https://westcoastuniversity.h5p.com/content/1291875034789030478APNs must follow regulations and policies whether they agree with them or not. Ethical conflicts may result when laws and policies are perceived as unfair or biased, and moral distress may result.Watch Episode 3 videoLinks to an external site. again.Submit a 3- to 4-page paper in which you address the following:Ethical Competency:Analyze the ethical issue(s) in the scenario to recognize the required ethical decision,Choose an ethics theory (ies) or model(s) and present how the gist of the theory is relevant to the ethical issue in the scenario,Apply ethical perspectives/concepts to articulate your ethical reasoning and decision, o Integrate evidence-based interventions to mitigate moral distressAdvocacy Competency:Describe and reflect on the main issue in the scenario,Make a convincing advocacy argument for a particular solution to the issue in the scenarioAnalyze the shortcomings of other solutions.Financial Management Competency:Compare and contrast different payment and reimbursement models (e.g., value-based model, fee-for-service model, etc.),Select the payment model that you think would achieve justice to the patients, providers, practitioners, and insurer. Share on Facebook Tweet Follow us Sample Answer Ethical, Advocacy, and Financial Management Competencies in Healthcare: An Analysis of Episode 3 In Episode 3 of “Practice and Principle,” we encounter a complex ethical scenario involving the care of a patient named Joan. This situation highlights the tension between health ethics and institutional regulations, which can lead to moral distress among healthcare providers. This paper will analyze the ethical issues presented, apply relevant ethical theories, advocate for a specific solution, and compare different payment models while recommending the most equitable approach for all stakeholders involved. Ethical Competency Ethical Issues in the Scenario The primary ethical issue in Joan’s case revolves around the conflict between patient autonomy and the responsibilities of healthcare providers to ensure patient safety. Joan wishes to leave the hospital, but her healthcare team is concerned that she lacks the necessary support and resources to navigate life outside the clinical setting. This dichotomy presents an ethical dilemma: should the healthcare team respect Joan’s autonomy in making her own choices, or should they prioritize their responsibility to protect her from potential harm? Ethical Theories and Their Relevance To analyze this ethical issue, we can apply Utilitarianism and Deontological Ethics. 1. Utilitarianism focuses on the greatest good for the greatest number. In this context, the healthcare team may argue that keeping Joan in the hospital serves the greater good by ensuring her safety, as it minimizes the risk of harm. However, this perspective may overlook Joan’s individual needs and desires. 2. Deontological Ethics, on the other hand, emphasizes duties and principles. This approach would advocate for respecting Joan’s autonomy as a fundamental ethical principle. According to this theory, even if staying in the hospital may seem safer, it is imperative to honor Joan’s right to make decisions about her own life. Ethical Reasoning and Decision In applying these theories to Joan’s case, it becomes clear that a balance must be struck between patient autonomy and safety concerns. Ethical reasoning would suggest that healthcare providers should engage in open dialogue with Joan, providing her with all relevant information regarding her condition and potential risks of leaving the hospital. This empowers her to make an informed decision while acknowledging her autonomy. To mitigate moral distress among healthcare providers who may feel uncomfortable with Joan’s decision, evidence-based interventions can be implemented. These include: – Ethics Consultation Services: Offering access to ethics committees can help staff navigate complex moral dilemmas while providing support. – Ongoing Education: Training sessions on ethical decision-making can equip healthcare providers with the tools to handle similar situations in the future. – Support Groups: Establishing forums for healthcare staff to discuss their feelings and experiences can alleviate feelings of isolation and distress. Advocacy Competency Main Issue Reflection The main issue in Joan’s scenario revolves around how best to respect her autonomy while ensuring her safety and well-being. The healthcare team faces a challenge: how to advocate for Joan’s interests while navigating institutional policies that may not align with her wishes. Advocacy Argument A compelling advocacy argument for addressing this issue would involve supporting a patient-centered care approach that prioritizes patient autonomy while ensuring adequate support for decision-making. This could involve: – Creating Robust Discharge Plans: Implementing comprehensive discharge planning that includes community resources, follow-up care, and support systems tailored to Joan’s needs. – Informed Consent: Engaging Joan in shared decision-making processes where she is fully informed about her options, risks, and resources available to her if she chooses to leave. Shortcomings of Other Solutions Alternatives such as forcibly keeping Joan in the hospital or limiting her choices under the guise of safety fail to recognize her autonomy and can lead to increased dissatisfaction, potential harm to the patient-provider relationship, and feelings of helplessness for the patient. These approaches can also contribute to moral distress among healthcare providers who view such actions as paternalistic. Financial Management Competency Payment and Reimbursement Models In discussing financial management competencies, it is essential to compare different payment models: 1. Fee-for-Service Model: This model reimburses providers for each service rendered. While it encourages thorough care, it can lead to overutilization of services and does not necessarily promote quality outcomes. 2. Value-Based Model: This model ties reimbursement rates to the quality of care provided, emphasizing patient outcomes rather than volume of services. It incentivizes providers to focus on delivering better care through improved patient satisfaction and health outcomes. Recommended Payment Model The Value-Based Model is recommended as it aligns with both ethical principles and advocacy efforts aimed at ensuring patient-centered care. This model promotes justice among patients, providers, practitioners, and insurers by focusing on quality rather than quantity. It encourages healthcare providers to consider patients’ comprehensive needs while fostering collaboration within the healthcare team. By implementing a value-based reimbursement model, healthcare organizations can create an environment where ethical considerations are prioritized alongside financial sustainability. This approach encourages a holistic view of patient care that respects autonomy while ensuring safety and optimal health outcomes. Conclusion In summary, Episode 3 of “Practice and Principle” vividly illustrates the ethical complexities faced by healthcare providers when navigating patient care decisions. By analyzing ethical issues through relevant theories, advocating for patient-centered approaches, and evaluating payment models that promote justice, healthcare leaders can better align their practices with ethical standards while effectively managing patient care in an increasingly complex healthcare landscape. References Please ensure to include recent literature on ethical decision-making in nursing practice, patient advocacy strategies, and financial management models in healthcare. This question has been answered. Get Answer