Capella 4050 Assessment 1 Preliminary Care Coordination Plan

Name

Capella university

NURS-FPX 4050 Coord Patient-Centered Care

Prof. Name

Date

Preliminary Care Coordination Plan

Care coordination is essential for delivering high-quality patient care within the healthcare system, particularly when hospitals face budget constraints and limited staffing. As a staff nurse recently assigned the role of care coordinator, I am tasked with developing an initial care coordination plan for residents in the Washington community who are experiencing domestic violence. This plan will address the physical, psychosocial, and cultural factors relevant to managing the impact of domestic violence. Additionally, I will set specific and realistic goals to help these community members cope with their situations. Finally, I will identify community resources to support and enhance their safety and well-being.

Analysis of Domestic Violence and Associated Best Practices

Domestic violence is a pervasive public health issue that affects individuals across all demographics, encompassing physical, emotional, sexual, and psychological abuse. The health consequences of domestic violence are immediate and long-term, requiring a multi-faceted approach to address the issue effectively. This approach should consider physical, psychosocial, and cultural dimensions to provide comprehensive care and support for victims. Notably, in the United States, there were 1.65 million emergency department visits over nine years for injuries related to domestic violence (Descartes et al., 2021).

Physical Health Needs and Best Practices

To improve physical health outcomes for domestic violence survivors, best practices must be implemented across various dimensions. Immediate medical care is crucial for treating injuries such as bruises, broken bones, and head trauma. Healthcare providers should be trained to recognize signs of abuse and offer compassionate care. Routine screening in healthcare settings is essential to identify victims early and provide opportunities for intervention (Kurbatfinski et al., 2023). Screening should be conducted in private and safe environments to encourage disclosure. Integrated healthcare services coordinate care among primary care, mental health professionals, and specialists, ensuring comprehensive treatment for physical and mental health issues. Studies have shown that such integrated approaches significantly improve outcomes for domestic violence survivors (Kurbatfinski et al., 2023).

Psychosocial Needs and Best Practices

Psychosocial support is another critical component of care. Access to individual and group therapy helps victims process trauma, build resilience, and develop coping strategies. Trauma-informed care has proven particularly effective in managing emotional distress followed by domestic violence (Han et al., 2021). Support groups offer a sense of community and reduce isolation by providing a space for survivors to share experiences and support one another. Developing personalized safety plans, which include steps for leaving an abusive situation and securing safe housing, is also essential. Evidence indicates that routine screening and comprehensive psychosocial support can significantly improve the well-being of domestic violence victims (Hultmann et al., 2023).

Cultural Needs and Best Practices

Cultural sensitivity plays a vital role in providing adequate care. Healthcare providers should receive training in cultural competence to understand their patients’ diverse backgrounds and beliefs. This includes respecting cultural differences and addressing language barriers. Engaging with community leaders and organizations helps spread awareness and provide resources tailored to the community’s cultural context. Promoting education about domestic violence within different cultural groups challenges harmful norms and encourages victims to seek help (Mshweshwe, 2020). Research supports that culturally competent care leads to better health outcomes and higher patient satisfaction (Stubbe, 2020).

Assumptions and Points of Uncertainty

However, implementing these best practices assumes that healthcare providers have access to the necessary training and resources and that victims have the agency to seek and accept help. There are also points of uncertainty, such as the variability in the availability and quality of community resources, which can affect the implementation of best practices. Cultural norms and stigma surrounding domestic violence may also pose challenges to identifying and supporting victims.

Specific Goals to be Established to Address Domestic Violence

The following SMART goals must be established to address domestic violence in the Washington Community:

• Conduct routine domestic violence screening (specific) in healthcare settings weekly to identify and report new cases (realistic and attainable) and achieve a 20% increase in reported cases (Measurable) by the end of the first year (time-bound) (Kurbatfinski et al., 2023).
•  Refer identified domestic violence survivors to mental health services (specific) to ensure they receive counseling and support (realistic and attainable) and achieve a 75% referral and attendance rate (Measurable) within three months of identification (time-bound) (Hultmann et al., 2023).
• Conduct community outreach programs (specific) monthly to educate the community about available domestic violence resources (realistic and attainable) and achieve a 30% increase in the utilization of these resources (measurable) within two years (time-bound) (Ogbe et al., 2020).

These goals are realistic, measurable, and attainable, providing a structured approach to addressing domestic violence in the Northwest Washington community. By improving identification and reporting, enhancing access to mental health services, and increasing awareness and utilization of community resources, the care coordination plan aims to support and empower domestic violence survivors effectively.

