NHS FPX 4000 Assessment 1 Developing a Health Care Perspective
University:
Capella University
NHS FPX 4000 Assessment 1 Developing a Health Care Perspective
Paper Instructions
Develop a solution to a specific ethical dilemma a health care professional faces by applying ethical principles. Describe the issues and a possible solution in a 3-5-page paper.
Introduction
Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible.
Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria
Competency 1
Apply information literacy and library research skills to obtain scholarly information in the field of health care.
Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
Competency 3
Apply ethical principles and academic standards to the study of health care.
Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
- Discuss the effectiveness of the communication approaches present in a case study.
- Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
- Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
Competency 4
Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Write the following APA style for in-text citations, quotes, and references.
Instructions.
Note The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.
For this assessment, develop a solution to a specific ethical dilemma a health care professional faces. In your evaluation Access the Ethical Case Studies media piece to review the case studies you will be using for this assessment. Select the case most closely related to your area of interest and use it to complete the evaluation.
Note The case study may not supply all the necessary information. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make. Include the selected case study in your reference list, using the proper APA Style and Format.
Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
Identify who is involved or affected by the ethical problem or issue. Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
- Apply the three components outlined in the Ethical Decision-Making Model media.
- Analyze the factors that contributed to the ethical problem or issue identified in the case study.
- Describe the factors that contributed to the problem or issue and explain how they contributed.
Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
In addition to the readings provided, use the Capella Library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The How Do I Find Peer-Reviewed Articles? library guide will help you locate appropriate references.
Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
Review the Think Critically About Source Quality resource.
- Assess the credibility of the information source.
- Assess the relevance of the information source.
- Discuss the effectiveness of the communication approaches present in a case study.
- Describe how the health care professional in the case study communicated with others.
- Assess instances where the professional communicated effectively or ineffectively.
- Explain which communication approaches should be used and which ones should be avoided.
- Describe the consequences of using effective and non-effective communication approaches.
- Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
- Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
- Discuss the key lessons this case provides for health care professionals.
Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
- Describe the proposed solution.
- Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
- Discuss how likely it is the proposed solution will foster professional collaboration.
Write clearly and logically, using correct spelling, grammar, punctuation, and mechanics.
- Apply the principles of effective composition.
- Determine the proper application of the rules of grammar and mechanics.
- Write using APA style for in-text citations, quotes, and references.
- Determine the proper application of APA formatting requirements and scholarly writing standards.
Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style
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Sample Answer
This case examines the consequences of frequent admissions and excessive emergency department use (ED) use at County General Hospital (CGH). The data indicates that nine individuals in central Texas have had over 2,000 admissions in the past six years (Capella University, n.d.), with an estimated expenditure exceeding $2 million in resources. Frequent non-urgent visits to emergency departments are a widespread issue in many countries.
The EMTALA mandates that federally funded hospitals must offer medical treatment to all individuals who arrive at the emergency department, regardless of their ability to pay. This paper aims to assess the information provided in the case study by using peer-reviewed scholarly articles as evidence to support the case analysis. This involves explaining the reasoning behind the choice of articles and how they support the analysis.
Ethical Issue
The loss of approximately $200,000 in revenue caused by frequent emergency room visits upset Matt Losinki, the chief executive officer of County General Hospital. Making ethical decisions refers to this as “moral consciousness.” According to the findings of the Chief Executive Office, frequent trips to the emergency department led to a rise in expenses, as well as congestion, wait times, and patient discontent. Patients constantly visiting the emergency room are in critical condition and need immediate medical attention.
Visits to the emergency department drive up the overall cost of healthcare significantly. According to Lindor and Ghaith (2022), improvements to the quality of treatment will make it possible to cut down on and eventually do away with, the need for frequent emergency room visits for normal patients.
Using the Ethical Decision-Making Model
The ethical decision-making paradigm has three fundamental components moral awareness, judgment, and behavior. All parties collaborate in order to identify a solution to the perplexing situation. Moral awareness may be seen as a cognitive process by which an individual attains an understanding of a particular ethical matter and comprehends the possible ramifications associated with their decision-making. Moral decision-making forms ethical judgments on whether actions or choices are morally acceptable or wrong. The decision made by an individual may potentially be influenced by their own biases or divergent perspectives (Schein, 2020).
The manifestation of ethical behavior is seen by the subsequent actions taken after making a sound choice. Individuals strive to make optimal decisions based on previous scholarly investigations when engaging in ethical conduct. The discourse around overusing emergency department (ED) services in the Texas area created a sense of moral awareness within Mr. Losinski. He postulated that CGH may be encountering a similar issue as a consequence.
The decision to conduct an internal study on the issue inside his organization and present it to the management team to address the dilemma showed ethical integrity (Sartini et al., 2022). Matt should use his ethical behavior as a healthcare practitioner and adhere to four ethical criteria to tackle the prevailing issue effectively. The primary factors contributing to the issue are the overuse of emergency department services and a decline in income.
