You can read our free guide on NURS-FPX 4050 Assessment Two and you can also see its free solution here.
Instructions of NURS-FPX 4050 Assessment Two
Ethical and Policy Factors in Care Coordination
This course has been completed and no further assessments may be submitted.
Use the resources linked below to help complete this assessment.
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Care Coordination Fundamentals
You may review the resources on the following reading list:
Assessment 1: Care Coordination Fundamentals reading list.
Academic Resources
A variety of writing resources are available in the NHS Learner Support Lab, linked in the course room navigation menu.
Scholarly Writing and APA Style
Use the following resources to improve your writing skills and find answers to specific questions.
Library Research
Use the following resources to help with any required or self-directed research you do to support your coursework.
Writing SMART Goals for Care Coordination
During care coordination, nurses should ensure that they are creating patient-centered goals. A great way to achieve this is by using SMART (Specific, Measurable, Attainable, Relevant, Timely) goals. SMART goals provide direction for patient-centered care coordination.
SMART goals must be effective, meaningful, achievable, and collaborative in nature. Key stakeholders (such as the individual, group, or community; possibly significant others; and you, the nurse) must be taken into account.
Often the best way to patient-centered functional goals is simply to ask the target group, “What are your goals?” Doing this will help you to improve adherence, satisfaction, and outcomes. Consider the following when developing SMART goals:
Specific: Goals will specify who will be responsible, what is to be achieved, where the activity is located, and why it is important or beneficial.
Measurable: Goals must specify criteria for measuring progress against them. This helps you to stay on track, reach milestones, and motivate the stakeholders.
Attainable: Setting attainable goals serves to motivate the individual or group.
Relevant: Key stakeholders must see how a specific goal is relevant to them.
Timely: To be most effective, goals must be structured around a specific time frame to motivate individuals to begin working on their goals.
After developing a mutually agreed-upon goal, SMART objectives are developed to help guide activities. Objectives help to determine whether the goals have been achieved and if revisions need to be made for future educational sessions.
SMART objectives must be:
Specific: Objectives need to be concrete, detailed, and well-defined so that you know what exactly is going to occur and what to expect.
Measurable: A way to determine how the goal was met or if it needs revision.
Achievable: The objective must be appropriate and feasible for those involved. Ask: What’s the patient’s learning style? For example, does the patient prefer reading printed materials, viewing audiovisual materials, or watching demonstrations?
Realistic: It must take into consideration constraints such as resources, personnel, cost, education level, learning style, reading level and comprehension level. What language do they speak? How much does the individual or group like to know? Ask: Can the patient read or comprehend instructions or follow directions? Do they prefer reading printed materials, viewing audiovisual materials, or demonstrations?
Time-bound: A time frame helps set boundaries around the objective. Ask: How long will it take to obtain the objective? Objectives may be process- or outcome-oriented.
Outcome objectives can be short-term, intermediate, or long-term:
Short-term objectives can be achieved after implementing certain activities or interventions. Change may be in cognitive (knowledge), psychomotor (demonstration), and values (attitude).
Intermediate outcome objectives provide a sense of progress toward reaching long-term objectives. This could be behavior and policy change.
Long-term objectives occur after the program has been implemented. It may take more than a month. These can be changes in mortality, moribundity, and quality of life.
Example of a SMART goal:
Walk for 30 minutes a day, seven days a week.
Example of a SMART objective:
By the end of the week, patient will have walked 3.5 hours.
Example of an evaluation of a SMART objective:
The patient will complete a daily log of miles each week.
Additional Resources
The additional resources on the following reading list will help you in establishing SMART goals and objectives in collaboration with educational session participants:
Assessment 1: Writing SMART Goals for Care Coordination reading list.
Additional Resources for Further Exploration
You may use the following resource to further explore topics related to the competencies.
ACTIVITY
This course has been completed and no further assessments may be submitted.
A key aspect of the care coordination process is effective planning that answers the following questions:
What is the best approach to planning for care?
What are the essential steps in the process?
Complete the Care Coordination Planning activity to gain insight into the most important considerations when preparing to develop a care coordination plan.
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Step-By-Step Guide NURS-FPX 4050 Assessment Two
Introduction to NURS 4050 Assessment Two
The NURS-FPX 4050 Assessment Two requires you to develop a presentation on ethical and policy issues in care coordination, specifically within the context of cancer care provided by the American Cancer Society (ACS). This How-To NURS 4050 Guide will address various aspects, including the ACS’s mission, the significance of ethical and policy considerations, the impact of governmental policies, and key ethical dilemmas in cancer care coordination.
