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

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

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

Ethical and Policy Factors in Care Coordination

The American Nursing association has formally adopted the code of ethics in nursing practices to improve the nursing care outcomes. Over the years, a greater emphasis has been placed on the care coordination and the factors that impact quality of care coordination in nursing settings. The consequences of poor care coordination can be adverse; which is why, ethical and moral codes and practices play an important role in healthcare that help nurses to choose the best practices and make savvy healthcare decisions (Isaacs, 2021). The ANA code of ethics comprises of 9 provisions that were updates in late 2015; the purpose of those changes was to reflect the improvements in healthcare practices and nurses’ responsibilities towards their patients. Scholars state that those ethical codes of the ANA reflect the importance of considering the social and economical status while being mindful of other nursing attributes. These codes also help nurses and practitioners to work with more compassion, dignity, and commitment to treat all patients fairly and equally in their respective settings. This implies that ethical policies and factors in care coordination for mental health patients can advocate for better help of patients and address nurses’ responsibility for their actions and roles to be accountable to the organization. Hence, the overall practice of nurses can be significantly improved by considering these best practices and ethical factors (Irvine, 2017). 

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

There are several different factors and considerations when it comes to ethical nursing practices. The goal of this presentation is to discuss the impact of ethical considerations on care coordination practices and the role of the government in it. Nurses have to be careful to decide the right course of action because they can handle patients of different ages, genders, cultures, and mental health conditions. Therefore, it is vital for a trained nurse to understand the position of a patient and to offer them the best ethical healthcare services. 

Impact of Code of Ethics of Nurses on the Coordination and Continuum of Care

According to Hafidh (2020), collaborative health care in any nursing settings is a vital process that allows behavioural and physical health providers to work together. For example, in our case in the nursing settings, the universal screening and diagnosis of mentally ill patients due to substance abuse and depression is vital to plan multidisciplinary care and share the potential information between the healthcare providers and the family members (Kuo, 2018). There are several pillars of collaborative care such as:

  • Patient-centred care 
  • Population-based care
  • Monitoring tools and treatment 
  • Evidence based care
  • Accountability and responsibility 

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

Ethics play a mammoth role in improving the coordination and continuum of care in our nursing centre in the United States. Our contemporary healthcare organization follows the rules and regulations of the government and other bodies that significantly impact the care of coordination and continuum of services (Gunderson, 2018). Moreover, our nurses are trained and guided by ethical standards and policies in their care-related practices. According to  Gorin (2017), there are three major attributes of components of code of ethics in our nursing practices that we should follow. For example, the first factor is autonomy that deals with the nurses’ ability to deal with different patient scenarios related to mental health and make the best decisions regarding medications and treatments. This practice allows patients to determine how they are being treated and how the treatment procedure is being communicated to them by doctors and nurses. The second factor is the justice factor that which demands that the nurses do not demonstrate any prejudice and racism in their current practices and treat all patients equally. This factor also helps to improve the coordination care and continuum of services (Pereira, 2021). 

The third factor is non- malfeasance that secures all mental health patients facing substance abuse problem to feel safe and feel no harm in our settings. This suggests that noses must opt for methods that refrain from deteriorating or harming patients suffering from depression and substance abuse. This will allow nurses to develop faith and trust among patients (Francis, 2018). 

How Governmental Policies Affect Coordination of Care

As we work in the United States, the state and federal-level regulations and ethical codes apply to all of our practices to ensure safe coordination and continuum of services. For instance, in the US, there are various policies and ethical rules governed by the Department of Health and Human Services (DHHS) that help nurses to stop the breach of ethical codes. The Government laid out several policies and guidelines over the years to reinforce these rules to enhance the coordination and the provision of mental healthcare services (De Regge 2017). These rules help to safeguard the wellbeing and rights of the patients and also allow nurses to feel happy about following these laws. We take the example of the most important Hospital Readmission Reduction Program  (HRRP) that helps to reduce the number of relapses and readmission into the psychotherapy department. The HRRP motivates and encourages healthcare professionals in our settings to recover patients effectively and faster than ever before. This reduces our readmission problem significantly and helps us to accommodate and serve new patients quickly. Therefore, follow this governmental guideline is crucial tithe success of our healthcare organization that helps use to effectively communicate with one another. As a result, this policy guideline significantly helps our staff to enhance the level of coordination and collaboration to continue better services for the community. We admire this policy and consider it sustainable in our organization for producing the best results in the future (Finucane, 2020). 