Peer-reviewed journal
The field of public health expresses concern about the issue of emergency department (ED) congestion. This phenomenon is associated with increasing healthcare expenses, extended waiting periods, prolonged stays in emergency departments, diminished patient satisfaction, and mortality. The issue of emergency department (ED) congestion incurs financial burdens on the healthcare system. County and university hospitals in the United States have successfully mitigated congestion issues by using strategies to enhance the process of transferring patients from emergency departments to inpatient clinics. According to Sartini et al. (2022), implementing this approach can provide annual cost savings of $10 million for county hospitals and $4 million for university hospitals.
Communication Strategies and Effectiveness of Approach
Effective communication is a crucial skill that leaders must possess. The process of problem-solving necessitates the engagement of active listening skills and the creation of innovative ideas. Mary told Matt that Medicare provides coverage for 75% of eligible recurring emergency department visits via active listening. Mary failed to explain to Matt the importance of the item. Matt asked Aniysha, the administrative resident, for statistical data on those who often frequent the emergency department. Matt can communicate his grievances and provide statistical evidence to the executive committee during his presentation to the management team.
During the discussion, Matt expressed apprehensions. Effective communication is pivotal in enabling individuals to express their thoughts and ideas effectively. According to Moreira et al. (2019), it is argued that closed communication is insufficient for resolving issues involving several individuals. The ability to communicate effectively facilitates individuals in engaging and forming well-informed and comprehensive judgments, whereas poor communication exacerbates discord and disagreement.
The request made by Matt for some time to engage in studying prior to presenting before the executive committee had a positive outcome. Matt effectively organized his data. The research revealed that frequent trips to the emergency department result in financial burdens for the organization. According to Moreira et al. (2019), presenting factual information to management initiated a discourse aimed at problem-solving. The CEO, Matt, effectively established commendable objectives for the hospital by bringing attention to this particular issue.
Applying Ethical Principles
Healthcare ethics serve as a guiding framework for making ethical judgments in healthcare. Healthcare ethics adhere to autonomy, beneficence, nonmaleficence, and fairness. According to Varkey (2020), the principles that underpin healthcare are autonomy, beneficence, nonmaleficence, and justice. The concept of autonomy recognizes and upholds patients’ rights, whereas beneficence promotes their well-being. Justice is a fundamental principle that necessitates the equitable treatment of individuals, whereas nonmaleficence refers to the ethical duty of healthcare professionals to avoid causing damage to their patients. In order to address the issue at hand, it is recommended that Community General Hospital (CGH) implement an educational program aimed at emergency department patients.
The components of patient care include providing educational resources to patients, coordinating medical appointments, and recognizing pertinent symptoms along with appropriate measures for contacting healthcare providers or seeking urgent medical assistance. Enhancing patient care and reducing emergency department readmission rates can positively impact educational outcomes and income levels. The principle of beneficence is applicable in this scenario. This resolution is expected to enhance patient care and save costs, promoting more cooperation among healthcare professionals—and enhancing the efficiency and quality of patient treatment.
Conclusion
Healthcare workers can use ethical concepts to examine circumstances and address ethical quandaries critically. The current case study examines the decision-making process undertaken by a county general hospital’s staff to reduce the frequency of readmissions to the Emergency Department while simultaneously assuring the delivery of high-quality patient care. Implementing the four principles of healthcare ethics by the hospital administration team can enhance the delivery of high-quality patient care while reducing the frequency of readmissions and related financial burdens.
References
- Capella University. (n.d.) Emergency Department Repeat Admissions – A Question of Resource Use
Lindor, R. A., & Ghaith, S. (2022). Emergency Medical Treatment and Labor Act (EMTALA). Laws of Medicine, 93–106. https //doi.org/10.1007/978-3-031-08162-0_6 - Moreira, F. T. L. D. S., Callou, R. C. M., Albuquerque, G. A., & Oliveira, R. M. (2019). Effective communication strategies for managing disruptive behaviors and promoting patient safety. Revista Gaucha de Enfermagem, 40(spe), e20180308. https //doi.org/10.1590/1983-1447.2019.20180308
- Sartini, M., Carbone, A., Demartini, A., Giribone, L., Oliva, M., Spagnolo, A. M., Cremonesi, P., Canale, F., & Cristina, M. L. (2022). Overcrowding in Emergency Department Causes, Consequences, and Solutions—A Narrative Review. Healthcare, 10(9), 1625. https //doi.org/10.3390/healthcare10091625
- Schein, C. (2020). The Importance of Context in Moral Judgments. Perspectives on Psychological Science, 15(2), 207–215. https //doi.org/10.1177/1745691620904083
- Varkey, B. (2020). Principles of Clinical Ethics and Their Application to Practice. Medical Principles and Practice, 30(1), 17–28. https //doi.org/10.1159/000509119
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