Care Coordination Presentation to Colleagues

Name

Capella University

NURS-FPX4050

Professor’s Name

November 2023

Care Coordination Presentation to Colleagues

Good morning, esteemed colleagues. Today, I am honored to present a critical aspect of healthcare that plays a pivotal role in optimizing patient outcomes in care coordination. In the complex landscape of modern healthcare, care coordination is a multifaceted and dynamic process that involves the seamless organization and delivery of healthcare services to meet the unique needs of each patient. This involves the systematic sharing of information and communication among various stakeholders, ensuring that each member of the healthcare team is well-informed and aligned with the patient’s care plan. Its primary aim is to establish a comprehensive approach to ensure that the right care is delivered at the right time, by the right professionals.

For nurses and other healthcare providers, active participation in care coordination means being part of a unified healthcare team, working towards a common objective of providing the highest standard of care for the patient. In this Presentation, we’ll spotlight the crucial role of nurses in managing heart diseases, specifically those linked to blood pressure or hypertension, emphasizing proactive care to optimize patient outcomes.

Evidence-Based Strategies for Nurses to Collaborate with Patients and their Families

In healthcare, nurses play a pivotal role in fostering effective collaboration with patients and their families. Recognizing the significance of this partnership is paramount, as it goes beyond the traditional caregiver-patient relationship. Nurses serve as advocates, educators, and facilitators, bridging the gap between clinical expertise and the unique needs and perspectives of patients and their families (Kwame & Petrucka, 2021). This collaborative approach is foundational for achieving desired health outcomes, as it enhances communication, promotes shared decision-making, and establishes a therapeutic alliance that is fundamental to the success of any healthcare intervention.

A compelling illustration of a literature-based study of patient-centered care and communication in nurse-patient interactions can be found in the study by Kwame & Petrucka (2021). The researchers conducted an article examining the role of collaborative communication in reducing medical errors and improving patient safety. The findings underscored the pivotal role of nurses in establishing open lines of communication with patients and their families. This collaborative approach not only increased patient and family engagement but also contributed significantly to the identification and prevention of potential errors. The study highlights the evidence-based importance of fostering effective communication and collaboration to enhance patient safety and, consequently, health outcomes.

In exploring the importance of nurse-patient-family collaboration, consider the findings of a systematic review by Menear et al., (2020) that investigated strategies for engaging patients and families in collaborative care programs for depression and anxiety disorders. The review highlighted the critical role of nurses in the implementation of collaborative interventions, emphasizing the significance of tailored strategies to address the unique challenges posed by mental health conditions. The systematic review revealed that interventions involving not only the patient but also their family in the treatment process led to better adherence to care plans, reduced stigma, and improved overall mental health outcomes. It underscores the essential nature of collaborative efforts between healthcare providers, patients, and families in the realm of mental health, emphasizing its potential impact on treatment adherence and the overall success of care programs.

An article, authored by Khalil & Huang (2020) reveals an understanding of adverse drug reaction prevalence, types, and impact on patient outcomes. Common reactions and challenges for healthcare providers are identified. Strategies to address these issues include the implementation of medication safety systems, continuous education for healthcare providers, integration of decision support tools in electronic health records, and fostering open communication between providers and patients. These findings offer valuable insights for enhancing patient safety and optimizing healthcare practices in primary care settings.

Examining cultural competence strategies, Young & Guo (2020) conducted a study evaluating the effectiveness of a cultural competence training program for healthcare providers, including nurses. The intervention aimed to enhance healthcare providers’ understanding of diverse cultural backgrounds, facilitating improved communication and collaboration with patients and their families. This study emphasizes the significance of incorporating cultural competence strategies into nursing practice, acknowledging the diverse needs and perspectives of patients and fostering a more inclusive and patient-centered healthcare environment.

