Ethical and Policy Factors in Care Coordination
NURS FPX 4050 Assessment 2 Attempt 2 Ethical and Policy Factors in Care Coordination
Hi, today I am here to deliver my presentation on ethical and policy factors involved in care coordination. The community I am focusing on for ethical care coordination is homeless shelter houses. Ethical factors in care coordination refer to doing what is right at the right time so for care coordination Veteran Health Administration facilities are provided. For the homeless shelter when their treatments are to be done not all the health care facilities and types of equipment are also not available that at times creates quality concern in patient safety. The cases are most complex because of the lifestyle they are surviving in so that requires a lot of patience and time in understanding the health care history of some individuals. The nursing staff and other healthcare professionals need to make sure they visit such places with their teams and required equipment and for serious cases, the patients can be brought to the hospitals for better treatment and care. Those treating the homeless shelter individuals without Veteran Health Administration have shown they have had very poor care coordination between the healthcare systems. Unsafe medications are given, which becomes dangerous for the patients and sometimes also increases hospital readmissions. The homeless shelters, do not have enough resources to keep getting themselves treated and keep revisiting hospitals for their healthcare concerns. The waiting time should also be managed well and irrespective of the patients’ financial position they should be treated in the best possible manner as every human life is valuable (Jones et al., 2021).
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Governmental policies related to the health and safety of a community affect the care coordination
As the population is increasing in the U.S. it is also increasing the number of people in homeless shelter houses, there is a high part of the population that is below the poverty line. Homeless individuals suffer more from mental illness and similar disorders that impact the chances of their survival, due to their lifestyle their bodies lack basic nutrition levels and that creates problems in the body. The role of government being the policymakers of a country is also very important in this matter as the individuals surviving in the homeless shelters are food deprived as well so even the food is sometimes provided by the shelters. This is often noticed that the people often admitted to the emergency department of the hospital when they come from shelter houses are discharged before their treatment is complete. The readmissions in the hospital have impacted the reputation of the U.S. healthcare system so to maintain the quality of care the government introduced some policies and plans to introduce discharge from the hospital based on mandatory national hospital penalty programs. The government aimed to provide equality and quality to manage care coordination for the shelter house individuals so they also introduced Hospital Readmission Reduction Program. The government made some strict policies for the healthcare professionals too so that they make sure to treat the patients under the right rules and regulations. Until and unless the patient is fit he should not be discharged from the hospital irrespective of whoever they are. Patient safety should not be compromised. The hospitals also face difficulty in managing finances by treating the shelter house patients as they do not have enough resources to pay the hospital bills. The government intervenes in such cases and makes sure to provide funds for such patients to effectively manage the care coordination in the community (Miyawaki et al., 2020).
National, state, and local policy provisions that raise ethical questions or dilemmas for care coordination
NURS FPX 4050 Assessment 2 Attempt 2 Ethical and Policy Factors in Care Coordination
No system is perfect every system possesses its flaws but the state and the regulators have to make sure to keep their approach ethical by all means. The majority of people living in the shelter homes are usually the minorities and the treatment of such individuals does give a strong message to the world regarding the approach of the country. The government needs to make sure that they do not allow racial and ethical disparities to come in between the healthcare of the individuals. Institutional racism has been practiced in many organizations so government must intervene and design policies in a way that promotes justice and wellness of the people of the country. The religious and cultural norms of the people coming for health treatment should also be considered as several communities are not comfortable with getting treated by male nurses and doctors but at the time of treatment the family should be taken into confidence, and conversations should be carried out to make sure there are no confusions and conflicts between the health care professionals and the patients. These ethical questions do bring in a lot of problems for the people and government as it affects the image on the global level. The law enforcement agencies should make sure that the ethical concerns are covered, the role of nurses comes into account here that they need to make sure to gain proper insights about a person and ask about their concerns