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

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

    Name

    Capella university

    NURS FPX4050 Coordinating Patient-Centered Care

    Prof. Name

    Date

    Ethical and Policy Factors in Care Coordination

    Good afternoon, everyone. This presentation will go through the legal and policy issues that influence the care coordination for homeless people in our society. People experiencing homelessness are part of the most susceptible groups in our community and usually have intricate medical and psychological necessities that demand organized attention. However, providing coordinated care for homeless individuals can be challenging due to a variety of factors, including lack of access to healthcare services, limited resources, and the stigma associated with homelessness. The presentation will explore governmental policies, ethical dilemmas, and the nursing ethical code that affect care coordination for homeless people in our community.

    Governmental Policies Addressing Community Safety and Health 

    The coordination of care for homeless individuals is heavily influenced by governmental policies that focus on promoting the health and safety of the community. For instance, the “Affordable Care Act (ACA)” has widened healthcare coverage for many, including homeless individuals. The ACA has had a significant impact on healthcare coverage for homeless individuals. Prior to the ACA, many homeless individuals lacked access to healthcare due to factors such as lack of insurance coverage, inability to pay for care, and lack of transportation to healthcare facilities. The ACA has expanded Medicaid eligibility in many states, allowing more homeless individuals to qualify for free or low-cost healthcare coverage (Ye & Rodriguez, 2021).

    Additionally the ACA has also provided funding for programs that specifically target homeless individuals. For example, the “Health Care for the Homeless (HCH)”  governmental policies was established under the ACA to provide healthcare services to homeless individuals in various settings, such as shelters and soup kitchens. One of the key features of the HCH is its focus on providing care that is culturally and linguistically appropriate. This means that healthcare providers who work with homeless individuals are trained to understand the unique needs and experiences of this population and are able to provide care that is sensitive to their cultural backgrounds and language needs. Another important aspect of the HCH program is its emphasis on case management and care coordination.

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

    This involves working closely with other healthcare providers, social service agencies, and community organizations to ensure that homeless individuals receive comprehensive and coordinated care that addresses all of their health and social needs (Lanese et al., 2021).The challenges that homeless individuals face in accessing healthcare services are numerous, but these policies demonstrate the commitment of the government and healthcare providers to address the unique needs of this vulnerable population. By increasing care accessibility, ensuring linguistically and culturally appropriate treatment, and targeting the core causes of homelessness, These policies work towards a society where all societies have equitable access to healthcare services regardless of housing status.

    Policy Provisions  in Coordinating Care for Homeless Individuals

    The important policy issue in coordinating care for homeless individuals is the balance between respecting their autonomy and ensuring their safety. The “Health Insurance Portability and Accountability Act (HIPAA)” protects the autonomy and privacy of individuals and their health information. However, for homeless individuals with complex medical and mental health needs, care coordinators must balance their autonomy with their safety and well-being. In situations where homeless individuals refuse to comply with treatment plans or medication regimes, care coordinators face ethical dilemmas in ensuring the individual receives the necessary care while also respecting their autonomy (Lanese et al., 2021).

    Another policy provision that raises ethical questions is the tension between the needs of the individual and the needs of the community. Homeless individuals may have contagious illnesses that could spread to others in the community, posing public health risks. Care coordinators must balance the individual’s right to privacy and autonomy with the safety and well-being of the community. Additionally, ethical concerns arise regarding access to care for homeless individuals, particularly with the “Affordable Care Act (ACA)” and Expanded medicaid. While the ACA has increased access to healthcare for some homeless individuals, many still face barriers to accessing care due to lack of insurance, transportation, and stigma (Ye & Rodriguez, 2021).

    These policy provisions raise ethical implications and consequences for care coordination. Care coordinators must navigate complex ethical dilemmas to ensure homeless individuals receive appropriate care while upholding their autonomy and privacy rights. They must also evaluate the influence of policies on care availability and the 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 provides a strong ethical foundation for care coordination and continuum of care for homeless individuals. It emphasizes the importance of protecting the rights, health, and safety of patients, which is particularly relevant when working with vulnerable populations. Provision 3 of the Code highlights the requirement for nurses to advocate for, support, and safeguard the patient’s autonomy, wellbeing, and safety. Additionally, Provision 8 recognizes the importance of collaboration with other healthcare providers as well as the public in promoting community efforts to meet health needs, which is essential for effective care coordination (Hankset al., 2019).

    Research has shown that adherence to ethical codes and guidelines is associated with improved health outcomes and quality of care for patients. A study by Davis et al. (2021) found that nurses who reported higher levels of adherence to the Code of Ethics for Nurses also reported higher levels of job satisfaction and perceived patient safety. Another study by Hendricks et al. (2020) found that adherence to ethical guidelines for the care of homeless individuals was associated with improved patient outcomes and increased access to care.

    Furthermore, the social determinants of health, such as poverty and homelessness, must be considered while evaluating the influence of the nursing code of ethics. Homeless individuals often face significant barriers to accessing healthcare services, including lack of transportation, financial resources, and social support (Hanks et al., 2019). The Nursing Code of Ethics  highlights the importance of collaboration with other healthcare professionals and the community to meet health needs, which can help address these barriers and improve care coordination for homeless individuals.

    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 

    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 

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

    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