Overview of the American Cancer Society (ACS)
To start the NURS 4050 Assessment Two, we will discuss the overview of the ACS.
Introduce the ACS by detailing its mission and goals, emphasizing its dedication to eliminating cancer as a significant health issue.
Mention the support and advocacy services ACS provides, such as counseling, financial assistance, and policy advocacy.
Example
Importance of Ethical and Policy Considerations
Next, we will explore the importance of the ethical and policy considerations.
Explain why ethical considerations are crucial for upholding patient rights, dignity, and autonomy in care coordination.
Discuss how policy considerations guide decision-making and resource allocation, ensuring consistent and accountable care delivery.
Example
Analyzing Policy Impact on Cancer Care
This section of the NURS 4050 Assessment explores the analysis of policy impact on cancer care.
Analyze how specific policies, such as the Affordable Care Act (ACA), Medicare reimbursement policies, and FDA regulations, impact cancer care.
Highlight examples like Medicaid expansion, preventive service coverage, and drug approval processes.
Example
Addressing Ethical Dilemmas in Care Coordination
Here, let us discuss the ethical dilemmas in care coordination.
Identify and discuss critical ethical dilemmas, such as patient confidentiality, equitable access to care, and end-of-life decisions.
Explain how national, state, and local policies influence these ethical challenges.
Example
Influence of the Code of Ethics for Nurses
Describe the impact of the Code of Ethics for Nurses on cancer care coordination.
Emphasize the importance of patient advocacy, collaboration, respect for patient autonomy, and maintaining confidentiality within the care team.
Example
Role of Social Determinants of Health
Here, we will discuss the role of social determinants of health.
Discuss how social determinants of health, such as socioeconomic status, access to healthcare, and education, affect cancer care coordination.
Explain the relevance of the Healthy People 2020 framework and interventions that address these determinants.
Example
Key Ethical and Policy Issues
Summarize critical ethical issues, such as informed consent, equity in access, end-of-life care, and policy issues like insurance coverage and regulatory compliance.
Use these points to illustrate the complexities in cancer care coordination.
Example
Formulating Recommendations for Action
At the end, we will formulate recommendations for the action.
Based on your analysis, provide actionable recommendations.
Suggest implementing patient navigation programs, advocating for policy changes, and strengthening interdisciplinary collaboration to improve cancer care coordination.
Example
Demonstration of Proficiency
Competency 4: Defend decisions based on the code of ethics for nursing.
Competency 5: Explain how healthcare policies affect patient-centered care.
Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
Closing
In NURS 4050 Assessment Two, you have explored the ethical and policy issues in cancer care coordination within the ACS context. By following these guidelines, you can effectively highlight the significance of ethical and policy considerations, analyze the impact of specific policies, address vital ethical dilemmas, and propose actionable recommendations for improving cancer care coordination.
Reference
Carter, S. M., Rogers, W., Win, K. T., Frazer, H., Richards, B., & Houssami, N. (2020). The ethical, legal, and social implications of using artificial intelligence systems in breast cancer care. Breast (Edinburgh), 49, 25–32. https://doi.org/10.1016/j.breast.2019.10.001
Karam, M., Chouinard, M., Poitras, M., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing Care Coordination for Patients with Complex Needs in Primary Healthcare: A Scoping Review. International Journal of Integrated Care, 21(1), 16. https://doi.org/10.5334/ijic.5518
Walton, H., Simpson, A., Ramsay, A. M., Hunter, A., Jones, J., Ng, P. L., Leeson‐Beevers, K., Bloom, L., Kai, J., Kokocinska, M., Sutcliffe, A., Morris, S., & Fulop, N. (2022). Development of models of care coordination for rare conditions: a qualitative study. Orphanet Journal of Rare Diseases, 17(1). https://doi.org/10.1186/s13023-022-02190-3
Wolf, A. M. D., Oeffinger, K. C., Shih, Y. C. T., Walter, L. C., Church, T. R., Fontham, E. T., Elkin, E. B., Etzioni, R., Guerra, C. E., Perkins, R. B., Kondo, K., Kratzer, T. B., Manassaram‐Baptiste, D., Dahut, W. L., & Smith, R. A. (2023). Screening for lung cancer: 2023 guideline update from the American Cancer Society. CA: A Cancer Journal for Clinicians. https://doi.org/10.3322/caac.21811
