The American Nurses Association’s (ANA) ethical principles for nursing staff According to Provision 2, nurses should be dedicated to the patient’s, their family’s or society’s welfare. According to provision 4, nurses must make choices to ensure every patient receives the best care possible. Last but not least, clause 8 states that nurses should work with other medical experts and stakeholders to address disparities in health and optimize the system overall (Ravi et al., 2022).

The clauses mentioned above offer us the moral justification for synchronized nursing practice. Nursing staff must remember that the ethics of autonomy, nonmaleficence, beneficence, and justice will guide all decisions. When one of these fundamentals disagrees with another, an ethical dilemma can arise. For instance, if a patient decides against taking a life-altering treatment because it contradicts their ethical views, a caregiver may choose between letting them have enough independence and acting in their best interests (beneficence).

Assumptions

The primary assumption of codes of ethics is that education in decision frameworks and knowledge of moral principles may assist nursing staff in resolving moral conundrums in everyday routine and delivering higher-quality care that will ultimately increase positive patient outcomes (PonceVega & Williams, 2021). Profound ethical decision-making paradigms, such as Deontological ethics and Utilitarianism (King et al., 2017).

Impact of Specific Health Policies on Patient Care

I would like you all to be informed about the laws and regulations impacting healthcare delivery to improve care coordination. The Affordable Care Act (ACA) significantly affects care coordination. This law gives people with low and intermediate incomes more health insurance coverage. Through the enrollment of participants in Medicaid and commercial insurance schemes, this law has decreased the number of people without health insurance (Francis et al., 2018). Researchers reported that Medicaid dentistry health insurance led to better dental results. Medicare insurance plans contribute to the long-term strengthening of socioeconomic health variables (Donelan et al., 2019). The inexpensive insurance plans created by this legislation contributed to the long-term reduction of health inequalities among Black and Latino individuals(Cook et al., 2019). Even though the ACA’s advantages are generally known, the legislation still has significant weaknesses. The project’s challenging enrollment procedure and lack of understanding of its benefits prevent many people from enrolling. A sizable percentage of the population still cannot use the legislation since it has yet to be extended to all states (Conway et al., 2017a). Understanding access concerns and patient education about various insurance policies’ registration and enrollment requirements are vital for us as case managers.

Role of Nurses in Care Coordination

Care integration is currently being emphasized by health facilities, medical institutions, and providers as an integral approach to improving population care and contentment and lowering medical costs, with the change of the health sector well under progress. Collaborative care initiatives from nurse practitioners have always been a fundamental occupational need and ability for RNs. The nursing staff does this task. RNs make integrated care feasible by creating care plans based on individual patients’ needs and priorities, counseling patients and family members upon release, or working hard to ensure the continuation of clinical care between facilities and specialists (Arabi et al., 2022).

Conclusion

Thus, after hearing this discussion, it will be simpler for nurses to comprehend that interprofessional collaboration is a complicated and comprehensive subject that includes organizational change, moral judgment, policy considerations, and other areas of concern. Finding out the patient’s requirements for service delivery should always be our first goal as caregivers. This might include informing them about the various policies and access initiatives that individuals can use, directing them to the knowledge, professionals, and services, and keeping an eye out for any indications or indications of underlying disorders.

References

 

Arabi, Y. M., Al Ghamdi, A. A., Al-Moamary, M., Al Mutrafy, A., AlHazme, R. H., & Al Knawy, B. A. (2022). Electronic medical record implementation in a large healthcare system from a leadership perspective. BMC Medical Informatics and Decision Making , 22(1).
https://doi.org/10.1186/s12911-022-01801-0


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