NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination
Phillip April 19, 2024 No Comments

Ethical and Policy Factors in Care Coordination

NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination


Capella university

NURS-FPX 4050 Coord Patient-Centered Care

Prof. Name


Ethical and Policy Factors in Care Coordination

Good afternoon, everyone. This presentation will explore the ethical and policy considerations influencing care coordination for marginalized populations, specifically focusing on homeless individuals within our society. Homelessness presents unique challenges, as individuals experiencing it often have complex medical and psychological needs requiring organized care efforts. However, providing effective care coordination for this demographic is hindered by various factors, including limited access to healthcare services, resource constraints, and the pervasive stigma surrounding homelessness. This presentation aims to delve into governmental policies, ethical dilemmas, and the nursing ethical code that shape care coordination practices for homeless populations.

Governmental Policies Addressing Community Safety and Health

The coordination of care for homeless individuals is significantly shaped by governmental policies aimed at promoting community health and safety. For instance, the “Affordable Care Act (ACA)” has played a pivotal role in expanding healthcare coverage, including for homeless individuals. Before the ACA, many homeless individuals struggled to access healthcare due to factors such as lack of insurance, financial barriers, and transportation limitations. However, the ACA’s expansion of Medicaid eligibility in numerous states has facilitated increased access to free or low-cost healthcare coverage for this vulnerable population (Ye & Rodriguez, 2021).

Furthermore, the ACA has allocated funding for targeted programs like the “Health Care for the Homeless (HCH)” initiative, which delivers healthcare services to homeless individuals across diverse settings such as shelters and soup kitchens. A notable aspect of the HCH program is its emphasis on culturally and linguistically appropriate care delivery. This involves training healthcare providers to understand and address the unique needs and backgrounds of homeless individuals, ensuring that care is sensitive to cultural nuances and language preferences.

NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination

Additionally, the HCH program prioritizes case management and care coordination, fostering collaboration among healthcare providers, social service agencies, and community organizations to deliver comprehensive care addressing both health and social needs (Lanese et al., 2021).

While challenges persist in healthcare access for homeless populations, these policies underscore a commitment to enhancing care accessibility and addressing the root causes of homelessness. By prioritizing culturally competent care delivery, promoting collaboration, and expanding coverage, these initiatives strive towards achieving equitable healthcare access for all, irrespective of housing status.

Policy Provisions in Coordinating Care for Homeless Individuals

An essential policy consideration in care coordination for homeless individuals revolves around balancing autonomy with safety. The “Health Insurance Portability and Accountability Act (HIPAA)” safeguards individuals’ autonomy and privacy regarding health information. However, for homeless individuals with complex medical and mental health needs, care coordinators face ethical dilemmas in ensuring both autonomy and safety. Instances where individuals resist treatment plans or medication regimens necessitate careful navigation to ensure appropriate care while respecting autonomy (Lanese et al., 2021).

Moreover, tensions arise between individual needs and community well-being. Homeless individuals may harbor contagious illnesses, posing public health risks. Care coordinators must navigate these ethical tensions, balancing individual rights with community safety. Despite strides made by the ACA and Medicaid expansion in improving healthcare access, many homeless individuals still encounter barriers such as lack of insurance, transportation, and stigma (Ye & Rodriguez, 2021).

These policy provisions underscore the ethical complexities inherent in care coordination for homeless populations. Care coordinators must navigate these challenges to ensure homeless individuals receive equitable and respectful care while upholding autonomy and privacy rights, simultaneously mitigating public health risks associated with homelessness.

Code of Ethics for Nurses on Care Coordination and Continuum of Care for Vulnerable Populations

The Nursing Code of Ethics serves as a guiding framework for care coordination and continuum of care for vulnerable populations, including homeless individuals. Emphasizing patient rights, health, and safety, the Code is particularly pertinent when serving marginalized groups. Provision 3 underscores nurses’ obligation to advocate for patient autonomy, well-being, and safety, while Provision 8 highlights the importance of collaboration with healthcare providers and the community to address health needs effectively (Hanks et al., 2019).

Research indicates that adherence to ethical codes correlates with improved health outcomes and care quality. Studies have shown that nurses adhering to ethical guidelines report higher job satisfaction and perceive enhanced patient safety (Davis et al., 2021). Additionally, adherence to ethical guidelines for homeless patient care is associated with improved outcomes and increased care access (Hendricks et al., 2020).

Considering social determinants of health, such as poverty and homelessness, is crucial when applying the nursing code of ethics. Homeless individuals often face significant barriers to healthcare access, necessitating collaboration to overcome obstacles and improve care coordination (Hanks et al., 2019).


Davis, C. R., Decker, K., Delaney, C., & Jahn, P. (2021). The impact of a nursing ethics education program on job satisfaction, ethical conflict, and patient safety. Nursing Ethics, 28(4), 474-486.

Hanks, R. G., Eloi, H., & Stafford, L. (2019, April). Understanding how advanced practice registered nurses function as patient advocates. In Nursing Forum, 54(2), 213-219.

NURS FPX 4050 Assessment 2 Ethical and Policy Factors in Care Coordination

Hendricks, J. M., Alsayid, M. M., Huang, Y. T., Steinberg, J., & Ford, D. (2020). The impact of ethical guidelines on homeless patient care: A systematic review. Journal of Healthcare Ethics and Administration, 6(2), 33-42.

Lanese, B. G., Birmingham, L., Alrubaie, N., & Hoornbeek, J. (2021). Healthcare for the Homeless (HCH) Projects and Medicaid Expansion. Journal of Community Health, 46(6), 1139-1147.

Ye, W., & Rodriguez, J. M. (2021). Highly vulnerable communities and the Affordable Care Act: Health insurance coverage effects, 2010–2018. Social Science & Medicine, 270, 113670.