and treat them in the way they feel comfortable with. Patients at times want the healthcare professionals to keep the data to themselves and not to use it against them in any case. Confidentiality should be maintained, for example, if a person got shot after treating him/her the family should not be disturbed in any matter. When a person gets admitted to the hospital it should be made sure that the safety of that person and his family is not compromised at any cost. As the government provides funds to the hospitals for the treatment of patients that are less fortunate so before using those funds patients should be asked if they are okay with getting the treatment done by those funds. In some cases because of their beliefs and religious concerns patients do not like to use insurance and funding amounts for themselves. Government should inform the hospitals about the rights of the minorities and they should guide that every individual coming into the hospital should be respected and treated equally irrespective of their Color, race, and gender (Elias & Paradies, 2021)
The impacts of the code of ethics for nurses on the coordination and continuum of care
The code of ethics is something everyone working in any profession should practice it increases the empathy and character of an individual. It is very important to understand the difference between right and wrong as that makes you a responsible person. Nurses interact with patients the most so they need to make sure they follow proper ethics. Nurses should be well aware of the rights of each individual the birth rights of a baby, the rights of the minorities, and the treatment that needs to be done irrespective of race and gender of an individual (Choi et al., 2018). The role of nurses is quite intense they need to be everywhere, every decision-making needs to be done based on an ethical approach guided to them. The use of instruments and equipment needs to be done based on ethical education received by the nurses. The nurses should not only focus on patients but also on relationship building they should develop a system where they need to make sure they possess qualities like being reliable and relevant to the patients (Bey mirza et al., 2022). The people living in shelter houses for their medical needs depend on the healthcare personnel, the role of the nurse is to first fully examine the case of an individual and then prescribe the medications but as the people are not that privileged to purchase and consume the medicines so nurses should directly give them medicines relevant to the health condition of that individual. It is noticed that many old-aged individuals have lost their lives due to not getting the right treatment at the right time. Nurses should take all the decisions while considering and putting their duty first and every other thing should not be taken into account. The safety of the patients living in the shelter homes is very important so nurses should do everything in their capacity to keep them safe and treat them in a respectful manner that is ethically right (Nilsen et al., 2020).
Conclusion
The individuals living in the shelter homes should be treated just like other people in the hospitals coming for their treatment. The government and healthcare professionals need put joint efforts to maintain a health system that is based on equality and justice. The treatment programs should be launched by the government that provides the funds and other factors that are required when a patient enters the hospital for treatment purposes. All shelter home individuals should not be discharged from the hospital until and unless they have fully recovered themselves from a certain health condition. The ethical and cultural approaches and values should be considered at the time of treatment as every person come from a different background and taking care of their values will help the hospital staff as the patients will also cooperate and respond well to the treatments being offered to them.
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References
Bey mirza, R., Nik Farid, L., Engrained, R., Sarkani, N., & Moradi Cerati, M. (2022). Development and validation of an instrument to measure pediatric nurses’ adherence to ethical codes. BMC Medical Ethics, 23(1). https://doi.org/10.1186/s12910-022-00753-4
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
Elias, A., & Paradies, Y. (2021). The costs of institutional racism and its ethical implications for healthcare. Journal of Bioethical Inquiry, 18(1). https://doi.org/10.1007/s11673-020-10073-0
NURS FPX 4050 Assessment 2 Attempt 2 Ethical and Policy Factors in Care Coordination
Jones, A. L., Gordon, A. J., Gabrielian, S. E., Montgomery, A. E., Bosnich, J. R., Varley, A. L., dressy, A. J., Austin, E. L., Hoge, A. E., Kim, Y., Gelberg, L., & Kertesz, S. G. (2021). Perceptions of Care Coordination Among Homeless Veterans Receiving Medical Care in the Veterans Health Administration and Community Care Settings. Medical Care, Publish Ahead of Print. https://doi.org/10.1097/mlr.0000000000001547
Miyawaki, A., Hasegawa, K., Figueroa, J. F., & Tsugawa, Y. (2020). Hospital Readmission and Emergency Department Revisits of Homeless Patients Treated at Homeless-Serving Hospitals in the USA: Observational Study. Journal of General Internal Medicine, 35(9), 2560–2568. https://doi.org/10.1007/s11606-020-06029-0
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