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

Moreover, the most important Medicare policy of the government also impacts the coordination and continuum of care in the US. The program initially had a positive impact on the coordination of care with reduced cost of mental illness treatment. Moreover, Medicaid also serves almost 42 million patients in America who cannot pay heavy fees due to poor backgrounds (Berkowitz, 2018). This ensures that healthcare services at nursing centres are improved due to financial help of mentally ill patients. 

National, State, or Local Policy Provisions that Raise Ethical Dilemmas

Despite the fact that ethical codes and rules are extremely crucial for the improvement of nursing practices, some national or state level policy changes can raise ethical dilemmas and give birth to new problems. For example, observing the example of the affordable care act of 2010. The act enforces behavioural changes for healthcare professionals regarding securing healthcare insurance information of clients; anyone observed breaching that rule could be subject to fine (Arquette, 2021). However, the ACA also brings some complications and produce ethical dilemmas regarding the aspect of religion. For instance, the religion of Islam has some limitations and restrictions regarding allowing insurance use and it are also the fastest growing religion in the United States, therefore, the emphasis of the ACA on insurance can build more ethical problems and unrest in some religious groups. The sad fact is that unless an individual is insured my Medicare or other providers, they are not able to reap all the medical healthcare benefits of the American system. This can result in low quality of care and facilities utilized by Islamic patients of mental health and depression or suffering from substance abuse. Hence, insurance can cause significant stress and tabulation to disturb the process of Islamic healing and medical treatment. Moreover, a mentally ill patient deserves and needs all the benefits of the system to get the best care possible; they cannot be treated partially and left to survive on their own. Therefore, the lack of insurance can become a hindrance in their way of an effective recovery. 

Moreover, the HRRP discussed above also ensures that medical healthcare professionals must communicate effectively and clearly with each other and patients to ensure quality care outcomes. More ethical issues can arise due to the HRRP implementation in nursing settings such as patients getting misunderstood or get misdiagnosed by nurses and doctors. This can result in a denial of admission in the hospital and can elongate their mental illness or increase its severity (Abendstern, 2019). 

Conclusion

The code of ethics is indispensable in modern nursing settings that positivelygovern the interaction and behavior of nurses and improves their relationships with patients. Moreover, there are several government policies in the US that impact the coordination of care. National and governmental insurance programs such as Medicare and Medicaid significantly help the poor families to avail healthcare benefits. This shows that the code of ethics provided by state and federal governments exist to facilitate nurses and doctors to improve the continuum of care. Despite some dilemmas such as creating religious conflicts with insurance, ethical codes also reduce unnecessary healthcare costs and enhance patient outcomes for mentally ill patients. 

References 

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Berkowitz, S. A., Parashuram, S., Rowan, K., Andon, L., Bass, E. B., Bellantoni, M., … & Brown, P. M. (2018). Association of a care coordination model with health care costs and utilization: the Johns Hopkins Community Health Partnership (J-CHiP). JAMA network open1(7), e184273-e184273.

De Regge, M., De Pourcq, K., Meijboom, B., Trybou, J., Mortier, E., & Eeckloo, K. (2017). The role of hospitals in bridging the care continuum: a systematic review of coordination of care and follow-up for adults with chronic conditions. BMC Health Services Research17(1), 1-24.

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

Gunderson, J. M., Wieland, M. L., Quirindongo-Cedeno, O., Asiedu, G. B., Ridgeway, J. L., O’Brien, M. W., … & Njeru, J. W. (2018). Community health workers as an extension of care coordination in primary care: A community-based cosupervisory model. The Journal of ambulatory care management41(4), 333.

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