Community Resources for Safe and Effective Continuum of Care

Domestic violence is a critical public health issue requiring a coordinated and comprehensive approach to support survivors effectively. In Washington, several significant community resources provide a safe and effective continuum of care. LifeWire offers a full spectrum of services, including a 24-hour helpline: 425-746-1940 and 800-827-8840. Additionally, it provides emergency shelter, legal advocacy, mental health counseling, and housing services. Ultimately, it provides integrated support that enhances recovery and stability for domestic violence survivors. The mailing address to this organization is P.O. Box 6398 Bellevue, WA 98008-0398 (Life Wire, 2018).

The Domestic Abuse Women’s Network (DAWN) plays a pivotal role in addressing domestic violence in Northwest Washington through its comprehensive range of services. With a 24-hour crisis line, 425-656-7867, DAWN ensures survivors can access immediate support and assistance. This crisis intervention service provides a lifeline for distressed individuals, offering a compassionate ear, safety planning, and guidance on navigating their options. In addition to its crisis line, DAWN operates an emergency shelter, providing a haven for survivors and their children who are fleeing abusive situations. The mailing address to DAWN is PO Box 1449, Kent, WA, 98035 (DAWN, n.d.).

Capella 4050 Assessment 1 Preliminary Care Coordination Plan

Domestic Violence Services of Snohomish County offers a range of support services for survivors of domestic violence, including emergency shelters, legal advocacy, counseling, support groups, and a 24-hour crisis hotline (425-25-ABUSE) (Domestic Violence Services, 2023). The emergency shelters provide immediate safety and a secure environment for healing. Legal advocacy helps survivors navigate the legal system, obtain protection orders, and address custody issues.

Counseling services assist with trauma processing and coping strategies, while support groups offer community and reduce isolation. The 24-hour crisis hotline ensures immediate support, safety planning, and referrals to additional resources (Domestic Violence Services, 2023). These community resources can serve to address domestic violence and promote care coordination in the community of Washington.

Conclusion

In conclusion, addressing domestic violence in the Washington community requires a coordinated approach that integrates physical, psychosocial, and cultural considerations. By implementing comprehensive care plans and leveraging community resources such as LifeWire, DAWN, and Domestic Violence Services of Snohomish County, we can improve the safety and well-being of survivors. Setting specific, realistic, and measurable goals will enhance identification, support, and resource utilization. Ultimately, these efforts will empower survivors and foster a safer, more supportive community.

References

DAWN. (n.d.). Services 2. DAWN. https://www.dawnrising.org/community-support 

Descartes, I. W., Mineo, M., Condado, L. V., & Agrawal, N. (2021). Domestic violence and its effects on women, children, and families. Pediatric Clinics of North America, 68(2). https://doi.org/10.1016/j.pcl.2020.12.011 

Domestic Violence Services. (2023, July 19). Our services – domestic violence services snohomish county. Domestic Violence Services. https://dvs-snoco.org/3653-2/ 

Han, H.-R., Miller, H. N., Nkimbeng, M., Budhathoki, C., Mikhael, T., Rivers, E., Gray, J., Trimble, K., Chow, S., & Wilson, P. (2021). Trauma informed interventions: A systematic review. PLOS ONE, 16(6). https://doi.org/10.1371/journal.pone.0252747 

Hultmann, O., Broberg, A. G., & Axberg, U. (2023). A randomized controlled study of trauma focused cognitive behavioural therapy compared to enhanced treatment as usual with patients in child mental health care traumatized from family violence. Children and Youth Services Review, 144, 106716. https://doi.org/10.1016/j.childyouth.2022.106716 

Capella 4050 Assessment 1 Preliminary Care Coordination Plan

Kurbatfinski, S., Letourneau, N., Luis, M. A., Conlin, J., Holton, M., Biletsky, R., Hanrieder, R., Hansen, J., & Barber, B. (2023). The evaluation of a domestic abuse response team program in an emergency department. Journal of Family Violence. https://doi.org/10.1007/s10896-023-00562-2 

Life Wire. (2018). LifeWire. LifeWire. https://www.lifewire.org/ 

Mshweshwe, L. (2020). Understanding domestic violence: Masculinity, culture, traditions. Heliyon, 6(10). https://doi.org/10.1016/j.heliyon.2020.e05334 

Ogbe, E., Harmon, S., Van den Bergh, R., & Degomme, O. (2020). A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors. PLOS ONE, 15(6). https://doi.org/10.1371/journal.pone.0235177 

Capella 4050 Assessment 1 Preliminary Care Coordination Plan

Stubbe, D. E. (2020). Practicing cultural competence and cultural humility in the care of diverse patients. Focus, 18(1), 49–51. https://doi.org/10.1176/appi.focus.20190041