Technology is integral to successful implementation in many projects,   through either support or integration or both. Name at least one   technology that could improve the implementation process and the   outcomes of your EBP project. Do you plan to use this technology? If   not, what are the barriers that prevent its use?

Kimberly s response

One way in which technology is important in my EBP is by the utilization of the Michigan Care Improvement Registry (MCIR). This system was originally created in 1998 to be a database which held childhood immunization registries. It has since been further developed due to the change in the Michigan Public Health Code. It now includes not only children but citizens of all ages. It is a program which allows all providers including pharmacies, schools, and other health care organizations to input immunization information into one comprehensive record (MCIR, n.d.). It also includes things such as hearing and vision testing and lead testing. Because lead testing is found in this database, it would help me to identify children who may be at a higher risk of lead exposure from addresses located within the database as well as if they have had lead testing done.

Another avenue which I may decide to look at would be the Women, Infant, Children (WIC) program. They use a database provided by the State of Michigan which provides a central schedule. If I identify families who may need education regarding lead I can see if they have an appointment and, if so, offer them lead education.

As far as utilizing this technology, I am unsure right now. If I need to after talking at more length with my mentor, I will not hesitate to use it. It is my plan to develop a pamphlet which can be handed out to high risk families which would mean I would not need to use the database. If CCPHD would like a more targeted approach, then I will utilize WIC and MCIR which would allow me names and addresses of families in high risk areas.

Reference

MCIR. (n.d.). Improving healthcare in Michigan. Retrieved from https://www.mcir.org/

Assignment: Practicum Journal Entry: Analyzing an Ethical Decision

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

To prepare:

• Review literature for moral/ethical issues encountered by a PMHNP.
• Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write a 2-page paper in which you do the following:

• Summarize the moral/ethical issue in the article (no more than 1 paragraph).
• Describe the moral and ethical dilemmas surrounding the issue.
• Analyze the ethical issue and compare them to the state health laws and regulations in your state.
• Outline the process of ethical decision making you would use to address this ethical dilemma.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

 History, theory, practice, and research are all ways of knowing in nursing. Choose one and analyze how it interacts with the others to form the basis of the nursing discipline.

Complete a CARE PLAN for the client with Spiritual and religious need.

The six steps of the nursing process required

1- assessment

2- diagnosis

3- outcome identification

4- planning

5- implementation

6- and evaluation

Nursing diagnose approved by NANDA International http://www.nanda.org/ Include a list of all references used to support your answer.