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Need a 3 year Strategin Plan , 12 point font, 10 page , double spaced,   You will have to identify and explain the key issues related to the company's strategic plan   Recognize stakeholders and their relationship to the strategy   Clearly state the chosen stragety   Examine and evaluate assumptions and preises used in developing the chosen strategy   Clearly explain the rational used in developing the strategy ,i.e. identify and evaluate the information used

Assignment: Quality Improvement Initiative Project Overview You are an advanced practice nurse (APN) leader at a fictional non-profit community hospital, St. Mary’s General Hospital. Your Chief Nursing Officer (CNO) has asked you to design and implement a hospital-wide Quality Improvement (QI) initiative that engages nurses and builds their QI skills. Key Requirements Develop a comprehensive QI initiative that promotes nurse engagement and skill development Demonstrate familiarity with QI processes, leadership approaches, and graduate-level critical analysis Integrate evidence, best practices, and research from at least 12 scholarly sources Align your proposal with St. Mary’s mission, vision, and strategic plan (provided on Blackboard > Assignments). Assignment Structure & Grading Follow the grading rubric precisely. Omitting or vaguely addressing any criterion will lower your grade or result in a non-pass. Each section below maps directly to the rubric:Introduction State the purpose and scope of your QI initiative Preview the paper’s structure Background & Significance Define Quality Improvement and its importance to healthcare, patients, and stakeholders Explain how QI connects to all nursing levels, emphasizing nurse leaders Identify the first step your APN leader will take, including: A specific QI tool or measure Rationale for its selection How to interpret and apply findings to guide decision-making Initiative Development Outline strategies to engage nurses actively in QI Describe leadership style(s) and approaches you will use Detail resources, training, and support mechanisms Implementation Plan Present a step-by-step rollout timeline Assign responsibilities and communication channels Evaluation & Sustainability Define clear metrics and data-collection methods Explain how results will inform continuous improvement Propose strategies to sustain nurse engagement over time Conclusion Summarize key recommendations Reflect on potential challenges and mitigation strategies Resources & Submission Guidelines Download St. Mary’s Mission, Vision & Strategic Plan from Blackboard > Assignments. Review the detailed grading rubric in the course shell. You have one submission opportunity, late or incomplete work may not be accepted. Refer to the syllabus for formatting, citation style, and grading policies. Tips for Success Be specific and succinct, avoid vague statements. Integrate multiple, credible sources; each reference must support a clear point. Align every element of your proposal with the hospital’s strategic goals. Proofread for clarity, coherence, and APA formatting. Additional Resources You Might Explore Example QI tools: Plan-Do-Study-Act cycle, Root Cause Analysis, Lean methodologies Leadership frameworks: Transformational, Servant, and Situational Leadership Peer-reviewed journals on nursing QI best practices (e.g., Journal of Nursing Care Quality, BMJ Quality & Safety). -APA must be strictly followed. The page requirement for this project will be a MINIMUM of 10 pages.-REFERENCES Must have DOI Numbers for me to look them up

Presentation Title: Strategies and Challenges for Nurse Leaders in Organizational Mergers/Acquisitions Overview: As we conclude this course, you have developed a broad range of leadership and management skills in the health industry. Your final task is to prepare a concise, scholarly PowerPoint presentation with a voiceover narrative and slide notes of the narration, aimed at a group of nurse leaders preparing for an organizational merger or acquisition. The goal is to discuss effective strategies and potential challenges to guide these leaders on a successful journey. Presentation Requirements: Slide Deck Guidelines: Length: Create a presentation with 5 slides [title and reference slide does not count]. Content Balance: Use minimal text on each slide: focus on key points to support your voiceover discussion. Do not overcrowd or saturate the slides with information. Each slide should serve as a visual prompt for your detailed explanations. Cover and Reference Slides: Cover Slide: Include your presentation title, your name, the course title, institution, and the date. Reference Slide: At the end, include an APA-style slide that lists at least six scholarly references supporting your content. Content Focus: Strategic Insights: Present strategies that prepare nurse leaders for the changes and challenges inherent in mergers and acquisitions. Challenges Discussion: Identify and explain potential challenges leaders may encounter, and offer evidence-based solutions or recommendations. Support your discussion with a minimum of six [6] scholarly references that illustrate best practices, case studies, or current research findings in healthcare leadership. Formatting and Submission: APA 7th Edition: Ensure all content, including in-text references (if applicable) and the reference slide, adheres strictly to APA 7th Edition guidelines. Scholarly Tone: The presentation should reflect a high academic standard by integrating evidence-based practice and critical analysis. Deadline: Please be aware that late assignments will not be accepted. REFERENCES Must have DOI Numbers for me to look them up- If I am unable to verify the references points will be deducted. PLEASE ADD SPEAKER NOTES PLEASE: Your narration should expand on the slide content by discussing strategies and outlining challenges that nurse leaders may face during a merger or acquisition. Demonstrate the application of evidence-based practice (EBP) by integrating relevant research, data, and scholarly insights into your discussion. By following these guidelines, you will create a focused, engaging, and scholarly presentation that effectively communicates how nurse leaders can navigate the complexities of an organizational merger or acquisition.

TOPIC: Advanced Practice Nursing #3: APRN-Led Chronic Disease Management ClinicsInstructionsIn this assignment, you will be doing a 6 pages paper identifying [maximum page limit is 8 pages- do not exceed as it will incur a penalty], comparing and contrasting at least 3 different decision-making approaches of care from a multidisciplinary perspective using a pertinent and significant topic in nursing You are required to use APA 7th edition format, and the page count, appropriate headings, the title page, and the reference page. Reflect on your decision-making practices and the implications this will have regarding differing approaches taken by nursing leaders and staff nurses/clinical practitioners in decision-making regarding issues in practice.  To complete this assignment, do the following: Select and describe an issue in nursing that impacts nurses at all levels from bedside to advanced practice. Make sure to provide an adequate background and its significance to all levels of nursing using a strong review of the literature. Additionally, this should include a thorough literature review that provides a good understanding of what the cause of this problem is; what is suggested to address this problem. Essentially, this review must support your choices of the decision-making models and this needs to include how all levels of nursing practice (the bedside nurse to the APN are impacted by the problem). Identify how you would expect a nurse leader/manager, a bedside/staff nurse and an Advanced practice nurse (CNO or NP) to address your selected issue using at least 2 [3 ideal] different decision-making approaches which are clearly supported by the literature review. This must first include aa detailed analysis/overview of the selected decision making models and how they are used in practice. Then a detailed analysis of how these decision-making approaches/models would address the problem/along with a detailed analysis of how each of the three selected models would be applied to address the selected issue/problem making sure to incorporate this at all levels of practice. One of the decision-making models may be more applicable to the bedside nurse; whereas the other more applicable to the APN; however, all levels of nursing practice need to be addressed with at least one of the chosen 3 decision-making models. However, this does not mean that each decision-making model will apply to all levels of practice only that in this discussion needs to include how each level of nursing practice would utilize the decision-making model to address the problem. For instance, one decision making model may apply to the bedside nurse; the second decision making model may be more applicable at the level of APN (CNO, NP, etc) and the other decision-making model may be best applied to the nurse manager. This section should be detailed; meaning specific, well thought out, realistic solutions of how the nurse (at the level identified; this may include more than one level for the same decision-making model or not) would address the problem using the decision-making model is provided and well supported by the literature. of the benefits and limitations of various decision-making approaches that are applied appropriately to the level of nursing practice to address the selected issue/problem. This is informed from course readings, literature, clinical scenarios and other evidence-based and scholarly sources. Prioritize the best decision-making approach/model to address the selected problem that is grounded in best practice. This should provide a well-supported rationale for this choice that includes a good comparison and contrasting of the 3 chosen decision-making models that clearly illustrates why the choice was made, that is consistent with the decision making model and how it would address the chosen topic or problem. Identify a possible funding source that would addresses your approach to solving the problem. For instance, if the best approach to solving the nurse-to-patient ratio problem is through the use of SDM and shared governance, perhaps you may seek a local funding source to provide you with funding to implement a small EBP or research project that would be funded by a local nursing organization such as Sigma Theta Tau or perhaps if it was geared more towards assessing the value of this model towards NP in practice than seeking a local organization that supports funding for projects being implemented by practicing NP? If seeking money for research this would need to be overseen by a nurse with a DNP or a PhD or someone with the credentials to do so that are part of their scope of practice. Consider looking at federal, state, or local organizations. For example: There are many grants available through the CDC,HRSA, etc. Again, this need to be specifically applied with sufficient details Use at least 10 current scholarly references [not older than 5 years] other than your main text. Uses APA 7th edition formatting. 

1.Implementation/Conclusion - Implement the change you are proposing- This should be a cohesive assignment and continuation of Part I and Part II. Present as a cohesive paper to include Part I, II, III as per APA assignment format. 2. Describe the practice change and setting clearly; is it in the community, organizational, clinic setting? Be detailed about the reason why you are seeking change. 3. Discuss how you would implement and assess the change; this should include time frame, setting (be specific), participants, barriers, external and internal factors. -Timeline should be presented as a chart or assignment format.* Do not use bullet points. *Do not use direct implementation of Human Subjects in your proposal. This requires IRB approval and CITI training which we will not use for this Capstone. 4. How would you evaluate the change process? -The change must be measurable before and after the implementation. -How would you measure or evaluate? Is there a tool to measure? 5. The literature review must support your change and implementation. Use leadership qualities and skills that will be utilized for successful completion of the project. What leasdership/management skills will you use? 6. Discuss who will be invited to the proposal: who are the stakeholders? Be specific about why you chose the team and what each of their role will be. -How will you present the information to your stakeholders? Include cost and budget. OVERALL: The conclusion should have your Part I, II, II all put together in a thorough APA format. -Use appropriate APA 7th Ed. format  -Scholarly, peer-reviewed, and research articles cited should be within the last five years. from 2022-2026 -This section should be minimum 3 pages long (not including the title and reference page). -The final Capstone project should be a minimum of 8 pages. INCLUDING PAR 1 AND 2 IN A COHESIVE PAPER,  -Use proper in-text citations with a properly formatted reference list. -All papers must be written in the 3rd person. when put all together don't put par 1 , part 2 and part 3 just add as cohesive assignment

