Ethical and Policy Factors in Care Coordination
FPX 4050: Coordinating Patient-Centered Care
Slide 1:
Hello everyone! My name is []. Today, I will talk about important rules and ethics in healthcare. This presentation is part of NURS FPX 4050 Assessment 2. It focuses on making a care plan that respects all people, including those in the Gay and Lesbian Medical Association (GLMA). We will also discuss how nurses and other healthcare workers help in this process.
Slide 2:
Health Policy Factors in Care Coordination
In NURS FPX 4050 Assessment 2, we study how health policies affect care plans. A care plan helps meet the health needs of patients or groups (Karam et al., 2021).
Some key points in health policies include:
– Training healthcare workers
– Following ethical rules
– Respecting privacy and confidentiality
– Fair and equal care for all patients
We must also think about biases related to gender, illnesses, or personal beliefs. Teaching others about these issues can help create fair and inclusive healthcare for everyone.
Slide 3:
Government Policies Affecting ANA
In NURS FPX 4050 Assessment 2, we also learn about how government rules affect the American Nurses Association (ANA).
The ANA creates important guidelines for nurses (Copeland, 2020). Laws like Obamacare (Affordable Care Act) brought big changes to healthcare in the U.S. These rules help improve patient care and guide nurses on how to work with others.
This slide continues from the previous one in NURS FPX 4050 Assessment 2.
The Affordable Care Act (ACA), also known as Obamacare, changed many things in healthcare (Béland et al., 2023). It helps people get insurance, offers better health plans, and provides free check-ups. It also works to improve patient health and care coordination, which is important for nurses.
Another important law is the Health Insurance Portability and Accountability Act (HIPAA) (Oyeleye, 2021). HIPAA protects patient information. It makes sure that doctors and nurses keep patient details private and only share them when allowed. This law helps nurses respect patient privacy and dignity.
Slide 4:
Policies That Affect Organizations
In NURS FPX 4050 Assessment 2, we also learn how Medicare and Medicaid policies impact healthcare (Donohue et al., 2022). These programs help many people pay for healthcare. Nurses play a big role in making sure these programs work well by educating patients and improving care quality.
Technology also affects nursing. Many healthcare providers now use Electronic Health Records (EHR) to safely store patient information (Ali et al., 2023). EHRs help nurses and doctors work together and provide better care. ANA supports using these tools to improve nursing and make patient care safer and faster.
Slide 5:
Policies That Raise Ethical Questions
In NURS FPX 4050 Assessment 2, we also learn about local, state, and national policies that can create ethical challenges for nurses. These policies sometimes make it hard to decide what is right or wrong in care coordination. Nurses must balance following rules while making sure patients get good care.
National Policy Example
One example is the EMTALA law. This law says all hospitals must provide emergency care to every patient, no matter if they can pay or not (Warby & Borger, 2020). This is good for patients, but it can be hard for hospitals with limited money and staff. Nurses and healthcare workers must use resources wisely while keeping patients safe.
State Policy Example
Some states require hospitals to get a Certificate of Need (CON) before opening new services or expanding (Conover & Bailey, 2020). This law helps control healthcare costs. However, it can also limit patient access to care. Nurses and healthcare leaders must work together to make sure patients still get the care they need without too many delays or high costs.
Local Policy Provisions
In NURS FPX 4050 Assessment 2, we also learn that local laws can affect how easy it is for people to get healthcare. For example, local rules about land use may limit where hospitals or clinics can be built.
Nurses and the American Nurses Association (ANA) must make sure everyone has fair access to care. Local health centers may offer services for certain groups, like seniors or low-income families. Nurses must think about fairness when helping these patients.
Policies also need to keep costs low while making sure care stays high-quality. Both money and patient needs are important to balance.
Slide 6:
Consequences of Special Policies
Some healthcare rules may cause problems even though they aim to help. For example, the Certificate of Need (CON) law tries to reduce costs, but it can limit patient access to hospitals (Conover & Bailey, 2020).
Another rule, EMTALA, makes hospitals treat anyone in an emergency, even if they can’t pay (Shenoy et al., 2022). This protects patients but can be expensive for hospitals.
In NURS FPX 4050 Assessment 2, we learn that nurses, healthcare leaders, and ANA must find ways to balance good care with costs. They must protect both patient safety and hospital resources.
Slide 7:
Nurses’ Code of Ethics and Care Coordination
In NURS FPX 4050 Assessment 2, we learn how nurses play a big role in ethics and patient care. Nurses often speak with both doctors and patients, making them very important in healthcare.
The American Nurses Association (ANA) created a Code of Ethics for Nurses (Haddad & Geiger, 2023). This code has four main ideas:
1. **Help Patients (Beneficence):** Always do what is best for the patient.
2. **Do No Harm (Non-maleficence):** Never hurt the patient.
