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

Assessment 2 Ethical and Policy Factors in Care Coordination

Name

Capella university

Prof. Name

Date

Ethical and Policy Factors in Care Coordination

Good afternoon, everyone. This presentation will explore the ethical and policy considerations influencing care coordination for marginalized populations, specifically focusing on homeless individuals within our society. Homelessness presents unique challenges, as individuals experiencing it often have complex medical and psychological needs requiring organized care efforts. However, providing effective care coordination for this demographic is hindered by various factors, including limited access to healthcare services, resource constraints, and the pervasive stigma surrounding homelessness. This presentation aims to delve into governmental policies, ethical dilemmas, and the nursing ethical code that shape care coordination practices for homeless populations.

Governmental Policies Addressing Community Safety and Health

The coordination of care for homeless individuals is significantly shaped by governmental policies aimed at promoting community health and safety. For instance, the “Affordable Care Act (ACA)” has played a pivotal role in expanding healthcare coverage, including for homeless individuals. Before the ACA, many homeless individuals struggled to access healthcare due to factors such as lack of insurance, financial barriers, and transportation limitations. However, the ACA’s expansion of Medicaid eligibility in numerous states has facilitated increased access to free or low-cost healthcare coverage for this vulnerable population (Ye & Rodriguez, 2021). Furthermore, the ACA has allocated funding for targeted programs like the “Health Care for the Homeless (HCH)” initiative, which delivers healthcare services to homeless individuals across diverse settings such as shelters and soup kitchens. A notable aspect of the HCH program is its emphasis on culturally and linguistically appropriate care delivery. This involves training healthcare providers to understand and address the unique needs and backgrounds of homeless individuals, ensuring that care is sensitive to cultural nuances and language preferences.

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

Additionally, the HCH program prioritizes case management and care coordination, fostering collaboration among healthcare providers, social service agencies, and community organizations to deliver comprehensive care addressing both health and social needs (Lanese et al., 2021). While challenges persist in healthcare access for homeless populations, these policies underscore a commitment to enhancing care accessibility and addressing the root causes of homelessness. By prioritizing culturally competent care delivery, promoting collaboration, and expanding coverage, these initiatives strive towards achieving equitable healthcare access for all, irrespective of housing status.

Policy Provisions in Coordinating Care for Homeless Individuals

An essential policy consideration in care coordination for homeless individuals revolves around balancing autonomy with safety. The “Health Insurance Portability and Accountability Act (HIPAA)” safeguards individuals’ autonomy and privacy regarding health information. However, for homeless individuals with complex medical and mental health needs, care coordinators face ethical dilemmas in ensuring both autonomy and safety. Instances where individuals resist treatment plans or medication regimens necessitate careful navigation to ensure appropriate care while respecting autonomy (Lanese et al., 2021). Moreover, tensions arise between individual needs and community well-being. Homeless individuals may harbor contagious illnesses, posing public health risks. Care coordinators must navigate these ethical tensions, balancing individual rights with community safety. Despite strides made by the ACA and Medicaid expansion in improving healthcare access, many homeless individuals still encounter barriers such as lack of insurance, transportation, and stigma (Ye & Rodriguez, 2021). These policy provisions underscore the ethical complexities inherent in care coordination for homeless populations. Care coordinators must navigate these challenges to ensure homeless individuals receive equitable and respectful care while upholding autonomy and privacy rights, simultaneously mitigating public health risks associated with homelessness.

Code of Ethics for Nurses on Care Coordination and Continuum of Care for Vulnerable Populations

The Nursing Code of Ethics serves as a guiding framework for care coordination and continuum of care for vulnerable populations, including homeless individuals. Emphasizing patient rights, health, and safety, the Code is particularly pertinent when serving marginalized groups. Provision 3 underscores nurses’ obligation to advocate for patient autonomy, well-being, and safety, while Provision 8 highlights the importance of collaboration with healthcare providers and the community to address health needs effectively (Hanks et al., 2019). Research indicates that adherence to ethical codes correlates with improved health outcomes and care quality. Studies have shown that nurses adhering to ethical guidelines report higher job satisfaction and perceive enhanced patient safety (Davis et al., 2021). Additionally, adherence to ethical guidelines for homeless patient care is associated with improved outcomes and increased care access (Hendricks et al., 2020). Considering social determinants of health, such as poverty and homelessness, is crucial when applying the nursing code of ethics. Homeless individuals often face significant barriers to healthcare access, necessitating collaboration to overcome obstacles and improve care coordination (Hanks et al., 2019).

References

Davis, C. R., Decker, K., Delaney, C., & Jahn, P. (2021). The impact of a nursing ethics education program on job satisfaction, ethical conflict, and patient safety. Nursing Ethics, 28(4), 474-486. https://doi.org/10.1177/0969733017742959 Hanks, R. G., Eloi, H., & Stafford, L. (2019, April). Understanding how advanced practice registered nurses function as patient advocates. In Nursing Forum, 54(2), 213-219. https://doi.org/10.1111/nuf.12319

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

Hendricks, J. M., Alsayid, M. M., Huang, Y. T., Steinberg, J., & Ford, D. (2020). The impact of ethical guidelines on homeless patient care: A systematic review. Journal of Healthcare Ethics and Administration, 6(2), 33-42. https://doi.org/10.1111/nuf.12319 Lanese, B. G., Birmingham, L., Alrubaie, N., & Hoornbeek, J. (2021). Healthcare for the Homeless (HCH) Projects and Medicaid Expansion. Journal of Community Health, 46(6), 1139-1147. https://doi.org/10.1007/s10900-021-01000-4 Ye, W., & Rodriguez, J. M. (2021). Highly vulnerable communities and the Affordable Care Act: Health insurance coverage effects, 2010–2018. Social Science & Medicine, 270, 113670. https://doi.org/10.1016/j.socscimed.2021.113670

ADDITIONAL INSTRUCTIONS FOR THE CLASS – NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium. Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper