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NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

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Care Coordination Presentation to Colleagues



Care Coordination Presentation to Colleagues
Learner’s Full Name
Capella University of Health and Sciences
FPX 4050: Coordinating Patient-Centered Care
Professor’s Name
Month Year

My name is [] and today I will be discussing a crucial aspect of our nursing practice: Coordinated continuity of care. The goal of this video presentation is to introduce the topic of care coordination to the audience. Care coordination entails the design of patient care activities and the sharing of information with the aim of promoting the safety and efficiency of healthcare services. When discussing care coordination challenges, I will also address how they can impact patient outcomes, especially those in community care setting. We will also discuss about community resources, legal and ethical issues, and policies and guidelines in this process. Okay, let’s get started and know all those things that we can do in order for better coordination in the practice.

Evidence-Based, And Culturally Sensitive Strategies

In order to address patient’s needs, provide individualized care, nurses should use knowledge based and culturally appropriate approaches. Therefore, clinical activities need to be modified and tailored according to the patients in order to avoid offending their cultural beliefs. These strategies acknowledge the fact that every patient has different values, preferences, and beliefs, thus helping to move toward patient-centered care.

Shared Decision-Making

Patient involvement is a concept that has been supported by research and is encompassed by the concept of SDM. When the doctors know the patient’s values, preferences, and circumstances, then there are better chances that the selected treatments will be complied with by the patients (Kwame & Petrucka, 2021). It promotes patient involvement and creates a collaborative relationship between the patient and the provider. Patient engagement through


shared decision-making enhances care success since it develops care plans that meet the patient’s expectations.

Effective Communication Channels

Integration of good communication strategies is significant when discharging care responsibilities and caring for the patients. Standardization of the handover process, the use of EHR, and the use of communication techniques like SBAR facilitate effective and timely flow of information (Raman et al., 2023). These channels reduce the likelihood of mistakes, effective patient circulation, and patient-centered care. Effective communication should be practiced among healthcare practitioners to enhance healthcare delivery and safe patient care.

Cultural Competency Training

Cultural competence means understanding that each person is different and that special attention should be paid to each patient (Young & Guo, 2020). This approach entails incorporating knowledge of appropriate healthcare practices into the patient’s decisions and ways of thinking. Multicultural knowledge of a patient is always important and essential for the management plan in multicultural societies. Cultural competence enhances therapy adherence, patient satisfaction, and health status.

Drug-Specific Educational Interventions

Drug-specific educational interventions involve giving specific information to patients on their drugs (Dorris et al., 2022). These interventions are intended to improve patient knowledge regarding therapies they are receiving, including gains, risks, and usage. When patients understand the medications that they have been prescribed, clinicians can enhance medication adherence and avert drug-related issues. Therapeutic education enables patients to take informed decisions on their treatment plans makes medication safe and results in better health.

Utilizing Health Technology and Digital Tools

Modern healthcare is impossible to imagine without health technologies and digital tools – they advance productivity and the quality of care. Meaningful use of EHRs also leads to improvements in the receipt, organization, and utilization of patient data in terms of integrated data (Machon et al., 2020). Telemedicine is done through internet and phone, which helps people access needed healthcare and reduces the need for facilities in rural areas. mHealth apps help patients in enhancing their health conditions and also in following their treatment regimes. Better diagnostic tools and wearables collect valuable health data, which in turn help diagnose diseases on time and develop individualized treatment plans.

Identifying Change Management Aspects Affecting Patient Experience

Attributes of change management in healthcare sector include leadership, care quality, communication, engagement of stakeholders, and learning organization. Minimizing the effects of change in care delivery involve an acknowledgement of the patient’s needs, expectations, and wants. It found out that change management needs to be patient-centered, and that leaders should pay attention to consistency, communication and customization (Sain et al., 2020). This gradual process necessitates involving the primary healthcare workers in the decision-making process and continuously training them to increase their adaptability. Healthcare executives provide leadership in developing a quality care culture, disseminating change, modeling improvements in patient outcomes, and mobilizing health care teams. Gaining input from staff and patients must also be adopted in the provision of patient centered care.

