NURS FPX 4050 Assessment 2 Attempt 1 Ethical and Policy Factors in Care Coordination

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Ethical and Policy Factors in Care Coordination

NURS FPX 4050 Assessment 2 Attempt 1 Ethical and Policy Factors in Care Coordination

Hello, I’m here today to give a presentation on the ethical and policy aspects of care coordination. The topic I am choosing is Homeless shelter houses for ethical care coordination.

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NURS FPX 4050 Assessment 2 Attempt 1 Ethical and Policy Factors in Care Coordination

Considering ethical issues in care coordination include executing what is fair in the appropriate way, Veteran Health Administration resources are provided for care coordination. When it comes to treating the homeless, not all of the facilities for health care and kinds of equipment are readily accessible, which can cause quality concerns in patient safety. Given the lifestyle they live, the instances are typically complicated, necessitating a considerable amount of perseverance and time in learning about the health history of some people. A registered nurse and other healthcare professionals must ensure that they attend such locations with their workgroups and proper accessories, and in severe cases, patients can be transported to clinics for better treatment and care. Those who serve homeless shelter patients alone without the help of veteran healthcare administration have shown relatively poor coordination of treatment with healthcare systems. Risky medications are administered, endangering patients and often increasing hospital readmissions. The people in homeless shelters lack the necessary funds to continue receiving treatment and returning to clinics for their healthcare issues. The waiting period must be well handled, and patients should receive the finest care available regardless of their financial situation because every person’s life is valued (Soncrant et al., 2021).

Governmental policies related to the health and safety of a community affect the care coordination

Since the country’s population grows, so does the number of individuals in homeless shelters; a large percentage of the country resides under the poverty line.  Homeless people are more likely to suffer from psychological illnesses and other disorders that reduce their likelihood of survival; their body lacks basic nutrition as a result of their style of living, which causes issues with their bodies. The involvement of the state as legislators in a country is indeed extremely significant in this topic since the people who live in homeless shelters are also vulnerable to food insecurity, hence food is occasionally given by various organizations as donations. People who are brought to the emergency unit of the hospital after being discharged from a homeless shelter are frequently released before their therapy is done. Readmissions in hospitals have harmed the credibility of the United States health service, thus the government implemented several laws and plans to implement the hospital’s discharge procedure based on required national hospital penalty programs in order to preserve the care quality. 

In order to offer equity and excellent care coordination for shelter home residents, the state implemented the Hospital Readmission Reduction Program. The government also enforced harsh laws on healthcare practitioners to ensure that patients are treated in accordance with the law. Regardless of where they’re from, the patient cannot be released from the hospital until and unless he is healthy. Quality care and patient safety cannot be sacrificed. Hospitals also encounter financial challenges while treating shelter home patients because they lack the ability to pay medical fees. In such circumstances, the government steps in and ensures that funding are available for such patients to properly handle care coordination in the society (Laliberté et al., 2019; Dickins et al., 2020).

NURS FPX 4050 Assessment 2 Attempt 1 Ethical and Policy Factors in Care Coordination

National, state, and local policy provisions that raise ethical questions or dilemmas for care coordination

There is no ideal system. Every system has problems, but the state and legislators must make every effort to maintain their approach ethical. The majority of those residing in shelter houses are generally minorities, and how they are treated sends a powerful statement to the rest of the world about the country’s attitude. The government must ensure that race and social gaps do not obstruct citizens’ healthcare access. Since institutional racism was already practiced in many institutions, the state must interfere and develop policies that foster justice and the well-being of the country’s citizens. The religious and societal standards of people seeking health care must also be taken into account, as some communities are uncomfortable with being treated by male physicians and nurses. However, during treatment, the relatives must be taken into trust, and discussions should be held to ensure that there aren’t miscommunications and dispute among the health care practitioners and patients. These ethical concerns create a great deal of difficulties for the individuals and the government since they influence the country’s image on a worldwide scale.The duty of nurses is to ensure that adequate information about a patient are gained, inquire about their worries, and manage them in a manner that they are happy with. Law enforcement agencies must ensure that ethics are addressed.

Patients may request that healthcare personnel retain the information to themselves and refrain from using it to harm them in any way. Privacy must be preserved; for instance, if a patient is shot after being treated, his or her family cannot be bothered in any way. If an individual is taken to the hospital, it is critical that the security of that individual and his household is not jeopardized. Since the state contributes funds to institutions for the care of less privileged patients, people must be questioned if they are comfortable with having the medical help with those funding prior to them being used. Patients may refuse to utilize coverage or financing amounts for themselves due to religious or philosophical reasons. State should tell the institutions about the liberties of the minorities and they ought to advise that every person entering into the clinic must be acknowledged and treated fairly regardless of their Ethnicity, gender, and religion (Cogburn, 2019; Paccoud et al., 2022).

