Posted: May 24th, 2022

Care coordination and Registered Nurses Essential Role

Care coordination and Registered Nurses Essential Role

Dianne Fiedler

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Stratford University

NSG 470 Leadership, Management, and Contemporary Issues in Nursing

Prof. Fiedler

14 October 2020











Care coordination and Registered Nurses Essential Role

Care coordination takes a central place in the current transformation of the healthcare system. Today, health systems, insurers, and hospitals are all stressing the importance of coordination as a vital instrument in enhancing patient care and improving health outcomes. It is critical in improving patient health and satisfaction but is also essential in reducing the cost of healthcare. Over the years, care coordination has been a vital role of registered nurses. Aside from being a competency, it is a core professional standard for the RNs as they develop care plans that revolve around the preferences and needs of patients. They also inform patients and their families while comprehensively advising them across care settings. As such, RNs play a role in educating patients and developing care plans to facilitate continuity of care for patients.

ANA Position on Care coordination

The American Nursing Association (ANA) (n.d) provides general guidelines about the role of registered nurses in care coordination. Specifically, it highlights that RNs need to share knowledge and information about the patient with members of the care team. This way, it will be possible to tailor care to a patient across the coordination team. Sharing knowledge with team members also promotes collaboration to ensure the development of a proactive care plan to improve a patient’s health. The ANA also reiterates that RNs should help patients manage their healthcare goals in myriad ways, including coordinating community resources to help patients achieve health goals. In a nutshell, the ANA requires RNs to go out of their way to provide seamless transitions of care. Only then can there be improved health outcomes and satisfaction for patients.

Compare and Contrast with Agency for Healthcare Research

Care coordination is an element of healthcare provision that many health organizations are keen to explore. In this section, the ANAs position is compared with that of the Agency for Healthcare Research and Quality (AHRQ). According to AHRQ, care coordination is about deliberately coordinating patient care activities by sharing crucial information across the healthcare team to achieve better healthcare outcomes for patients.


Both ANA and AHRQ reiterate linking patients to community resources, communicating and sharing knowledge and information, assessing patient needs and goals, and helping patients self-manage their healthcare goals.


AHQR highlights a cultural shift in interpersonal and relational practice at all levels, while ANA cites limited engagement with community partners as hindering coordination care.

QSEN Competency

This section addresses Quality and Safety in Educating Nurses, popularly known as QSEN competencies. QSEN (n.d) competencies refer to the competencies established for nursing to make them proficient in service. They comprise six elements: quality improvement, informatics, safety, evidence-based practice, teamwork and collaboration, and patient-centered care. These elements were established to aid in the continuous improvement of nursing nurses and improve patient outcomes in healthcare settings (QSEN, n.d). Even though most of these competencies are already being practiced in the healthcare field, there is a need for policymakers and experts to do more to integrate the remaining competencies into everyday practice.

Patient-centered care is the first competency, and it involves including patients in significant decisions to aid healthcare delivery that serves the unique needs of every patient.

Teamwork and collaboration come second in the list and are about a collaboration among different healthcare professionals to share decisions and ensure excellent healthcare outcomes for patients.

The third is evidence-based practice (EBP). It involves the utilization of present evidence in making decisions while attending to the healthcare needs of patients.

Fourthly is quality improvement (QI). It is about collecting and evaluating data to improve the outcome for patients.

Safety is the fifth competency, and it is about protecting patients from whatever kind of harm.

Informatics is the final competency. It involves utilizing technology to improve the quality of patients’ healthcare services.

Analysis of the ANA Position on the Nursing Profession and Public

This section discusses the ANA’s position on nursing practice and public policy. The ANA develops this position every once to reflect the changing healthcare practice and ecosystem. The position statement is crucial in healthcare practice because it educates consumers and enhances and guides the nursing profession. When developing a position paper, the ANA board of directors comes up with and drafts the position. The statement is then posted on the ANA official website before revision upon public participation and comments.

Coach Leadership and the ANA Position

A coach leader plays a critical role in promoting the ANA position. This happens through mentorship, whereby a nursing coach gives professional direction to novice nurses (Heinen et al., 2018). Through thorough mentorship and coaching, the novice nurses get a chance to learn the fundamentals of the ANA position in nursing practice.


The paper has comprehensively discussed Care coordination and how it is a central place in the current transformation of the healthcare system. Health systems, insurers, and hospitals are currently stressing the importance of coordination as a vital instrument in improving healthcare service delivery and patient outcomes. It is vital in improving patient health and satisfaction but is also critical in reducing the cost of healthcare. The paper also discusses how RNs need to share knowledge and information about the patient with members of the care team to improve care coordination. The ANA also reiterates that RNs should help patients manage their healthcare goals. In a nutshell, the ANA requires RNs to ensure the provision of seamless transitions of care.



American Nurses Association. (n.d.). ANA official position statements.

Heinen, M., van Oostveen, C., Peters, J., Vermeulen, H., & Huis, A. (2019). An integrative review of leadership competencies and attributes in advanced nursing practice.Journal of advanced nursing,75(11), 2378-2392.

Quality and Safety Education for Nurses. (n.d.). QSEN competencies.

Swan, B. A., Haas, S., & Jessie, A. T. (2019). Care coordination: Roles of registered nurses across the care continuum.Nursing Economics,37(6), 317-323.


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