The process of change is often challenging! According to Barrow et al. (2021) "…almost two-thirds of all change projects fail for many reasons, such as poor planning, unmotivated staff, deficient communication, or excessively frequent changes" (para. 1). In this assignment, you must identify an issue in your work environment that needs to change. Alternatively, you may use the situation below or create a hypothetical one. The goal of the assignment is for you to apply a change model. Kotter's Eight-Step Plan for Integrating Change in Chapter 3 of Grossman and Valiga (2021) is a solid change model that can walk you through each step of planning change. While it is not necessary to implement the change, in this assignment, you will identify the specific approaches you would take and how you would evaluate the effectiveness of the change. The video about Kotter's model may be helpful to you! Simply click on the blue underlined text in the previous sentence. Situation: You notice a conflict between millennial nurses (born between 1981 and 1996) and Generation X nurses (born between 1965 and 1980) in your work setting. While there is no outright hostility, an undercurrent seems to be preventing effective teamwork, and you suspect it is negatively impacting the quality of patient care. Use Kotter's Eight-Step Plan for Integrating Change to guide you through each step of the change project. Reference: Barrow, J. M., Annamaraju, P. & Toney-Butler, T. J. (2021). Change management. https://www.ncbi.nlm.nih.gov/books/NBK459380/ The Right Questions (2026, March). Kotter’s 8-Step Change Model Explained (Change Management Made Simple) [YouTube video] (https://www.youtube.com/watch?v=8mVrDT9Atfc

Please write a 300 word discussion, post is below. APA format. NO AI.. scholarly written, APA formatted and a minimum of 3 references. "Melody: Hello Everyone,  Strokes present differently across age groups (Ball et al., 2023). Young adults often experience classic, localized signs like focal deficits, communication issues, visual changes, and have awareness. They may present with sudden unilateral weakness, numbness, or hemiparesis, sudden aphasia, slurred speech, or trouble finding words, sudden loss of vision or double vision, and are usually alert and can clearly describe focal symptoms. In elderly adults, they often experience altered mental status, non-specific signs, behavioral changes, and have comorbid masking, which can make it difficult to diagnose a stroke and cause recognition delay. Elderly adults may present with sudden confusion, disorientation, acute delirium, general weakness, fatigue, dizziness, unsteady gait, somnolence, lethargy, unresponsiveness, or symptoms are often mistaken for dementia progression, normal aging, or a urinary tract infection. The pathophysiology of a stroke is different in the elderly because a stroke damages brain cells because blood flow stops or a vessel bursts. In older adults, age-related brain shrinkage, weak blood vessels, and prior medical history can make the injury worse. This leads to severe physical limits, a higher risk of permanent disability, and a slower recovery than in younger populations (Ball et al., 2023). Elderly adults often present with atypical or vague stroke symptoms like confusion, dizziness, or generalized weakness (Pagana et al., 2022). This vague presentation disrupts diagnostic reasoning by increasing misdiagnosis rates, delaying time-sensitive treatments like thrombolysis, and this forces clinicians to broaden complex differential diagnoses. Clinicians may anchor on common age-related issues like dementia, delirium, or vertigo, missing acute stroke signals. Vague signs obscure symptom onset times, making it hard to determine if patients are within treatment windows. Providers must order extra blood tests and brain scans to rule out mimics like infection, metabolic shifts, or drug toxicity. Sensory loss, baseline cognitive decline, or fatigue in older patients make accurate history-taking much harder (Pagana et al., 2022).   References  Ball, J.W., Dains, J.E., Flynn, J.A., Solomon, B.S., & Stewart, R.W. (2023). Seidel’s guide to  physical examination (10th ed). Elsevier.  Pagana, K.D., Pagana, T.J., & Pagana, T.N. (2022). Mosby’s manual of diagnostic and laboratory tests (7th ed.). Elsevier.        "

Assignment Instructions: Staffing Patterns You are the nurse manager of a 15-bed step-down unit in a metro-area hospital. You employee RNs, UAPs, and unit secretaries to staff the unit. You are not responsible for staffing or the budget related to other ancillary hospital staff. These are your staffing ratios for 12-hour shifts. Staffing on day shift and night shift are the same. RNs: 3:1 ratio UAPs: 6:1 ratio Secretary – one per shift Your 15-bed unit had 372 patient days in July. Calculate the average daily census (ADC). Discuss the daily staffing patterns for the unit based on the ADC. How many staff from each discipline do you schedule each day? What are the downfalls of the nurse-patient ratio staffing model? Discuss an alternative staffing model. Submission Guidelines: Record your responses on a Word document and upload it below. Be clear and concise in your answers. Your submission should be 1 page in length. No references are needed.

 policy institute (NGO) and assess your ability to influence and lead within the institute 

policy proposal for a global health issue