Distinguishing Between Patient Experience and Patient Satisfaction

Patient experience is therefore all that a patient goes through emotionally and psychologically within the health process and a component of patient health (Oben, 2020). On

the other hand, patient satisfaction relates to the extent of satisfaction with the quality of the services provided. Improving patients’ experience and satisfaction are about understanding patients better, getting them more involved, and integrating their input. Healthcare systems should incorporate feedback, questionnaires, and patient councils, acknowledging the limitations of satisfaction for measuring experience.

Rationale for Coordinated Care Plans Based on Ethical Decision Making

Ethical decision making in Care coordination plans promotes patient autonomy, maximize benefits while minimizing harm and fairly distribute benefits (Jöbges et al., 2022). Ethical decision-making entails a physician to factor the standards of the patient, his/her desires as well as goals in formulating his/her decision. Coordinated care should involve multiple specialties and providers and should be informed by ethical frameworks that focus on patients’ best interests as well as confidentiality and privacy. It enhances patient care as it fosters thorough evaluations and development of extensive care plans, as well as enhancing the therapeutic nurse-patient relationship. Finally, ethical decision-making in coordinated care plans ensures patient-centeredness, effectiveness, and ethics in the delivery of healthcare services.

Logical Implications and Consequences of an Ethical Approach to Care

The use of care based on ethical principles such as autonomy, beneficence, non-malicious intentions, and justice can affect structures and practices in society. The first guarantees that healthcare providers put patients first, use patient-centered communication, disclose relevant information and make use of the patient in making decisions hence improving patient satisfaction. It also ensures that resources are fairly distributed and that discrimination is not made based on factors such as ethnicity. This commitment to ethical practice promotes the

relationship between the provider and patient, results in better patient outcomes, raises healthcare standards, and supports the public’s confidence in the healthcare system.

Underlying Assumptions

It is important to note that the ethical care approach builds on several important assumptions. First, it assumes that the human subject possesses inherent dignity and must be respected in the process of the healthcare decisions. Second, it assumes that patients should not be prevented from making their treatment decisions on the basis of their best knowledge. Third, it assumes that it is always right to do good to others this is known as beneficence and it is also wrong to harm others or cause them harm this is known as non-maleficence.

Potential Impact of Healthcare Policy Provisions

National health care policies may contain provisions that either help or harm the health of a given population or patients seeking care. For example, changes in healthcare reimbursement policies such as value-based care try to put emphasis on the quality of the services being offered and not the quantity. It aligns with disease prevention, the reduction in unnecessary admissions and better management of chronic conditions benefitting the health of patients. Similarly, measures that improve patient acquisition, adjust restrictions on Medicaid expansion, or increase reimbursement for telehealth services will benefit patients by making care more attainable, affordable, and readily accessible (Chatterjee et al., 2021). On the other hand, policies which provide access to some treatments but not others, or which set up hoops through which patients must jump, will restrict choice and maintain or even increase health inequality. Thus, focus and attention should be paid to the balance of the policy development and the policy enforcement to offer timely, high-quality, and equitably available healthcare services to the patients.

Evaluation of Impact on Patient Experiences

Healthcare policies influence patient-center care greatly which is the concept that patients are making decisions that affect them by recognizing and respecting their values and autonomy. Bureaucratic mechanisms dealing with patient-centered care involve the use of shared decision making and care coordination to involve the health care team and the patient in decision-making. For instance, there have been policies such as Patient-Reported Outcome Measures (PROM) where providers are mandated to seek feedback from patients on the effectiveness of their treatment, therefore enabling alterations of the management plan to reflect the best interest of the patients (Bianchim et al., 2023). However, its faulty policies that focus on costs or organizational objectives rather than on patients can result in ineffective care coordination, less client-practitioner interaction, and reduced patient engagement. Policies of future healthcare should reflect the concern and incorporate responsiveness, empathy, and cultural safety.

Drawing Evidence-Based Conclusions

It is important to grasp the patterns and effects associated with changes to healthcare policy in order to make correct decisions and minimize mistakes during implementation. These policy provisions can create a significant impact on patient status, delivery of healthcare as well as the community health. For instance, those enhancing preventive care services help to diagnose diseases at an early stage and lower total healthcare expenses. Furthermore, the issues of Socio-economic justice and cultural sensitivity can be used to improve policy fitness for the underprivileged groups.

