, needs, and values. It places the patient at the forefront of all clinical decisions.
• Policies related to the health or safety of nursing homes:
  • Affordable Care Act (ACA) and essential health benefits.
  • Mental health, preventive services, and rehabilitative services.
• States have the discretion to select covered services based on the unique needs of their population.

Slide 5: Ethical Questions or Dilemmas in Care Coordination

1. Disclosing medical conditions.
2. Informed consent.
3. Incompetence among peers.

• Principles involved: nonmaleficence, fidelity, and justice.

Speaker Notes:

• Disclosing Medical Conditions: The nurse grapples with the obligation to prevent harm (nonmaleficence) and be faithful to colleagues (fidelity), considering the patient’s right to know their medical condition.
• Informed Consent: Patients may feel uncomfortable asking nurses to decipher complex medical information, posing an ethical challenge about how much information nurses should convey.
• Incompetence among Peers: Nurses may face a dilemma when observing incompetence in a colleague, balancing the obligation to protect the patient (nonmaleficence) with loyalty to the team (fidelity).

Slide 6: Strategies Leading to Patient-Centered Care

• Dignity, respect, and compassion.
• Communication and coordination of care.
• Tailoring care to patients’ needs.
• Supporting patient education.
• Placing patients at the center of care policies.

Speaker Notes:

• Ensuring patient-centered care requires strategic approaches:

• • Dignity, Respect, and Compassion: Treat patients with dignity and respect, fostering a compassionate care environment.
  • Communication and Coordination of Care: Establish effective communication and coordination between appointments and services.
  • Tailoring Care to Patients’ Needs: Customize care plans to suit individual patient needs and goals.
  • Supporting Patient Education: Empower patients to understand and learn about their health.
  • Placing Patients at the Center of Care Policies: Advocate for healthcare and nursing home support policies that prioritize patient needs.

Slide 7: Ethical and Policy Issues in Nursing Homes

• Doctor-Patient Confidentiality.
• Malpractice and Negligence.
• Physician Assisted Suicide.
• Covert Medication.
• End-of-Life Issues.
• Implications of violating ethical and policy considerations.

Speaker Notes:

• Now, let’s turn to specific ethical and policy issues that impact care coordination in nursing homes.

• • Doctor-Patient Confidentiality: Discussing the importance of maintaining patient confidentiality and complying with the Health Insurance Portability and Accountability Act (HIPAA).
  • Malpractice and Negligence: Addressing the increased risk of malpractice in healthcare settings and the importance of clear responsibilities to avoid litigation.
  • Physician-Assisted Suicide: Exploring the ethical considerations surrounding physician-assisted suicide and the stringent criteria in states where it is allowed.
  • Covert Medication: Discussing the ethical concerns associated with administering medication without informing the resident and the importance of following proper procedures.
  • End-of-Life Issues: Highlighting the sensitivity of end-of-life care, emphasizing the need for careful consideration and competent care provision.

Slide 8: Conclusion

• Summary of key points (the takeaways).
  • Ethical principles guiding care coordination
  • Adherence  to the Code of Ethics
  • Strategic approaches ensure patient-centered care
• Emphasis on the importance of ethical considerations in effective care coordination.
• Invitations on any questions and open for discussions.

Speaker Notes:

• In conclusion, we’ve explored the fundamental ethical principles guiding care coordination.
• Adhering to the Code of Ethics promotes patient-centric, thoughtful, and responsible care.
• Ethical dilemmas require a delicate balance, considering principles like nonmaleficence, fidelity, and justice.
• Strategic approaches ensure patient-centered care, fostering dignity, effective communication, tailored care, patient education, and patient-centric policies.
• Understanding and addressing ethical and policy issues in nursing homes is crucial for maintaining the integrity of care coordination.

References Slide:

HCH Clinicians’ Network (2018). Patient-Centered Care: Case Studies on End of Life. Vol. 22(1). Retrieved from https://nhchc.org/wp-content/uploads/2019/08/hh-end-of-life-care-final-2.pdf

Wright, S. (2015, Dec. 16). Delivering patient-centred palliative care services at end-of-life.

The eight principles of patient-centered care · Oneview. (2019, June 4). Oneview. https://www.oneviewhealthcare.com/the-eight-principles-of-patient-centered-care/

Current Ethical Issues in Healthcare (n.d.). Retrieved from https://www.floridatechonline.com/blog/healthcare-management/current-ethical-issues-in-healthcare/

Baughman, R., Dave, D., and Dills, A. (2019). Introduction to the symposium on the extended effects of the Affordable Care Act. Eastern Economic Journal, 45(1), 1-6.

Bollig, G., Schmidt, G., Rosland, J. H., and Heller, A. (2015). Ethical challenges in nursing homes–staff’s opinions and experiences with systematic ethics meetings with participation of residents’ relatives.?Scandinavian Journal of Caring Sciences,?29(4), 810-823.

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