. Discuss the practical or clinical significance of the findings and themes to the clinical issue and nursing practice.

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For this assignment you will draw conclusions about your topic and PICOT research question(s) based on what you learned from the literature in Week 6. Discuss the practical or clinical significance of the findings and themes to the clinical issue and nursing practice. Answer the PICOT question(s) or provide a rationale for why you are unable to definitively answer the question(s). Submit the following as one paper: Title page Description of the research topic and background information Significance of the topic to nursing practice Clearly stated PICOT question(s) providing the focus of the project Rapid Critical Appraisal Charts (1 per research article) Summarization Discussion and Conclusion References updated if needed You should: Make sure you have incorporated any instructor feedback on previously submitted sections. Use current APA format to style your paper and to cite your sources. The Discussions and Conclusions section of your paper should be 2–3 pages.

How might I determine if the overarching organizational structure supports shared governance?

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You are the supervisor of a surgical services department in a nonunion hospital. The staff on your unit have become increasingly frustrated with hospital policies regarding staffing ratios, on-call pay, and verbal medical orders but feel that they have limited opportunities for providing feedback to change the current system. You would like to explore the possibility of moving toward a shared governance model of decision making to resolve the issue and others like it but are not quite sure where to start.
Instructions:
Review Learning Exercise 12.6 – Problem Solving: Working Toward Shared Governance (located in Chapter 12 of the textbook) Answer the following questions: Who do I need to involve in the discussion and at what point? How might I determine if the overarching organizational structure supports shared governance? How would I determine if external stakeholders would be impacted? How would I determine if organizational culture and subculture would support a shared governance model? What types of nursing councils might be created to provide a framework for operation? Who would be the members on these nursing councils? What support mechanisms would need to be in place to ensure success of this project? What would be my role as a supervisor in identifying and resolving employee concerns in a shared governance model?

Identification of potential barriers to plan implementation, and a discussion of how these could be overcome

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In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course.
At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:
1. Background
2. Problem statement
3. Purpose of the change proposal
4. PICOT
5. Literature search strategy employed
6. Evaluation of the literature
7. Applicable change or nursing theory utilized
8. Proposed implementation plan with outcome measures
9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

What level(s) of government does reducing healthcare cost involve (local, state, federal)?

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REQUIREMENTS
Assignment Criteria for Presentation:
1. Provide an introduction to reducing healthcare cost issue.
2. Articulate key points under each of the , using the headings in your paper.
A- Describe reducing healthcare cost. Why is this issue of particular interest/importance to you and to the profession of nursing
B-. What is the specific problem, including background, surrounding this issue? Is there a need for a new law or campaign related to this issue? Is there a need for change to an existing law? Is there need for a change in regulatory issues? What specific supportive evidence do you have for this issue, including evidence and references? You will need to include this in your message/ask/recommendation(s).
C- Review thoughts regarding reducing healthcare cost. It is important to analyze your issue thoroughly. Be sure you address the following with evidence and research:
• Context
• Goals/options
• Evaluation of options
• Recommended solutions
D. How can you find out the current status of reducing healthcare cost? Is there a website (professional organization such as the American Nurses Association or local, state, or federal government) that provides status updates or alerts? Please describe.
E. What level(s) of government does reducing healthcare cost involve (local, state, federal)? What level of government is your immediate target? Please describe.
3. Provide a critique of empirical evidence that supports reducing healthcare cost and analysis.
4. Demonstrate the importance and impact of reducing healthcare cost to nursing.
5. Provide concluding statements summarizing the content.
Please use APA 6th edition.