Ethical and policy factors in care coordination presentation
Choosing the community organisation decides the whole assessment — and the scoring guide wants policy provisions at three levels, not one.
Editorial process
Last reviewed · August 8, 2026
The audience choice decides the whole assessment
Everything in this assessment follows from a choice made in the first sentence: *a community organization or group that you believe would be interested*. That audience decides which policies are relevant, which ethical tensions are live, and what counts as a useful presentation — and a vague choice makes the rest generic. A homeless shelter, a caregiver support group, a refugee resettlement organisation, a rural senior centre and a school-based health programme each face different coordination problems and different policy provisions. Name the organisation, describe who it serves, and state what they need to be able to do differently after twenty minutes. That specificity is the difference between a presentation and a lecture on ethics. Pick an organisation you can find real information about too, since the policy layers you have to identify are much easier to locate once you know the population and the county.
The competency wording is more demanding than the surface instruction, and worth reading closely because it is the scoring guide. It asks you to *identify policy provisions at the national, state, and local levels* — three levels, not one — that present ethical concerns or challenges for care coordination. National is the easiest: coverage rules, privacy law, non-discrimination requirements. State is where eligibility, scope of practice and programme-specific rules live, and where the variation that matters to a local audience actually sits. Local is the level most often omitted and often the most concrete: county programme rules, transport provision, clinic catchment boundaries, municipal ordinances. Cover all three or lose the criterion outright. Working downward also keeps the presentation coherent, because each level narrows the previous one and the audience can follow the funnel from federal rule to the clinic they actually use.
The ethics half needs the code applied rather than quoted, and care coordination generates specific tensions worth naming. Autonomy against beneficence when a coordinated plan is clearly better for a patient who declines part of it. Confidentiality against coordination, because coordination requires information sharing across organisations that each have different rules and different levels of trust from the community. Justice, when a programme's eligibility criteria exclude people the organisation exists to serve. And the coordinator's own dual loyalty — to the patient and to the employer whose resources are finite. Pick two, work them through with an example from this audience's world, and say what you would actually do. Two tensions handled properly beat five listed, and the assessment's wording — examine the impact — is asking for consequence rather than for coverage of the code.
The audience changes the register, and the assessment says so in its own competency about professional communication. A community organisation is not a faculty panel: assume no familiarity with the nursing code, no interest in competency numbering, and a strong interest in what this means for the people they serve. That argues for plain language, one idea per slide, and examples before principles rather than after. It also argues against reading the script — twenty minutes of audio over ten to twelve slides is roughly a hundred and fifty to two hundred words per slide, which is conversational pace, and the four to five page narrative script exists so that pace is achievable rather than improvised. Recording forces this discipline whether you want it or not, which is a reason to draft the script at speaking length rather than writing an essay and reading it fast.
Two deliverables are being graded and they are not the same document. The recorded presentation carries the communication competency; the four to five page script or speaker notes carries the substance and the citations. Write the script as prose that could be read aloud and that contains the evidence — policy provisions cited by name, the code of ethics referenced where it is applied — then reduce the slides to what a listener needs to see. Note also the brief's suggestion to complete the Vila Health ethical decision making activity first: it is offered as a refresher, and doing it before writing gives you a framework for the ethical section rather than a set of principles to list. Keep the citations in the notes rather than on the slides too, since a community audience does not read reference lists and the marker will be reading the script.
Competency criterion | What satisfies it | The version that fails |
|---|---|---|
Impact of the code of ethics | Two tensions applied to this audience's situation | The code quoted, then set aside |
Health policies and patient-centred care | A named policy, with its effect on a patient's experience | Policy described in the abstract |
Government policies affecting the community | Local health or safety rules that shape coordination | National policy only |
Provisions at national level | Coverage, privacy, non-discrimination rules named | "Federal law" |
Provisions at state level | Eligibility, scope of practice, programme rules | Skipped entirely |
Provisions at local level | County or municipal rules, transport, catchment | The level most often omitted |
Presentation for the audience | Plain language, examples first, one idea per slide | A lecture aimed at faculty |
Script or speaker notes | 4-5 pages of prose carrying the citations | Bullet fragments |
Likely learning objectives
Inferred from the brief — check these against your own rubric.
- 01Tailor professional content to a non-clinical community audience.
- 02Locate policy provisions at national, state and local levels.
- 03Apply a code of ethics to a coordination problem rather than quoting it.
- 04Separate a presentation's visual layer from its evidential one.
Read the full question
Review every instruction before using the planning guidance that follows.