The strategies identified are underpinned by credible evidence from reputable sources. Research published in The Healthcare manager, Biomedical Center, and Science direct are well-regarded healthcare management journals, providing insights into effective decision support tools. These resources also draw support from reputable scientific literature reinforcing the robustness of the selected strategies and their applicability in optimizing patient safety within primary care settings.

Change Management affects Elements of the Patient to the Provision of High Quality, Patient-Centered Care

Change management in healthcare significantly impacts elements of the patient experience crucial for the delivery of high-quality, patient-centered care. Efficient communication strategies during organizational changes ensure patients are well-informed and supported, fostering a sense of transparency and trust (Wahyudi et al., 2023). Additionally, the implementation of patient-centered initiatives requires a change in the organizational culture to prioritize patient needs. Staff training and development programs play a vital role in equipping healthcare professionals with the skills needed to embrace and enact patient-centered practices. Thus, effective change management directly influences the patient experience by ensuring a seamless transition towards a healthcare environment that prioritizes open communication, empathy, and patient involvement in their care.

The alignment of healthcare policies and procedures with patient-centered principles is crucial in change management. The restructuring of workflows and processes to integrate patient preferences and feedback enhances the patient experience. Furthermore, technology adoption, a common aspect of change management, can streamline patient interactions, improve accessibility, and provide personalized care experiences. By focusing change efforts on these aspects, healthcare organizations can successfully cultivate a patient-centered culture, ultimately enhancing the overall quality and satisfaction of patient care. In healthcare, patients highly value aspects of care that contribute to their overall experience. Communication, empathy, and shared decision-making are paramount, reflecting the importance of healthcare providers actively involving patients in their treatment plans. Timely and clear information about diagnoses, treatments, and potential outcomes further enhances the patient experience. Moreover, a welcoming and compassionate environment, where patients feel respected and heard, significantly influences their perception of the quality of care received. By prioritizing these aspects, healthcare providers can cultivate a patient-centered approach that goes beyond medical outcomes, ensuring a positive and satisfactory experience for patients.

It is essential to distinguish between patient experience and patient satisfaction. Patient experience encompasses the entire journey a patient undergoes within the healthcare system, encompassing aspects such as communication, emotional support, and involvement in decision-making (Avlijas et al., 2023). On the other hand, patient satisfaction specifically measures the patient’s ease with the care received. Satisfaction is often influenced by expectations, with patients comparing their experiences (Larson et al., 2019). In essence, patient experience is a broader, more holistic concept that encompasses the entirety of the healthcare journey, while patient satisfaction focuses on the level of contentment with specific aspects of care. A patient can have a positive experience, recognizing the empathetic communication and involvement in their care, yet still express dissatisfaction if specific expectations, perhaps related to waiting times or amenities, are not met (Avlijas et al., 2023). Understanding this distinction is vital for healthcare organizations to comprehensively assess and enhance the overall patient journey, aiming for both positive experiences and high levels of satisfaction.

The Rationale for Coordinated Care Plans Based on Ethical Decision-making

The rationale for coordinated care plans rooted in ethical decision-making are essential in healthcare for addressing heart diseases stemming from hypertension. Ethical decision-making ensures that patient autonomy, beneficence, non-maleficence, and justice, the foundational principles of nursing ethics are upheld. Coordinated care plans facilitate collaboration among healthcare providers, promoting a patient-centered approach where decisions are made collectively, considering the unique values and preferences of the patient. The American Nurses Association, 2020 Code of Ethics for Nurses emphasizes the duty of nurses to prioritize patients’ well-being and advocate for their best interests. By employing coordinated care plans, healthcare professionals adhere to ethical standards, fostering transparency, trust, and respect in their interactions with patients. Websites such as the American Nurses Association (ANA) and the International Council of Nurses (ICN) offer valuable resources and guidelines on nursing ethics, reinforcing the ethical considerations integral to the development and implementation of coordinated care plans.

