BELOW ARE DIRECTIONS
(((Directions: Complete the readings and select one of the IOM recommendations to transform healthcare from the publication:IOMReport100510.pdf Download IOMReport100510.pdfThis summary of the IOM recommendations will help: https://www.nap.edu/read/12956/chapter/2 (Links to an external site.).
Discuss the ethical implications of one of the recommendations and what it means to the nurse, the patient, the health care environment and system. Also include what ethical principles (i.e., veracity, sanctity of life, beneficence, maleficence, etc.) are at stake and who are the stakeholders. Your post should be a minimum of three paragraphs and two references. Please ensure your discussion in the the APA template. See attached for further guidance and directions: Module 4 DQ Directions.docx Download Module 4 DQ Directions.docx
Submission: To create your initial post. Type the title of your discussion in the subject line and use the message box to type in your response to the prompt. Be sure to cite your sources in APA format, along with having your discussion in APA format.
Reply to two or more of your classmates postings, discuss your experiences and how you would apply an ethical principle. Initial post and at least 2 quality responses are required to receive the full points (“exemplary”) for posting quantity, per grading rubric.
Grading: This discussion is worth 50 points and will be graded using the Nursing Discussion rubric. Use the information in the rubric as a guide toward successful completion of this module’s discussion.)))
BELOW IS READING MATERIAL FOR SUBJECT.
{{{Introduction
In 2010, the Institute of Medicine (IOM) published “The Future of Nursing: Leading Change, Advancing Health.” This report called for nurses to:
Practice to the full extent of their education and training
Achieve higher levels of education and training
Be full partners with physicians and other health care professionals to redesign healthcare
Become involved in effective workforce planning and policy making
To achieve the above, the IOM made the following recommendations:
Remove scope of practice barriers
Expand opportunities for nurses to lead and diffuse collaborative improvement efforts
Implement nurse residency programs
Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020
Double the number of nurses with a doctorate by 2020
Ensure that nurses engage in lifelong learning
Prepare and enable nurses to lead change to advance health
Build an infrastructure for the collection and analysis of inter-professional health care workforce data
As a follow-up from the report, the Robert Wood Johnson Foundation and the American Association of Retired Persons (AARP) partnered to establish the Future of Nursing: Campaign for Action. This initiative used the IOM report as a framework and formed groups of nurses, other healthcare providers, patients and employers in all 50 states and the District of Columbia. Many of these groups have focused on the recommendation from the IOM for nurses to have a bachelor’s degree by 2020. The Center to Champion Nursing in America (2014) summarized the recommendation “A more highly educated nursing workforce can lead system improvements and improve quality, accountability and coordination of care.”
Reference
Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. Retrieved from: http://www.nap.edu/download.php?record_id=12956 (Links to an external site.)
Center to Champion Nursing in America. (2015). Campaign progress: Dashboard indicators. Retrieved from: http://campaignforaction.org/dashboard (Links to an external site.)
Student Learning Outcomes
This module meets the following program Student Learning Outcomes for this course:
Leadership & Management: Synthesize leadership and management principles to promote professional development and optimal patient-focused outcomes. Scope of professional development ranges from self to the entire profession. Patient-focused outcomes may be individual, family, or community oriented.
Communication: Utilize effective, culturally sensitive, and ethical communication methods to collaborate with patients, families, communities and health care providers. Communication methods include oral, written, and electronic formats that promote sending and receiving information.
Evidence-Based Practice: Develop a consistent problem-solving approach to clinical practice that integrates current evidence, clinical expertise, and individual/family/community preferences and values.
Course Outcomes
This module meets the following Course Learning Outcomes listed in the Syllabus for this course:
Apply the concepts of ethics, values, and ethical dilemmas in professional nursing practice.
Analyze healthcare systems and health policy as it relates to ethical decision-making.
Module Objectives
Upon completion of this module, the student will be able to:
Analyze the ethical implications of public policies on the nurse, the patient, the healthcare environment and system.
