NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

Care Coordination Presentation to Colleagues 

Hi! Walid here, and today I will be talking about how nursing staff may be a part of essential care coordination.

Understanding every technique that may be utilized to improve patient satisfaction for as much as they are inside the public health system is vital, given the trend for value-based treatment in the twenty-first century. If a person’s healthcare is treated thoroughly by many professionals and experts, among whom information is exchanged and collaboration is done to enhance health results, this is referred to as care coordination. The medical system must be integrated when a person has to go through the trouble of switching facilities and receiving various views from each nurse, physician, or expert. Systems that are not coordinated increase costs and need diagnostic training and processes. Due to their involvement in helping patients and family members, nursing staff are the best people to supervise care coordination efforts (Donelan et al., 2019).

Strategies for Nurses to Collaborate with Patients and Families 

I’ll discuss several tactics that nursing staff may utilize to cooperate with patients and family members since teamwork is the primary goal of quality care. In nations with varied demographics, cultural and racial disparities have been responsible for health disparities (Cook et al., 2019). Healthcare professionals who participate in authentic experiences spend a certain amount of time living in an environment distinct from their own. Researchers experimentally evaluated intercultural integration in BSN students. Participants of the BSN program who participated in the multicultural language program saw their cultural efficacy increasing (Conway et al., 2017a). The study concluded that ethnic immersion is an effective strategy that medical professionals may utilize to enhance their relationships with patients of all races and ethnic backgrounds.

Suppose the audience is beginning to wonder how a nurse can start practicing cultural immersion. In that case, they are advised to go through cultural immersion service learning (CISL) coaching throughout their profession. This will put a nurse in societies distinctive from their own and aid in their ability to comprehend, understand, and sympathize with people of all backgrounds. The ability to work more effectively with a wide range of clients and households will improve due to this training. 

How does Change Management Affect Patient Experience?

We have seen faster development in various projects, objectives, and results due to the movement in medicine around value-based treatment and patient-centeredness. Because of the specific nature of their work, nursing staff may function as adaptive intermediaries to explain this transition to patients and their relatives. Consequently, nursing professionals must understand the fundamentals of organizational change and how it influences patient outcomes (Arabi et al., 2022).

Kotter’s Model is the most widely used change approach in health care based on a comprehensive analysis of 38 research (Conway et al., 2017b). The eight stages in Kotter’s model are displayed on the slides. The first stage is to instill a sense of urgency, which teaches staff members how important it is to accept change. Kotter then advises assembling a change initiative, which may include caregivers, physicians, experts, and other medical professionals. The collaboration supports the development of vision and plan and eliminates barriers, which are phases 4 and 5. Setting short-term targets for the development team to complete over a few months is crucial if strategy implementation is to be accomplished. Step 7 advises change management to keep going after their staff have begun implementing the change. To determine what is functioning and what is not, one must keep track of and evaluate each transition stage. Professionals need to end up making the transition permanent in the last step. This indicates that one must establish an environment where change is continuously carried out and perpetuated. A nurse may do this by highlighting the benefits of the new adjustment and developing programs for training and growth that assist staff in acquiring the necessary abilities to accept the forthcoming transformation (Conway et al., 2017c).

The nursing staff is mainly in charge when Kotter’s approach is used in healthcare institutions. The research focused on rehabilitation clinics that aimed to increase service user engagement. The study adopted a nurse-led strategy to oversee the transition and employed Kotter’s 8-step paradigm. According to the findings, clinics have effectively achieved the change’s goals. Consequently, Kotter’s models will help healthcare professionals execute change administration and enhance the hospital experience for patients and their loved ones (PonceVega & Williams, 2021). 

Care to Distinguish between Patient Experience and Patient Satisfaction

How does the service quality alter due to conceptual frameworks like Kotter’s? To respond to this topic, let us distinguish between patient satisfaction and patient experience. Patient experience is the culmination of a participant’s contact with clinical situations over their entire life. Contrarily, patient expectations are more closely related to patients’ satisfaction. The patients will have acquired a set of goals based on their prior circumstances, which may include the standards of care, the personalities of the nurses and physicians, and other aspects of medicine. The degree of patient outcomes depends on how well a company can live up to these standards. Patient satisfaction and engagement are two distinct concepts. In a facility, two patients could have the same process with the same personnel and equipment. However, since they each entered the institution with distinct assumptions, they will each experience a different amount of happiness (PonceVega & Williams, 2021).

Furthermore, we like to focus on the patients’ perspectives and degree of satisfaction with change monitoring and care collaboration. Change frameworks like Kotter’s concepts may encourage patient and physician participation, subtly enhancing patients’ experiences and contentment (Veltkamp, 2019). 

Coordinated Care Plans Based on Ethical Decision Making

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 NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues

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 Making22(1).
https://doi.org/10.1186/s12911-022-01801-0 

Conway, A., O’Donnell, C., & Yates, P. (2017a). The effectiveness of the nurse care coordinator role on patient-reported and health service outcomes: A systematic review. Evaluation & the Health Professions42(3), 263–296. https://doi.org/10.1177/0163278717734610 

Conway, A., O’Donnell, C., & Yates, P. (2017b). The effectiveness of the nurse care coordinator role on patient-reported and health service outcomes: A systematic review. Evaluation & the Health Professions42(3), 263–296. https://doi.org/10.1177/0163278717734610 

Conway, A., O’Donnell, C., & Yates, P. (2017c). The effectiveness of the nurse care coordinator role on patient-reported and health service outcomes: A systematic review. Evaluation & the Health Professions42(3), 263–296. https://doi.org/10.1177/0163278717734610 

Cook, O., McIntyre, M., Recoche, K., & Lee, S. (2019). “Our nurse is the glue for our team” – Multidisciplinary team members’ experiences and perceptions of the gynaecological oncology specialist nurse role. European Journal of Oncology Nursing41, 7–15. https://doi.org/10.1016/j.ejon.2019.05.004 

Donelan, K., Chang, Y., Berrett-Abebe, J., Spetz, J., Auerbach, D. I., Norman, L., & Buerhaus, P. I. (2019). Care management for older adults: the roles of nurses, social workers, and physicians. Health Affairs38(6), 941–949. https://doi.org/10.1377/hlthaff.2019.00030 

Francis, L., DePriest, K., Wilson, M., & Gross, D. (2018). Child poverty, toxic stress, and social determinants of health: screening and care coordination. Online Journal of Issues in Nursing23(3), 2.
https://doi.org/10.3912/OJIN.Vol23No03Man02 

King, A. I. I., Boyd, M. L., Dagley, L., & Raphael, D. L. (2017). Implementation of a gerontology nurse specialist role in primary health care: Health professional and older adult perspectives. Journal of Clinical Nursing27(3-4), 807–818. https://doi.org/10.1111/jocn.14110 

PonceVega, Dr. J. A., & Williams, Dr. I. A. (2021). Improving quality in primary care: A model for change. International Journal of Business and Management Research9(3), 320–329.
https://doi.org/10.37391/ijbmr.090310 

Ravi, S., Patel, S. R., Laurence, S. K., Sebok-Syer, S. S., & Gharahbaghian, L. (2022). Kotter’s 8 stages of change: Implementation of clinical screening protocols for assessing patients for COVID-19 – A review of an academic medical centre’s preparedness. BMJ Leader, leader.
https://doi.org/10.1136/leader-2020-000379 

Veltkamp, A. (2019). Improving heart failure care plan coordination across the health care continuum. Doctoral Projects.
https://scholarworks.gvsu.edu/kcon_doctoralprojects/67/ 

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