Firstly comes the factor of Autonomy. The discretion and the decision-making is to be handed over to the patient as far as deciding between different treatments and medications etcetera is concerned. It is imperative for the nurse to present the viable options to let the patient choose on his or her discretion (Gaines, 2020). This impacts coordination and continuum of care as it helps the patient know all about how he is being treated. Since he is making the decisions, he will be able to properly portray and explain the treatment process to any future doctor.
Then, there is the beneficence factor which helps in creating good relationships between nurses and patients, which in itself is conducive to better cooperation (Gaines, 2020).
Then follows the Justice factor. This aspect of the code of ethics demands that the nurses don’t act out of any degree or trace of racism or prejudice. Regardless of age, gender, race and ethnicity, the care given by the nurses must be the same (Gaines, 2020). This helps in care coordination and continuum as better bonds will be formed between the patient and nurse.
Finally, there is ‘Non-maleficence’ which means to cause no harm (Gaines, 2020). This point means that the nurses must opt for ways which are least deteriorative and harmful to the patient. This helps in the coordination of care as trust will be created between the patient and nurse.
Governmental policies can affect care coordination vastly. In this paper, the purpose was to describe how exactly governmental policies affect coordination of care along with some examples. Policies like the ACA and HRRP were enumerated and elucidated.
Furthermore, the nurses’ code of ethics also features some points and aspects that has an impact on the care coordination. These points, along with the perceived effects, were enumerated.
Care Coordination. (2014). Retrieved from https://www.ahrq.gov/ncepcr/care/coordination.html
CMS.gov. (n.d.). Hospital Readmissions Reduction Program (HRRP). Retrieved from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program
Gaines, K. (2020). What is the Nursing Code of Ethics? Retrieved June 18, 2021, from https://nurse.org/education/nursing-code-of-ethics/
Regis College Online. (2021, April 22). 8 Important Regulations in United States Health Care. Retrieved June 18, 2021, from https://online.regiscollege.edu/blog/8-important-regulations-united-states-health-care/
McDonald, K. M., Sundaram, V., & Bravata, D. M. (2007). Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies (Vol. 7: Care Coordination). Agency for Healthcare Research and Quality (US).