The impacts of the code of ethics for nurses on the coordination and continuum of care

Everyone in any field should follow the code of ethics since it improves empathy and character. Understanding the distinction between good and bad is critical because it helps you become a responsible practitioner. Nurses have the greatest contact with patients, thus they must uphold good ethics. Nurses should be thoroughly informed of each individual’s rights, including birth rights, minority rights, and the care that must be provided regardless of color or gender (Choi & Rayborn, 2018). Nurses’ roles are highly demanding; they must be everywhere at all times, and all decisions must be made in accordance with an ethical framework. The utilization of apparatus and devices must be done in accordance with the nurses’ education programs. Nurses not only need to concentrate on their patients as well on customer engagement. They should create a system in which they must demonstrate attributes such as dependability and relevance to patients (Izadi et al., 2020)

NURS FPX 4050 Assessment 2 Attempt 1 Ethical and Policy Factors in Care Coordination. 

Individuals living in shelter houses rely on healthcare staff for their health needs; the duty of the nurse is to initially thoroughly assess an individual’s situation before prescribing drugs; however, because people are not that entitled to buy and take medicines, nurses must directly offer them medications related to the individual’s health issue. It has been noted that many elderly people have passed away because they did not receive the proper care at the appropriate time. All choices should be made by nurses with their responsibility as their first priority. Other judgments cannot be made. The patient’s welfare at the shelter is crucial, nurses should take all reasonable precautions to ensure their security and serve them with the respect and dignity that they deserve (Nilsen et al., 2020).

Conclusion

People staying in shelter houses should be treated in the same manner as other patients in hospitals. To sustain a health system founded on equity and justice, the state and healthcare experts must work together. The state should develop healthcare initiatives that provide the cash and other elements necessary when a person joins a hospital to get treated. People in shelter homes cannot be released from the clinic until they have recovered fully from a specific medical condition.As each individual has a unique history, able to take care of their beliefs will aid the medical personnel as the patients will also comply and react favorably to the therapies being delivered to them.

References

Cogburn C. D. (2019). Culture, race, and health: implications for racial inequities and population health. The Milbank Quarterly, 97(3), 736–761. https://doi.org/10.1111/1468-0009.12411

Choi, Y. S., Jeong, G. S., & Rayborn, M. (2018). Biomedical ethics education for nursing students: the effect on awareness and application of nursing code of ethics, consciousness of biomedical ethics and moral sensitivity. Journal of Korean Academic Society of Nursing Education, 24(3), 214–224. https://doi.org/10.5977/jkasne.2018.24.3.214

Dickins, K. A., Buchholz, S. W., Ingram, D., Braun, L. T., Hamilton, R. J., Earle, M., & Karnik, N. S. (2020). Supporting primary care access and use among homeless persons. Social Work In Public Health, 35(6), 335–357. https://doi.org/10.1080/19371918.2020.1809589

Izadi, F., Bijani, M., Fereidouni, Z., Karimi, S., Tehranineshat, B., & Dehghan, A. (2020). The effectiveness of teaching nursing ethics via scenarios and group discussion in nurses’ adherence to ethical codes and patients’ satisfaction with nurses’ performance. The Scientific World Journal, 2020, 5749687. https://doi.org/10.1155/2020/5749687

NURS FPX 4050 Assessment 2 Attempt 1 Ethical and Policy Factors in Care Coordination

Laliberté, V., Stergiopoulos, V., Jacob, B., & Kurdyak, P. (2019). Homelessness at discharge and its impact on psychiatric readmission and physician follow-up: a population-based cohort study. Epidemiology And Psychiatric Sciences, 29, e21. https://doi.org/10.1017/S2045796019000052

Nilsen, M. K., Sletvold, H., & Olsen, R. M. (2020). “To give or not to give medication, that is the question.” Healthcare personnel’s perceptions of factors affecting pro re nata medication in sheltered housing for older adults — a focus-group interview study. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05439-4

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Paccoud, I., Nazroo, J., & Leist, A. K. (2022). Region of birth differences in healthcare navigation and optimisation: the interplay of racial discrimination and socioeconomic position. International Journal For Equity In Health, 21(1), 106. https://doi.org/10.1186/s12939-022-01709-1

Soncrant, C., Mills, P. D., Pendley Louis, R. P., & Gunnar, W. (2021). Review of reported adverse events occurring among the homeless veteran population in the veterans health administration. Journal Of Patient Safety, 17(8), e821–e828. https://doi.org/10.1097/PTS.0000000000000884