Nurses employ a multifaceted approach to treat patients with heart diseases linked to hypertension. This includes vigilant blood pressure monitoring, educating patients on lifestyle modifications such as dietary changes and exercise, and ensuring consistent adherence to prescribed medications. Open communication is integral, allowing nurses to address patient concerns and tailor care plans to individual needs (Kwame & Petrucka, 2021). This comprehensive and patient-centered strategy, grounded in ethical decision-making, aims to optimize treatment outcomes and promote the overall health of individuals with hypertension-related heart diseases.

Logical Implications and Consequences of an Ethical Approach to Care

An ethical approach to care in nursing carries profound logical implications and consequences that significantly impact patient outcomes and the overall healthcare environment. Embracing an ethical framework entails prioritizing patient autonomy, fostering trust and open communication, and respecting the inherent dignity of each individual (Vearrier & Henderson, 2021). Logically, this ethical orientation results in enhanced patient satisfaction, as individuals feel actively involved in decision-making processes and experience care that aligns with their values. Moreover, an ethical approach reinforces a culture of collaboration among healthcare professionals, leading to more effective interdisciplinary teamwork and communication. Consequences of such ethical considerations include improved patient adherence to treatment plans and increased confidence in the healthcare system. Additionally, an ethical approach contributes to a positive work environment for nursing professionals, promoting job satisfaction and retention. Ultimately, the logical implications of an ethical approach to care not only align with the foundational principles of nursing ethics but also yield tangible benefits, positively influencing both patient outcomes and the healthcare workplace.

Underlying Assumptions

Underlying assumptions play a crucial role in influencing decision-making in care coordination within nursing. Assumptions related to the competence and reliability of healthcare professionals, the effectiveness of communication systems, and the availability of resources can shape the approach to care coordination. The assumption that information is accurately and promptly conveyed between healthcare team members, for example, may influence the level of collaboration and the success of coordinated efforts. Additionally, assumptions about the accessibility of community resources and patient adherence to care plans can impact the planning and execution of coordinated care interventions. Recognizing and critically evaluating these underlying assumptions is essential for ensuring that care coordination strategies are grounded in realistic expectations, contributing to more effective and patient-centered nursing care.

Potential Impact of Specific Health Care Policy Provisions on Outcomes and Patient Experiences

Evidence from reputable publications highlights the potential impact of specific health care policy provisions on outcomes and patient experiences. For instance, policies promoting value-based care, as discussed in the article by Kokko & Kork (2020) in the Journal of European Health Management Association, have demonstrated improved patient outcomes by using the triple aim framework. Additionally, the study by Ercia (2021) in Biomedical Center emphasizes the positive impact of policies expanding Medicaid coverage on patient experiences in which healthcare services improved. Furthermore, policies addressing telehealth expansion, as outlined in the work by Curfman et al., (2021) have shown to enhance patient experiences by increasing accessibility to healthcare services, improve communication and reduce cost.

The insightful interpretation of these policy provisions leads to evidence-based conclusions. Policies emphasizing value-based care logically contribute to enhanced patient experiences by prioritizing quality metrics. Evidence supports study revealing improved patient outcomes. Also, medicaid expansion policies logically improve patient experiences through increased access (Ercia, 2021). Furthermore, telehealth expansion policies logically address healthcare accessibility challenges, contributing to improved patient experiences. These evidence-based conclusions emphasize the importance of informed policy development for optimizing nursing practice and positively influencing patient outcomes.

Raising Awareness of the Nurses’ Role in Continuum of Care

Raising awareness of the nurse’s role in the continuum of care is pivotal for enhancing healthcare outcomes. Nurses play a crucial role in coordinating and managing patient care across various settings, ensuring seamless transitions and optimal health outcomes. The importance of the nurse’s role is particularly evident in addressing heart diseases stemming from blood pressure or hypertension. In engaging educational initiatives, nurses educate patients on the significance of blood pressure management, providing insights into lifestyle modifications, medication adherence, and regular monitoring (Nishigaki et al., 2020). This proactive approach empowers patients to take an active role in their cardiovascular health, underscoring the relevance of nurses in preventive care and the overall continuum of patient well-being.