3. **Respect Patient Choices (Autonomy):** Let patients make their own decisions.
4. **Be Fair (Justice):** Treat everyone equally.
In care settings like the Gay and Lesbian Medical Association (GLMA), nurses must also provide fair and inclusive care (Ortelli, 2020). Nurses should not judge people based on gender, race, money, or religion. Everyone deserves equal care—especially LGBTQ+ patients.
In NURS FPX 4050 Assessment 2, it is clear that following the ANA and GLMA ethics helps nurses provide safe, fair, and respectful care to all patients.
Slide 8:
Nurses’ Ethics and LGBTQ Advocacy
In NURS FPX 4050 Assessment 2, we also learn that nurses must respect and treat all patients fairly, including LGBTQ patients. Nurses should never judge others based on gender or sexuality. Privacy and respect are very important.
Nurses must understand the unique health concerns of LGBTQ patients. This is called **cultural competence**. It means listening to patients’ concerns and making them feel safe.
Nurses should also speak up for LGBTQ patients and support fair health policies. They need to help create a healthcare system where everyone feels welcome. Working together with other healthcare workers, nurses can help LGBTQ patients get the care they need.
Slide 9:
Health Disparities and Access to Care
In NURS FPX 4050 Assessment 2, we also explore why some LGBTQ people face health problems.
Some patients may not know about their health needs, and some healthcare workers may not fully understand LGBTQ concerns. This can make it hard for LGBTQ people to get proper care.
Other problems include legal issues, such as not recognizing same-sex marriages, which can limit health insurance or family support. Money issues in the LGBTQ community can also make it hard to afford care.
The American Nurses Association (ANA) works to change health policies to reduce these problems and help everyone get better care.
Slide 10:
LGBTQ+ Health Challenges and Support
In NURS FPX 4050 Assessment 2, we learn that many LGBTQ+ people struggle to get good healthcare. They face stress and depression because of unfair treatment and may not afford mental health care. Some health workers do not know about the special health needs of LGBTQ+ patients.
Also, some hospitals are not friendly or welcoming to LGBTQ+ patients. These problems make it hard for LGBTQ+ people to stay healthy. That is why nurses and healthcare workers must support fair and caring treatment for everyone.
Slide 11:
Social Factors That Impact LGBTQ+ Health
In NURS FPX 4050 Assessment 2, we also study how social factors affect LGBTQ+ health.
The **Social Determinants of Health** are things that affect a person’s health, like jobs, housing, money, and fair treatment. These are part of the **Healthy People 2020** goals in the U.S.
The Gay and Lesbian Medical Association (GLMA) says we must focus on:
– Stopping unfair treatment of LGBTQ+ people.
– Offering mental health help and counseling.
– Creating jobs and safe spaces for LGBTQ+ people.
– Ending unfairness in the community.
By focusing on these issues, the American Nurses Association (ANA) can make better policies and improve healthcare for LGBTQ+ patients.
Evidence Supporting Conclusion
In NURS FPX 4050 Assessment 2, we learn that many laws limit healthcare for LGBTQ+ people. For example, some states like Arkansas and Texas banned gender-affirming care. These rules make it harder for LGBTQ+ people to get the care they need.
Research shows that when healthcare workers learn about LGBTQ+ issues, they treat these patients better. Hospitals must improve education for doctors, nurses, and students so they can offer respectful and fair care.
Other studies found that LGBTQ+ students in medical training often face bullying or unfair treatment. More training and support can create safe and respectful healthcare spaces for everyone.
Slide 12:
It is very important to educate everyone, including LGBTQ+ people, about health and fairness (Leung et al., 2022). Nurses and doctors must know how to treat every patient fairly, no matter their background.
Everyone should have access to health insurance, therapy, and support groups. This helps improve mental health and builds a more caring community. In NURS FPX 4050 Assessment 2, we focus on these goals to make healthcare better and fair for all.
Slide 13:
Ethical and Policy Issues Affecting Care Coordination
In NURS FPX 4050 Assessment 2, we also look at ethical rules and health policies. Nurses must treat all patients with respect and fairness. The HIPAA law protects patient privacy and stops discrimination, especially for people with HIV or different sexual identities.
Technology like Electronic Health Records (EHR) also helps improve healthcare services and protect patients’ data.
Policies from groups like the Gay and Lesbian Medical Association also focus on fair treatment for everyone, no matter their gender, race, religion, or money situation.
It’s very important for nurses and healthcare workers to keep learning about LGBTQ+ health. Policies must focus on fairness for both LGBTQ+ people and the larger community to make sure everyone has good healthcare.
Slide 14:
Conclusion
In NURS FPX 4050 Assessment 2, we studied how two important groups help people in healthcare.
The Gay and Lesbian Medical Association (GLMA) works to protect LGBTQ+ people. They talk to healthcare leaders to make fair laws and improve care for everyone.
