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Ethics of case management: implications for advanced practice nursing
1Madonna University, Livonia, Michigan, USA.
Clinical Nurse Specialist CNS
|February 24, 2001
Summary
Advanced practice nurses face ethical challenges managing care amid healthcare system pressures. This role aims to balance cost reduction with quality patient outcomes.
Area of Science:
- Healthcare Ethics
- Nursing Management
- Health Systems Analysis
Background:
- Healthcare systems face increasing demands from aging populations and resource constraints.
- Advanced practice nurses (APNs) are increasingly assuming case management roles.
- These roles aim to control costs, improve patient outcomes, and deliver personalized care.
Purpose of the Study:
- To explore ethical concerns associated with managed care delivery systems.
- To examine the role of APNs as case managers within these systems.
- To discuss implications for nursing practice and future research.
Main Methods:
- Literature review and ethical analysis.
- Exploration of case management models in advanced practice nursing.
- Discussion of ethical frameworks applied to healthcare delivery.
Main Results:
- Managed care systems present unique ethical dilemmas for APNs.
- Balancing cost-efficiency with patient advocacy is a key challenge.
- The expanding role of APNs in case management requires careful ethical consideration.
Conclusions:
- Ethical challenges for APNs in case management require further investigation.
- Strategies are needed to support APNs in navigating ethical complexities.
- Implications for nursing education, practice, and policy are significant.