The personal values that define my world view and the philosophy of nursing are my belief that nurses live and breathe personally. The nursing career is holistic, autonomous and collaborative. Nursing involves caring for people of all ages, communities, families, groups, sick or healthy people, and this happens in all situations. This vision of nursing has allowed me to consider all spiritual factors, psychosocial and physical preparation for a good nursing career. I have learned to think critically and make decisions to assess and delegate care.
The way a culture sees certain diseases determines my view of the profession, if people’s culture is taught to treat people with care and compassion, it directly affects the person who suffers, I think of cultural values that people have towards the sick, and all people usually have a reflexive influence on how a sick person deals with the illness. Caring and compassion play an important role in the healing process of a sick person and should be cultural values in every society so that people can take good care of the sick. This vision has always prompted me to approach patients with care and compassion to shorten the healing process. Showing attention and compassion improves communication between a doctor and a patient (Quinn, 1992). This allows the cultural acceptance of certain deadly diseases such as AIDS.
Care and compassion determine the course of a physical illness. Spirituality plays an important role in times of crisis and sickness, as it allows one to connect with being, nature, God and others. It is a means to deal with the loss of grief and death. Life-threatening illnesses are a crisis on many levels and can be familial, social, spiritual or psychological. Religious beliefs and spiritual practices are crucial and affect the importance of disease, physical and emotional well-being and health care decisions, especially for people with life-threatening illnesses. I believe that all spiritual, social and spiritual components should be included because they improve the quality of life and death. They also support the inherent dignity of patients and their families. Nursing is a solidarity profession (Boykin and Schönhofer, 2001). Values are strategies for integrating and communicating central ideals in the nursing profession. The values to be respected in nursing practice are empathy, autonomy, altruism, social justice, integrity and human dignity. These values ensure that the transmission of care behavior for the future nursing staff is strengthened.
Ethics refers to the standards that nurses order to act in accordance with their profession. They are ethically correct and must be observed when caring for patients. Nightingale (1969) advised on specific issues related to the behavior and moral behavior of nurses. The moral interpretation in nursing refers to the private or personal interpretation of what is good or bad. My personal values may be in conflict with my obligation to cause conflict when a sick person represents something that contradicts my own moral code. I can not set aside my moral codes and continue to care for patients. I do not think that I should set aside my own moral code to get great attention. If I face such a scenario, I should apologize for paying attention to this particular patient.
This improves the maintenance of personal and professional integrity. Abortion is legalized in many countries and therefore medically legal. I think it is immoral and think it should not be preserved unless the mother’s life is in danger. This can lead to an ethical dilemma because I did not want to get an abortion simply because the law allows it, for me it is immoral and I would not seek or accompany a doctor who seeks it. I would also refuse to accept a job from a doctor, especially if the drug he uses for the patient is fatal, regardless of the case, it would not help a doctor to kill a patient. At some point, the patients ask the nurses to kill them by removing air tubes or other medical equipment to end their suffering
———–
Assignment 2
Shared Savings Program
Name
Affiliation
Shared Savings Program
The shared savings program is an ACO under the category of Medicare programs, which is aimed at achieving improved health for people, thus promoting better population health. The program provides suppliers and providers with an opportunity to come up with a system that manages the cost, quality, and the care experience of a particular Medicare fee for service beneficiary population (Walston, 2014). Moreover, the program encompasses various tracks that enable ACOs to choose an arrangement that seems most efficient in the organization.
The shared savings model acts as an essential innovation for the transfer of the CMS system of payment due to the volumes and for the sake of improving the value and results (Wayland & McDonald, 2016). The program, therefore, enhances value by coordinating services and items for the Medicare FFS beneficiaries, improves accountability for the patients, and encourages investments in high quality and efficient services. The program also aims to empower patients in making sound decisions concerning their healthcare, and therefore, it does not limit their original Medicare benefits. This means they are free to choose a hospital or doctor of their choice even if the doctor does not belong to the ACO (Al Badi, 2014). By doing this, it easy for the primary clinician to engage in the patient’s healthcare issues and ultimately improve their entire care management and health outcomes.
For the sake of protecting medical information for the patients, the federal law safeguards the security and privacy of the patients’ medical information. In this case, only the physicians in charge of the patient can access their medical knowledge and patients have an option of declining to share their healthcare information by communicating with the 1-800 MEDIC. From recent research, the Medicare shared savings program has been recognized as one of the ACOs with modest savings and is therefore preferred by most patients.
References
Al Badi, K. S. S. (2014). Segmentation and evidence of relationship-building activities in life insurance companies’ websites. International Business Research, 7(10), 133–144. Retrieved from the Walden http://www.ccsenet.org/journal/index.php/ibr/article/view/40661/22507
Walston, S. L. (2014). Strategic healthcare management: Planning and execution. Chicago, IL: Health Administration Press.
Wayland, M. S., & McDonald, W. G. (2016). Strategic analysis for healthcare: Concepts and practical applications. Chicago, IL: Health Administration Press.