What the care coordination presentation must contain
- 01A named community organisation or support group as the audience.
- 02A recorded 10- to 12-slide, 20-minute presentation with audio.
- 03A 4-5 page narrative script or speaker notes.
- 04The impact of the nursing code of ethics on care coordination and continuity.
- 05How health care policies affect patient-centred care.
- 06How government policies affecting community health or safety affect coordination.
- 07Policy provisions at national, state and local levels.
- 08The ethical concerns those provisions raise.
From the audience to what they can do next
The audience, named
Identify the organisation, who it serves, and why this matters to them.
Care coordination and the continuum
Explain what coordination is, in terms this audience recognises.
The code of ethics in practice
Work two ethical tensions through a situation this audience would face.
Policy at three levels
Name national, state and local provisions and their coordination effects.
Where policy and ethics collide
Show a provision creating an ethical problem for coordinators.
What this audience can do
Close on actions available to the organisation and its members.
Working down from national to local provisions
Recommended databases
- The nursing code of ethics
- State board and state health department policy pages
- County and municipal health department publications
- PubMed Central
Search sequence
- 1.Choose and research the organisation first, because the policy provisions worth naming are the ones that touch the people it serves and a generic search returns generic material.
- 2.Work down the levels in order — national, then state, then local — since the local layer is hardest to find and easiest to omit, and finding it late means rewriting the section.
- 3.Read the code of ethics provisions on advocacy, confidentiality and justice, so the ethical section applies specific provisions rather than the code as a whole.
- 4.Search the empirical literature on coordination barriers for a population like this audience's, which gives the presentation examples rather than assertions.
Nursing ethics, ACA and care coordination sources
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Nothing here is cleared for citation until you have read it.
- 01
Nursing Ethical Considerations
StatPearls, NCBI Bookshelf · 2023
A concise account of the ethical principles a nurse works from and the situations that put them in tension. Use it to build the applied ethics section, where the assessment wants the code doing work rather than being quoted.
- 02
The Affordable Care Act's Impacts on Access to Insurance and Health Care for Low-Income Populations
Annual Review of Public Health · 2017
The national-level provision the brief itself names, with measured effects on access. It also shows why state decisions matter, which is the bridge into the state layer the scoring guide requires.
- 03
Racial and Ethnic Disparities in Services and the Patient Protection and Affordable Care Act
American Journal of Public Health · 2015
Connects a policy provision to an equity problem, which is precisely the shape the assessment wants: a provision that presents an ethical concern for coordination rather than a policy summary.
- 04
Systems and policy factors affecting service delivery for homeless adults with intellectual and developmental disabilities
Frontiers in Psychiatry · 2026
A worked example of coordination failing at the seams between systems for a specific marginalised population. Excellent material if your chosen organisation serves people who fall between services, which is where coordination problems concentrate.
- 05
Evidence-based modelling and taxonomy of hospital-based cancer care coordination nurses' roles and boundaries
BMJ Oncology · 2025
Defines what a care coordinator actually does and where the role's boundaries sit, which is what lets you explain coordination to a lay audience concretely. The boundary question is also where the dual-loyalty ethical tension becomes visible.
Before the care coordination presentation is submitted
Common mistakes
- Choosing a vague audience, which makes everything after it generic.
- Covering national policy only where three levels are required.
- Omitting the local level, which is the one most often skipped.
- Quoting the code of ethics without applying it to a situation.
- Describing policy in the abstract rather than through a patient's experience.
- Presenting to a faculty audience rather than to the community group.
- Using competency language and clinical jargon with a lay audience.
- Writing bullet fragments where a narrative script is required.
- Putting the substance on the slides and leaving the notes thin.
- Overrunning the slide count or the twenty-minute limit.
- Skipping the Vila Health activity offered as preparation.
Submission checklist
- A specific organisation is named, with who it serves.
- What the audience should be able to do afterwards is stated.
- National policy provisions are named specifically.
- State provisions are identified.
- Local provisions are identified.
- Each level's ethical concern for coordination is stated.
- At least two ethical tensions are worked through with examples.
- The code of ethics is applied, not just cited.
- Language suits a lay community audience.
- The deck is 10-12 slides and the audio runs to about 20 minutes.
- The script runs to 4-5 pages and carries the citations.
Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.
Written by
Aaron Bishop
MA, Education
assignment interpretation and research-methods coaching across disciplines
Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.
Reviewed by
Dr. Nathan Cole
PhD, Rhetoric & Composition
Argumentation and thesis development
Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.