NURS-FPX 4050 Assessment 3

Conclusion

In conclusion, effective care coordination in patient care is important for achieving optimal healthcare outcomes. The indispensable role of nurses in organizing and delivering coordinated care is evident, encompassing communication, collaboration, and patient advocacy. Healthcare policies that prioritize patient-centered approaches and interdisciplinary collaboration further reinforce the significance of care coordination. By integrating these elements, healthcare systems can ensure a seamless continuum of care, promoting patient well-being and enhancing the overall quality of healthcare delivery.

References

Avlijas, T., Squires, J. E., Lalonde, M., & Backman, C. (2023). A concept analysis of the patient experience. Patient Experience Journal, 10(1), 15–63. https://doi.org/10.35680/2372-0247.1439

Curfman, A. L., Hackell, J. M., Herendeen, N. E., Alexander, J. J., Marcin, J. P., Moskowitz, W. B., Bodnar, C. E. F., Simon, H. K., & McSwain, S. D. (2021). Telehealth: Improving access to and quality of pediatric health Care. Pediatrics, 148(3). https://doi.org/10.1542/peds.2021-053129

Ercia, A. (2021). The impact of the affordable care act on patient coverage and access to care: perspectives from FQHC administrators in Arizona, California and Texas. BMC Health Services Research, 21(1), 1–9. https://doi.org/10.1186/s12913-021-06961-9

Khalil, H., & Huang, C. (2020). Adverse drug reactions in primary care: a scoping review. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-019-4651-7

‌Kokko, P., & Kork, A.-A. (2020). Value-based healthcare logics and their implications for Nordic health policies. Health Services Management Research, 34(1), 3–12. https://doi.org/10.1177/0951484820971457‌

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing, 20(158), 1–10. https://doi.org/10.1186/s12912-021-00684-2

Larson, E., Sharma, J., Bohren, M. A., & Tunçalp, Ö. (2019). When the patient is the expert: measuring patient experience and satisfaction with care. Bulletin of the World Health Organization, 97(8), 563–569. https://doi.org/10.2471/blt.18.225201

‌‌Menear, M., Dugas, M., Careau, E., Chouinard, M.-C., Dogba, M. J., Gagnon, M.-P., Gervais, M., Gilbert, M., Houle, J., Kates, N., Knowles, S., Martin, N., Nease, D. E., Zomahoun, H. T. V., & Légaré, F. (2020). Strategies for engaging patients and families in collaborative care programs for depression and anxiety disorders: A systematic review. Journal of Affective Disorders, 263(1), 528–539. https://doi.org/10.1016/j.jad.2019.11.008

Nishigaki, N., Shimasaki, Y., Yoshida, T., & Hasebe, N. (2020). Physician and patient perspectives on hypertension management and factors associated with lifestyle modifications in Japan: results from an online survey. Hypertension Research. https://doi.org/10.1038/s41440-020-0398-0

Vearrier, L., & Henderson, C. M. (2021). Utilitarian principlism as a framework for crisis healthcare ethics. HEC Forum, 33(1), 45–60. https://doi.org/10.1007/s10730-020-09431-7

Wahyudi, A., Trihapsoro, I., Yuwanto, L., Indrawati, R., Hisnindarsyah, & Nazeli, B. (2023). Patient and family engagement: The secret behind quality healthcare services (Literature Review). East Asian Journal of Multidisciplinary Research, 2(9), 3645–3664. https://doi.org/10.55927/eajmr.v2i9.6136

‌Young, S., & Guo, K. L. (2020). Cultural diversity training: The necessity of cultural competence for health care providers and in nursing practice. The Health Care Manager, 39(2), 100–108. https://doi.org/10.1097/hcm.0000000000000294

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    Name Capella University FPX6610: Introduction

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