This presentation addresses the Kingston Nursing Center in Myrtle Beach, SC, as the selected community organization. The content of the presentation mainly focuses on ethical and policy issues that affect the coordination of care. In the coordination and continuum of care in community organizations such as the Kingston Nursing Center in Myrtle Beach, SC, nurses are expected to have a broader understanding of the code of ethics and policy issues.
How Governmental Health/Safety Policies of the Community affect the Coordination of Care
There are several ways through which governmental policies related to the health and safety of a community usually affect the coordination of care. According to the American Nurses Association (2015), such governmental and safety policies have a critical role to play when it comes to the establishment of different levels of accountability among care coordinators and providers. In this regard, the role nurses charged with the responsibility of caregiving is guided policy frameworks that have checks and balances. Besides, governmental safety policies are expected to ensure that care coordinators assume various levels of responsibilities in the implementation of safety measures. Enhancement of communication and sharing of knowledge within the caregiving sector are also realized through the formulation and implementation of robust governmental health and safety policy measures in the community. The transition of care often relies on the provision of policy frameworks by the government to include several services meant to ensure the continuity of healthcare provision.
Delegate your assignment to our experts and they will do the rest.
Moreover, governmental safety policies usually focus on the prevention of poor healthcare results among members of the community are at risk whenever they move across different levels of care. Other ways through which the implementation of health and safety policies within the community affects the coordination of care include assisting patients to identify goals of self-management and provision of linkages to various resources in the community. To that extent, such policies play a vital role in the alignment of different community resources with the needs of the population and patients. Common examples of specific policies affecting care coordination include Healthcare Quality Improvement Act (HCQIA), Health Insurance Portability and Accountability Act (HIPAA), Affordable Care Act, and Patient Safety and Quality Improvement Act (PSQIA) among others. (American Nurses Association, 2010)
Policy Provisions that Raise Ethical Questions or Dilemmas for Care Coordination
Several ethical questions and dilemmas have always been experienced and raised concerning certain provisions of policies at different levels of government and administration. American Nurses Association (2010) acknowledges that the sub-standard quality of care associated with the Affordable Care Act at the national level has often raised ethical questions. Costly and less affordable prescription drugs in care coordination and national level through Medicare are some of such ethical issues. In this regard, poor members of society may not be in a better position to access affordable and quality care. At all the three levels of administration, which national, state, and local, policy provisions influencing the coordination of care are often linked to the violation of privacy and confidentiality among those receiving healthcare services.
In some cases, such instances of violation of privacy occur when healthcare information of patients is recorded as transmitted through computer applications which vulnerable to unauthorized access. Presence of computer in a medical examination room providing a psychological or physical barrier between patient and provider at the local level has also been cited as a potential issue that raises ethical questions regarding the confidentiality of care coordination (American Nurses Association, 2015). Part of the ethical implications and consequences of this particular policy provision is that some patients may not be comfortable when required to provide sensitive information concerning the health status.
Impact of the Code of Ethics for Nurses on the Coordination and Continuum of Care
Increased emphasis placed on ethical duties and obligations of nurses is one of the impacts of the code of ethics for nurses on the coordination and continuum of care. In that way, nurses are appropriately guided by structured codes that stipulate their professional mandates, scope, duties, and obligations (Magelssen et al., 2018). Establishment of non-negotiable standards of ethics for the nursing profession is also one of the impacts associated with the code of ethics for nurses on the coordination and continuum of care. In this regard, the non-negotiable standards are expected to be adopted in ascertaining the appropriateness of nurses offering service in the coordination and continuum of care. Deeper and broader understanding of the commitment of nurses to the community is largely obtained through the code of ethics provided to guide their profession.
Sound morals and values among nurses involved in coordination and continuum of care are often achieved through embracing a code of ethics for nurses. Formation of fundamental guidelines of action for nurses in their profession is part of the impacts of these codes of ethics. Other impacts include the establishment of boundaries of loyalty and duty for nurses, the realization of a precise framework for encounter and interaction between nurses and patients, and streamlined operations in the nursing and healthcare sector (Magelssen et al., 2018) . Maintenance of order for nurses in their respective facilities and communities of service is a vital concept that is largely determined by the extent to which they are capable of embracing the code of ethics for the coordination and continuum of care in their profession.
Key Ethical and Policy Issues affecting the Coordination and Continuum of Care for the Kingston Nursing Center in Myrtle Beach, SC
Some of the ethical issues that are often affecting the coordination and continuum of care for Kingston Nursing Center in Myrtle Beach, SC include tendencies of violation of confidentiality and privacy of patients and negligence and malpractice in the provision of care to members of the community. Others include lack of consideration of informed consent whole conducting certain medical procedures as well as the implementation of Physician-Assisted Suicide (PAD) as part of coordination and continuum of care. In certain circumstances, sexual harassment of patients by caregivers has been cited as one of the major issues of ethical concern. It is unethical for a nurse working under the coordination and continuum of care for Kingston Nursing Center in Myrtle Beach, SC to take advantage and handle a patient in a sexually inappropriate manner ( American Nurses Association, 2015).
Failure to achieve a reasonable or affordable cost of care by members of the communities living around Kingston Nursing Center in Myrtle Beach, SC has also raised several ethical questions. When it comes to key policy issues affecting the coordination and continuum of care for Kingston Nursing Center in Myrtle Beach, SC, appropriate remunerations for nurses and other workers, ineffective health insurance cover, high cost of care delivery, and provision of cover for contraceptives are often highlighted (Magelssen et., 2018). Essentially, it is critical to introduce and implement appropriate policies that support efficient coordination and continuum of care for people living within this community.
Conclusion
In summary, it is worth noting that governmental health/safety policies of the community affect the coordination of care through the establishment of accountability, determining various levels of responsibilities, and communication and sharing of knowledge among others. Impact of the code of ethics for nurses on the coordination and continuum of care includes emphasizing ethical duties and obligations of nurses, among others. Maintaining an environment of order for nurses in their respective facilities and communities of service is a vital concept that is largely determined by the extent to which they are capable of embracing the code of ethics for the coordination and continuum of care in their profession.
References
American Nurses Association. (2010). Selected Patient Protection and Affordable Care Act
(PPACA) implementation dates of interest to RNs as caregivers, RNs as patients, and
RNs as employees . Retrieved from https://www.nursingworld.org/
American Nurses Association. (2015). Code of ethics for nurses with interpretive statements .
Silver Spring.
Library of Congress. (2010.). H.R.3590 – Patient Protection and Affordable Care Act .
Retrieved from https://www.congress.gov/bill/111th-congress/house
bill/3590/text?overview=closed
Magelssen, M., Gjerberg, E., Lillemoen, L., Førde, R., & Pedersen, R. (2018). Ethics support
in community care makes a difference for practice . Nursing Ethics, 25 (2), 165–173.
