Slide 6: Ethical Questions and Dilemmas in Care Coordination Policies
When navigating the many different policies that exist at the national, state, and local levels, we could come into ethical concerns or difficulties that directly influence the coordination of care. According to Benavides and Nukpezah’s research from 2020, the Affordable Care Act (ACA) creates ethical difficulties because it allows for variations in Medicaid expansion at the national level. As some states have opted to expand Medicaid while others have not, there is a coverage gap for those with low incomes who do not qualify for Medicaid and who cannot buy private insurance (Paat et al., 2021). People who are homeless are particularly affected by this imbalance, which raises issues about the equality of access to healthcare services and resources.
Slide 7: Ethical Questions and Dilemmas in Care Coordination Policies
Different ways of financing and providing mental health services at the state level might lead to moral conundrums for care coordination. According to Treglia et al. (2019), states that have restricted financing for mental health care services may find it difficult to provide sufficient assistance to homeless people who need mental health treatment. This discrepancy may prolong cycles of homelessness and poor health outcomes by increasing dependence on emergency services and providing insufficient long-term care.
Local laws that criminalize homelessness—for example, by making it illegal to sleep in public places, loiter, or panhandle—present moral dilemmas (Clifford et al., 2019). Due to the possibility of penalties or even imprisonment, these regulations may make it more difficult for homeless people to get shelter and healthcare services. Potential infringement of human rights and a worsening of health inequities among the homeless population are two ethical ramifications of these municipal policies.
Slide 8: Ethical Questions and Dilemmas in Care Coordination Policies
These instances demonstrate tangible moral ramifications and outcomes of specific policy measures in care coordination at the national, state, and local levels. The national-level discrepancies in Medicaid expansion under the Affordable Care Act (ACA) create a gap in coverage for low-income individuals who are ineligible for Medicaid and cannot afford private insurance. This disproportionately impacts homeless individuals and raises concerns about fairness in accessing healthcare services and resources (Clifford et al., 2019). Insufficient financing for mental health care services at the state level poses ethical challenges for coordinating treatment, which may result in insufficient assistance for homeless persons with mental health issues and perpetuate cycles of unfavorable health outcomes. Local policies that criminalize homelessness may result in human rights abuses and worsen health inequalities among the homeless community, making it more difficult for them to receive healthcare services and shelter.
Slide 9: Impact of the Code of Ethics for Nurses on Care Coordination
The Code of Ethics for Nurses significantly influences the coordination and continuity of care, offering guidance to nursing practitioners in delivering services to vulnerable populations, including homeless shelters. By following the Code of Ethics, nurses guarantee fair and excellent care to all persons, irrespective of their social or economic standing.
The Code of Ethics places significant emphasis on the socioeconomic determinants of health, as emphasized in Healthy People 2030 (Treglia et al., 2019). These variables include socioeconomic status, education, physical environment, employment, social support networks, and access to healthcare. Nursing practitioners may identify and address the root causes of health disparities by considering these aspects. This will eventually improve care coordination and overall health outcomes for vulnerable groups. Research suggests that homeless persons often encounter obstacles when trying to receive healthcare services, including limited transportation options, lack of insurance coverage, and absence of identification. Nurses demonstrate their commitment to the Code of Ethics and enhance care coordination by acknowledging these obstacles and promoting legislative reforms that target these hindrances.
Slide 10: Impact of the Code of Ethics for Nurses on Care Coordination
Furthermore, the Code of Ethics for Nurses underscores the significance of cultural competency in care coordination. It is necessary to comprehend and respect the varied cultural origins of patients and customize healthcare to suit their distinct requirements (Clifford et al., 2019). According to research by Benavides and Nukpezah (2020), patients who receiv
Place your order