The American Nurses Association (ANA) makes rules for nurses. They help make sure all patients, including LGBTQ+ people, get safe and fair care.
Together, GLMA and ANA support better health rules for everyone. They help make healthcare safe, equal, and kind for all people.
References for NURS FPX 4050 Assessment 2
Ali, S., Khan, H. M., Shah, J., & Ahmed, K. (2023). An electronic health record system implementation in a resource limited country—lessons learned. Digital Health, 9(9). https://doi.org/10.1177/20552076231203660
Béland, D., Rocco, P., & Waddan, A. (2023). Obamacare Wars: Federalism, State Politics, and the Affordable Care Act. In Google Books. University Press of Kansas. https://books.google.com.pk/books?hl=en&lr=&id=kWHFEAAAQBAJ&oi=fnd&pg=PA217&dq=Obamacare+is+a+massive+healthcare+policy+that+brought+changes+to+the+US+healthcare+system
Conover, C. J., & Bailey, J. (2020). Certificate of need laws: a systematic review and cost-effectiveness analysis. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05563-1
Copeland, D. (2020). A Critical Analysis of the American Nurses Association Position Statement on Workplace Violence. Advances in Nursing Science, Publish Ahead of Print(2). https://doi.org/10.1097/ans.0000000000000345
Donohue, J. M., Cole, E. S., James, C. V., Jarlenski, M., Michener, J. D., & Roberts, E. T. (2022). The US Medicaid Program: Coverage, Financing, Reforms, and Implications for Health Equity. JAMA, 328(11), 1085–1099. https://doi.org/10.1001/jama.2022.14791
Haddad, L. M., & Geiger, R. A. (2023). Nursing ethical considerations. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK526054/
Heiderscheit, E. A., Schlick, C. J. R., Ellis, R. J., Cheung, E. O., Irizarry, D., Amortegui, D., Eng, J., Sosa, J. A., Hoyt, D. B., Buyske, J., Nasca, T. J., Bilimoria, K. Y., & Hu, Y.-Y.
References Continued – NURS FPX 4050 Assessment 2
(2022). Experiences of LGBTQ+ Residents in US General Surgery Training Programs. JAMA Surgery, 157(1), 23–32. https://doi.org/10.1001/jamasurg.2021.5246
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
Leung, E., Kassel-Gomez, G., Sullivan, S., Murahara, F., & Flanagan, T. (2022). Social support in schools and related outcomes for LGBTQ youth: a scoping review. Discover Education, 1(1). https://doi.org/10.1007/s44217-022-00016-9
Okolo, C. A., Ijeh, S., Arowoogun, J. O., Adeniyi, A. O., & Omotayo, O. (2024). Reviewing the Impact of Health Information Technology on Healthcare Management Efficiency. International Medical Science Research Journal, 4(4), 420–440. https://doi.org/10.51594/imsrj.v4i4.1000
Ortelli, T. A. (2020). Improving LGBTQ Health and Well-Being. AJN, American Journal of Nursing, 120(6), 1–4. https://doi.org/10.1097/01.naj.0000668780.88139.1c
Oyeleye, O. A. (2021). The HIPAA Privacy Rule, COVID-19, and Nurses’ Privacy Rights. Nursing, 51(2), 11–14. https://doi.org/10.1097/01.nurse.0000731892.59941.a9
Robinson, R. (2024). The Politics of Gender Affirming Healthcare: A New Battleground for Morality Policy? Political Science Undergraduate Honors Theses. https://scholarworks.uark.edu/plscuht/31/
Ryan Michael Oducado. (2023). Knowledge and attitude towards lesbian, gay, bisexual, and transgender healthcare concerns: A cross-sectional survey among undergraduate nursing
students in a Philippine state university. Belitung Nursing Journal, 9(5), 498–504. https://doi.org/10.33546/bnj.2887
Shenoy, A., Shenoy, G. N., & Shenoy, G. G. (2022). The impact of EMTALA on medical malpractice framework models: a review. Patient Safety in Surgery, 16(1). https://doi.org/10.1186/s13037-022-00325-w
Wahlen, R., Bize, R., Wang, J., Merglen, A., & Ambresin, A.-E. (2020). Medical students’ knowledge of and attitudes towards LGBT people and their health care needs: Impact of a lecture on LGBT health. PLOS ONE, 15(7), e0234743. https://doi.org/10.1371/journal.pone.0234743
Warby, R., & Borger, J. (2020). EMTALA and Transfers. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK557812/
NURS FPX 4050 Assessment 2 – Planning and Presenting a Care Coordination Project
Design a patient-centered care coordination plan with a focus on improving outcomes. Build on your reflection from
Assessment 1, and prepare for implementation in
Assessment 3 and evaluation in
Assessment 4.
