NURS FPX 4050 Assessment 3 Attempt 1 Care Coordination Presentation to Colleagues

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Care Coordination Presentation to Colleagues

NURS FPX 4050 Assessment 3 Attempt 1 Care Coordination Presentation to Colleagues

Coordinated care is considered essential in improving the outcomes of patients and healthcare. Nurses play a significant role in implementing coordinated care from primary care settings to long-term care facilities. The goal of this care is to improve patients’ health outcomes and reduce healthcare costs. Care coordination and a continuum of care that efficiently leverages community resources and nurses play an influential role in this aspect (Karam et al., 2021)

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Evidence-Based Strategies for Collaborating with Patients and Their Families

Implementing quality healthcare services and coordinated care that respects and satisfy the needs of patients and their family members is crucial for achieving effective healthcare outcomes and impressions of the quality of care, which is what patient-centered care entails (Kwame & Petrucka, 2021). n coordinated care, it is necessary to respect each patient’s and family’s individuality, and the promotion of health and provision of healthcare should take into account their interests, values, beliefs, and individual development (Nickel et al., 2018).

Following are some effective evidence-based strategies that helped in improving patient outcomes in healthcare settings through effective and compelling care management.

Interprofessional Teamwork Innovation Model (ITIM)

The performance of the framework depends on interprofessional collaboration and constructive dialogue. Patient-centered care requires effective communication between health care professionals and caregivers’ teams. A USA-based study observed that patients admitted to a hospital who acquire support through the ITIM model were associated with a 30-day reduction in hospital readmissions as compared to the control group who did not acquire support through this model (Li et al., 2018). The ITIM method fosters a collaborative atmosphere in which patients and their family caregivers, doctors, nurses, and others collaborate and partake in the treatment process. This model allows patients to ask questions without the fear of being interrupted or halted, politely address their queries and provide team-oriented care. The model was found effective in improving bedside care. Patients who received ITIM care were satisfied with this care process and supported its implementation (Real et al., 2020).

Drug-Specific Educational Intervention

Medication errors are common in nursing homes. A geriatric intervention focused to reduce Potentially inappropriate drug prescribing (PIDP) was performed in nursing homes. The intervention included the provision of baseline education regarding drugs and an 18-month medical audit regarding drug prescription and efficacy and their contraindication. The education was provided by geriatricians to nurses. A significant decrease (65%) was observed in PIDP after this intervention (Cool et al., 2018).

Identification of Aspects of Change Management

Change is considered necessary for growth and exceeding in life. Change Management (CM) is a process that used some indicators to identify the factors that require a change in the organization and the role of the team manager and monitoring of the change (Galli, 2018).  In the healthcare setting, change management is a complete process. Evidence-Based Management (EBMgt) has the potential to address the change of management in health care settings. They can help with hospital performance and Patient-Centered Care (PCC). Performance evaluations of organizational units, performance evaluations of employees, change management, professional information exchange, and strategic planning are the main categories of decisions (Roshanghalb et al., 2018).

NURS FPX 4050 Assessment 3 Attempt 1 Care Coordination Presentation to Colleagues

For high-quality PCC, the age of nurses is an essential element. Studies have found that older nurses demonstrated a stronger ability to exhibit empathy, communicate effectively, respond to patients’ viewpoints, and share choices with patients and caregivers. These elements can directly affect the patient experience. Nursing leaders and managers should pay close attention to nurses’ compassion satisfaction, burnout and exhaustion, and organizational commitment in order to improve the delivery of patient-centered care (PCC). 

Patient Satisfaction and Experience

Evidence-based management has suggested that to foster a work atmosphere that encourages nurses’ compassion fullness and reduces their burnout, nursing management should be responsive and helpful in improving patient experience and patient satisfaction (Alhalal et al., 2020).

The Rationale for Coordinated Care Plans Based on Ethical Decision Making

For effective and sustainable care, patient-centered care is given utmost importance. The purpose of this care is to solely focus on the patient’s ongoing condition, cognitive stability, cultural beliefs, and social and interpersonal relationships. Patient comfort, experience and healthcare cost reduction are effectively linked to it.

PCC has six operational dimensions described in a study (Langberg et al., 2019).

  • Examining both the ailment and the experience of the patient in this disease.
  • Having a holistic understanding of the patient’s situation by including additional contextual information.
  • Determining the issue and treatment objectives by locating a common ground between patient and physician.
  • Including health promotion and prevention. 
  • Strengthening the relationship between the patient and healthcare professional, which should progress through shared authority, compassion, and trust. 
  • Adopting a realistic approach towards the management of resources, interdisciplinary teamwork, and working circumstances.

NURS FPX 4050 Assessment 3 Attempt 1 Care Coordination Presentation to Colleagues

PCC is considered an ethical approach to decision-making and is deep-rooted with a strong call for respect for patients’ preferences and values. It is integrated with a trusted doctor-patient relationship and promotes patient safety and improves outcomes. The American College of Physicians (ACP) investigates the rationale for patient and family involvement in care and evaluates the benefits in relation to ethical considerations such as increased adherence to treatment programs, higher levels of satisfaction, and cheaper costs (Nickel et al., 2018). 

The Impact of Specific Health Care Policy

Healthcare policies by federal and local governments or health organizations dynamically influence patient outcomes and experiences. These policies are integrated with authentic procedures and standards that reduce the barriers in care and drastically improve patient care. Simultaneously, these policies also assist health care staff in reducing medical errors, increasing patient safety, and reducing health care costs and other medical services. The US is well-known for developing health-related policies focused on providing quality care and improving patient experiences and outcomes.

Access to affordable healthcare is a major issue. Many US residents cannot afford health insurance and those who have insurance face significant cost-related hurdles to care. The Children’s Health Insurance Program (CHIP) and Patient Protection Affordable Care Act (ACA) has provided millions of formerly uninsured, eligible adults and children with access to affordable health medical insurance. This policy addressed many children with medical complexity and reduced their family burden. ACA has great underlying importance on patient safety and outcome. It provides health coverage to a great number of American citizens.

The Children’s Health Insurance Program (CHIP) has laid a solid basis for providing health care to low-income children and improving their health outcomes. The program has a long history of providing insurance to impoverished children and is funded by state and federal governments. The Affordable Care Act (ACA) now makes this program available to the most low-income children in the nation.

NURS FPX 4050 Assessment 3 Attempt 1 Care Coordination Presentation to Colleagues

A prospective observational study reported that CHIP holders demonstrated improved children’s outcomes in different hospital settings. It was noticed that this health policy was associated with improved parental satisfaction and quality care. It reduced the financial burden on patients and resulted in improved patient experience. This program also reduced healthcare costs by promoting health and reducing the disease burden (Flores et al., 2017).

Conclusion

Coordination of care within a healthcare facility can lead to better healthcare outcomes by ensuring patient satisfaction. The approach of adding family members for facilitating patient-centered care and communication is involving patients and caregivers in the treatment process by sharing information, soliciting their input, and working together to enhance patient satisfaction. Interprofessional efforts and continuum care is required by all health care professional including nurses and physicians. It is necessary to reduce patient-nurse communication barriers and implement of the ethical approach of active listening and respecting each other’s views. Healthcare reforms promote efficient communication for PCC implementation in addition to coverage and a decline in healthcare disparities through the coordination of care. In a nutshell, the contribution of nurses in the healthcare institution must be acknowledged in order to motivate them to maintain coordinated care and use evidence-based practices in the implementation of patient-centered care.

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References

Alhalal, E., Alrashidi, L. M., & Alanazi, A. N. (2020). Predictors of patient‐centered care provision among nurses in acute care setting. Journal of Nursing Management. https://doi.org/10.1111/jonm.13100

Cool, C., Cestac, P., McCambridge, C., Rouch, L., de Souto Barreto, P., Rolland, Y., & Lapeyre-Mestre, M. (2018). Reducing potentially inappropriate drug prescribing in nursing home residents: effectiveness of a geriatric intervention. British Journal of Clinical Pharmacology, 84(7), 1598–1610. https://doi.org/10.1111/bcp.13598

Flores, G., Lin, H., Walker, C., Lee, M., Currie, J. M., Allgeyer, R., Portillo, A., Henry, M., Fierro, M., & Massey, K. (2017). The health and healthcare impact of providing insurance coverage to uninsured children: A prospective observational study. BMC Public Health, 17(1). https://doi.org/10.1186/s12889-017-4363-z

Galli, B. J. (2018). Change Management Models: A Comparative Analysis and Concerns. IEEE Engineering Management Review, 46(3), 124–132. https://doi.org/10.1109/emr.2018.2866860

Karam, M., Chouinard, M.-C., Poitras, M.-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing Care Coordination for Patients with Complex Needs in Primary Healthcare: a Scoping Review. International Journal of Integrated Care, 21(1). https://doi.org/10.5334/ijic.5518

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 Nursing, 20(1). https://doi.org/10.1186/s12912-021-00684-2

Langberg, E. M., Dyhr, L., & Davidsen, A. S. (2019). Development of the concept of patient-centredness – A systematic review. Patient Education and Counseling, 102(7), 1228–1236. https://doi.org/10.1016/j.pec.2019.02.023

Li, J., Talari, P., Kelly, A., Latham, B., Dotson, S., Manning, K., Thornsberry, L., Swartz, C., & Williams, M. V. (2018). Interprofessional Teamwork Innovation Model (ITIM) to promote communication and patient-centred, coordinated care. BMJ Quality & Safety, 27(9), 700–709. https://doi.org/10.1136/bmjqs-2017-007369

NURS FPX 4050 Assessment 3 Attempt 1 Care Coordination Presentation to Colleagues

Nickel, W. K., Weinberger, S. E., & Guze, P. A. (2018). Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. Annals of Internal Medicine, 169(11), 796. https://doi.org/10.7326/m18-0018

Real, K., Bell, S., Williams, M. V., Latham, B., Talari, P., & Li, J. (2020). Patient perceptions and real-time observations of bedside rounding team communication: The Interprofessional Teamwork Innovation Model (ITIM). The Joint Commission Journal on Quality and Patient Safety, 46(7). https://doi.org/10.1016/j.jcjq.2020.04.005

Roshanghalb, A., Lettieri, E., Aloini, D., Cannavacciuolo, L., Gitto, S., & Visintin, F. (2018). What evidence on evidence-based management in healthcare? Management Decision, 56(10), 2069–2084. https://doi.org/10.1108/md-10-2017-1022