Analyze the ethical principles at stake in public policy along with stakeholders.}}}
PLEASE RESPOND TO THIS BELOW
Transforming Healthcare
Monica Tirado
NSP 3185 Professional Ethics
Department of Health-Related Programs, Nursing RN to BSN,
Florida State College at Jacksonville
Introduction
In 2010, the Affordable Care Act was passed for the United States healthcare delivery system to change for the better. Nursing is the biggest part of healthcare which makes it an ideal realm to focus improvement on. In response to this, the Institute of Medicine and the Robert Wood Johnson Foundation got together and created the “Future of Nursing†report to offer guidelines for change in Nursing. The purpose of this paper is to discuss the guideline for better data collection and an improved information infrastructure for effective workforce planning and policy making and the ethical implications this may create for nurses, patients, and the health care environment and system. The ethical principles that are at stake and who the stakeholders are will also be evaluated.
Ethical Implications
To change the healthcare system for the better, data is needed to know what the current and future personnel need is and to make policies. Data is needed on who does what, how many are there, and where. This will help understand who will be affected with planned changes (Institute of Medicine, 2011). Data collection has the risk of making the field biased and discriminating, reducing people to numbers, being a nudge to control behavior, cause income insecurity, invade privacy, and cause comparison across state lines. (Tursunbayeva, Pagliari, Di Lauro, and Antonelli, 2021).
Ethical Principles
The principles of autonomy, beneficence, nonmaleficence, justice, and veracity must be applied (Beemsterboer, 2018) to the guideline. Data collection and an information infrastructure for policy making and workforce planning will affect nurse autonomy with scheduling and more limited choice of where to work and possible specific designation and change in duties which in turn affects patients. This would give more autonomy to the system with more generalized and all-encompassing decision making. Beneficence to the patient is the goal of the Affordable Care Act and these guidelines and they are not expected to be easy, convenient, or comfortable for nurses (Institute of Medicine, 2011, p. 4) nor the healthcare system. The healthcare system and workforce are always, and without question, patient centered. All healthcare workers are here to serve their needs. There is no harm meant by this guideline. This guideline is meant to improve the US healthcare system. This guideline is non maleficent. Justice is also a goal of this guideline as it is meant to better serve patients needs in fairness throughout the US. This guideline has the prospect of going either way regarding justice for nurses and the healthcare field. It can help equalize nurse duties across the US but may make the system biased and invade privacy. Veracity will be exposed on behalf of nurses and the healthcare system. The truth, nothing but the truth, and only the truth being exposed to the public is part of this guideline.
Stakeholders
The Institute of Medicine (2011) recommends the National Health Care Workforce Commission, the Government Accountability Office and the Health Resources and Services Administration be leaders regarding this guideline. They should work with state licensing boards, state nursing workforce centers, and the Department of Labor to obtain data and should also work with the Department of Labor, state and regional educators, employers, and state nursing workforce centers to identify current and future personnel need and to make plans to ensure the needs are met (Institute of Medicine, 2011). The Institute of Medicine (2011, p. 16) specifically states, “the power… does not rest primarily with nurses; it also lies with governments, businesses, health care institutions, professional organizations and other health professionals, and the insurance industry.â€
Conclusion
The Affordable Care Act demands improvement of the US healthcare system. Nursing is the biggest piece to the system. The “Future of Nursing†report offers recommendations to help coordinate improvement. Better data collection and an improved information infrastructure are required for effective workforce planning and policy making. United States as a whole is responsible for making this happen as everyone is affected. Anyone on the caregiving side and anyone on the recipient of care side, payors, and government all play big parts in this. Ethical implications will arise including things like bias, and invasion of privacy. Ethical principles are affected and therefore this guideline needs to be implemented carefully and with consideration. This is not easy, convenient nor comfortable for nurses and it is not meant to be. This is for enhancement of the healthcare system for patients. Healthcare is for patients. The Affordable Care Act is for patients. Nurses are patient advocates.
References
Beemsterboer, P. (2018, August 1). Ethical decision-making models: Ethics in dentistry: Part III – ethical decision-making: CE course. DentalCare.com. https://www.dentalcare.com/en-us/professional-education/ce-courses/ce546/ethical-decision-making-models
Institute of Medicine. (2011.) The Future of Nursing: Leading Change, Advancing Health. Washington, DC: The National Academies Press. https://www.nap.edu/read/12956/chapter/2#15
Tursunbayeva, A., Pagliari, C., Di Lauro, S. and Antonelli, G. (2021, March 23). The ethics of people analytics: Risks, opportunities and recommendations. Personnel Review. https://www.emerald.com/insight/content/doi/10.1108/PR-12-2019-0680/full/html#sec003 print. https://doi.org/10.1108/PR-12-2019-0680
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