Crucial Role of Nurses in Care Coordination and Continuum of Care

Nurses have a crucial function of promoting change of settings and caring processes across care settings (Dilles et al., 2021). They implement clinical reasoning and interpersonal

communication and patient assessment to evaluate the needs of a patient, formulate a plan of care and deliver interventions with interprofessional team members. In patient advocacy, nurses ensure effective planning, coordination of care in and outside the hospital according to patients’ wishes. They also involve collaboration of healthcare providers from different specialties together with patients and families, which is crucial in a healthcare system. In this case, nurses improve patient satisfaction, as well as the organization of healthcare facilities, by offering education, emotional support, and follow-up care.

Conclusion

This video discussion focuses on the concept of care coordination as a way of delivering comprehensive care. Aspects of healthcare, such as care co-ordination, patient, centered care, ethical, issues and healthcare policies have been analyzed. Roles including care coordination, patient navigation, and health outcome improvement are attributed to nurses. Ranging from care coordination to ethical decision making, this presentation is focused on patient-centered care. Subsequent interventions should encompass research-based approaches, effective communication, and ethical principles in order to deliver quality, individualized treatment. Further research and implementation of these principles will enhance quality of care and healthcare delivery systems, thereby enhancing the quality of life and health status in the nation.

References

Bianchim, M. S., Crane, E. K., Jones, A., Neukirchinger, B., Roberts, G. W., McLaughlin, L., & Rhiannon Tudor Edwards. (2023). The implementation, use and impact of patient reported outcome measures in value-based healthcare programmes: A scoping review. PLOS ONE, 18(12), e0290976–e0290976. https://doi.org/10.1371/journal.pone.0290976

Chatterjee, P., Werner, R. M., & Joynt Maddox, K. E. (2021). Medicaid Expansion Alone Not Associated With Improved Finances, Staffing, Or Quality At Critical Access Hospitals. Health Affairs, 40(12), 1846–1855. https://doi.org/10.1377/hlthaff.2021.00643

Dilles, T., Heczkova, J., Tziaferi, S., Helgesen, A. K., Grøndahl, V. A., Van Rompaey, B., Sino, C. G., & Jordan, S. (2021). Nurses and Pharmaceutical Care: Interprofessional, Evidence-Based Working to Improve Patient Care and Outcomes. International Journal of Environmental Research and Public Health, 18(11), 5973. https://doi.org/10.3390/ijerph18115973

Dorris, E. R., Kieran, M., Dalbeth, N., & McCarthy, G. (2022). Pharmacist knowledge of gout management: impact of an educational intervention. BMC Rheumatology, 6(1). https://doi.org/10.1186/s41927-022-00259-x

Jöbges, S., Kumpf, O., Hartog, C. S., Spies, C., Haase, U., Balzer, F., Krampe, H., & Denke, C. (2022). Presentation of ethical criteria during medical decision-making for critically ill patients: a mixed methods study. BJA Open, 2, 100015–100015. https://doi.org/10.1016/j.bjao.2022.100015

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(158), 1–10. BMC Nursing. https://doi.org/10.1186/s12912-021-00684-2

Machon, M., Knighten, M. L., & Sohal, J. (2020). Improving clinical communication and collaboration through technology: Nurse Leader, 18(5), 481–486. https://doi.org/10.1016/j.mnl.2020.06.003

Oben, P. (2020). Understanding the Patient Experience: A Conceptual Framework. Journal of Patient Experience, 7(6), 906–910. https://doi.org/10.1177/2374373520951672

Raman, S. R., Qualls, L. G., Hammill, B. G., Nelson, A., Ester Kim Nilles, Marsolo, K., & O’Brien, E. C. (2023). Optimizing data integration in trials that use EHR data: lessons learned from a multi-center randomized clinical trial. Trials, 24(1). https://doi.org/10.1186/s13063-023-07563-y

Sain, N., Willems, D., Charokopou, M., & Hiligsmann, M. (2020). The importance of understanding patient and physician preferences for psoriasis treatment characteristics: a systematic review of discrete-choice experiments. Current Medical Research and Opinion, 36(8), 1257–1275. https://doi.org/10.1080/03007995.2020.1776233

Young, S., & Guo, K. L. (2020). Cultural Diversity Training: The Necessity of Cultural Competence for Health Care Providers and in Nursing Practice. The Health Care Manager, 39(2), 100–108. https://doi.org/10.1097/hcm.0000000000000294