You should respond to your peers by extending, refuting/correcting, or adding additional nuance to their posts.All replies must be constructive and use literature where possible.Judith SmithSt. Thomas University State & Federal Advocacy Advocacy is defined as the act of supporting a cause in the pursuit of influencing an outcome. The most important part of being an advocate is awareness of the issues that are important (Webb, 2016). Nurses should always advocate for their patients so that they can get the best care possible. When making public policy decisions, I believe that there should be a panel of nurses to make decisions on the policies. I say that because nurses spend the of the time with the patients, even more time than the doctors. They fully know their patients and fully know what they need for excellent health care. Nurses should be involved when it comes to making public policies. Most of the time, the people that are making policies have no medical background. They are just going by what they think will work for the patient other than what is needed for the patient. Nurses have a lot of clinical experiences with patients and know what is best and what might not be beneficial for the patient. Nurses have the ability to change public policies to make it better for the patients. Some nurses might underestimate themselves thinking that their words might not count. If you don’t try to do something, then you will not know if there is a possibility that changes can be made. The nurses know what policies work and do not work when it comes to proper patient care. Families tend to tell the nurses all the economic problems that they are going through when it comes to paying for treatments. Advocacy actions that I might take to improve health care through legislation are through the educational system. Through lobbying for a sufficient number of school nurses in the primary and secondary school systems, nurses may affect the quality of healthcare. By stationing nurses throughout the different schools, primary care can start from there. This can improve healthcare a lot because the children will be educated on the different signs and symptoms to look out for. They can then turn around to help educate the older adults in their family. Another advocacy action that I can take is through healthcare. Patients are always looking for help when it comes to their healthcare. They want to know what the best action of treatment for them is. This is where nurses' advocacy can come in using their evidence base practice knowledge. The nurses can potential impact of the project on patient care could be described, including the length of time to receive services; concerns about scheduling problems; and project expected benefits such as improved patient care, quality outcomes, and patient satisfaction. Another way to learn how to talk to the legislative party. Some nurses are very timid when it comes to expressing their point of view. Nurses will need to know how to communicate with politicians and their workers. It's certainly a language different from the language nurses use at the bedside, tell. It takes practice to speak to politicians, and it is helpful to watch someone else do it efficiently (Fauteux, 2020). Nurses should always be involve in the politics of making policies that will give a better outcome to our patients. References Fauteux, N. (2020, August 17). Nurses: How to Advocate for Federal Policy Change. Campaign for Action. https://campaignforaction.org/nurses-how-to-advocate-for-federal-policy-change/. Webb, J. A. (2016, August). Our role as legislative advocates. NursingCenter. https://www.nursingcenter.com/journalarticle?Article_ID=3609094&Journal_ID=54013&Issue_ID=3609089.

Create a 10 slides PowerPoint presentation to educate others regarding the development of an operational budget and a capital budget. Be sure to include the following:Provide the process for developing an operational budget.Provide the process for developing a capital budget.Differentiate between the operational and capital budgets.Explain how the capital budget is required for strategic management.

Assessment 3  Policy Proposal Presentation Overview Record a slide presentation with audio voiceover, supported by 8–12-slides, for one of the stakeholder groups identified in your Assessment 2 Policy Proposal, which addresses current performance shortfalls, the reasons why new policy and practice guidelines are needed to eliminate those shortfalls, and how the group's work will benefit from the changes. It is important that health care leaders be able to clearly articulate policy positions and recommendations and garner buy-in and support from stakeholder groups for policy and practice changes in their organizations. Unfortunately, effective communication is often lacking. Consequently, it is important for health care leaders, when leading change, to ensure that clear and open communication is ongoing and informative. An important aspect of change leadership is the ability to address diverse groups of stakeholders and create buy-in and support for your ideas and proposals for change. This assessment provides you with an opportunity to demonstrate and hone these skills. Resources Strategic Planning Oliver, T. R. (Ed.). (2014). Guide to U.S. health and health care policy. Thousand Oaks, CA: SAGE Publications. Read Chapter 12, pages 157–164, which offers guidelines for the establishment and implementation of programs that provide the optimal environment for safe and effective patient care. van Bulck, H. (2015). Strategic business planning for small primary care practices in the affordable care era: A heuristic model. International Journal of Business & Public Administration, 12(2), 109–121. Terzic-Supic, Z., Bjegovic-Mikanovic, V., Vukovic, D., Santric-Milicevic, M., Marinkovic, J., Vasic, V., & Laaser, U. (2015). Training hospital managers for strategic planning and management: A prospective study. BMC Medical Education, 15, 1–9. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC435545... This article addresses key strategic issues; organizational mission, vision, and core values; and how an organization will achieve its goals. The success and sustainability of health care organizations is contingent on the strategic imperatives that will improve consumer confidence and ultimately gain the support of all stakeholders. This resource also presents solid examples of what success looks like in the current environment. SHOW LESS Change Leadership and Stakeholder Buy-In Cabassa, L. J., Gomes, A. P., & Lewis-Fernandez, R. (2015). What would it take? Stakeholders' views and preferences for implementing a health care manager program in community mental health clinics under health care reform [PDF]. Medical Care Research and Review, 72(1), 71–95. This article examines the differences in strategies used by different stakeholders and providers in communities and other organizations. Trastek, V. F., Hamilton, N. W., & Niles, E. E. (2014). Leadership models in health care – A case for servant leadership. Mayo Clinic Proceedings, 89(3), 374–381. This article covers the many competing stakeholders in health care and the importance of taking into consideration all who are affected by decisions. Vestal, K. (2013). Change fatigue: A constant leadership challenge. Nurse Leader, 11(5), 10–11. This article points to practical things a leader can do to ensure that change occurs, while also balancing the day-to-day process, and illustrates that change can be incremental. Building Buy-In and Communicating With Stakeholders. This multimedia activity enables you to walk through the preparation and communication steps that should be completed prior to delivering a presentation to a group of stakeholders. It also provides an opportunity to reflect on stakeholders' wants and needs, as well as how to craft a message that will resonate with specific stakeholders. Presentation Resources You are encouraged to take advantage of the following Kaltura and PowerPoint resources and tutorials, as needed. Conquering Death by PowerPoint: The Seven Rules of Proper Visual Design. This media presentation is a useful primer on presentation design. Approximate duration: 45:00. Creating a Presentation: A Guide to Writing and Speaking. This media presentation addresses the primary areas involved in creating effective audiovisual presentations. You can return to this resource throughout the process of creating your presentation to view the tutorial appropriate for you at each stage. PowerPoint Presentations Library Guide. This library guide provides links to PowerPoint and other presentation software resources. SoNHS Professional Presentation Guidelines [PPTX]. This slide presentation, designed by the School of Nursing and Health Sciences, offers valuable tips and links and serves as template that you may use to create a PowerPoint presentation. Using Kaltura. This Campus resource provides information and links about using this courseroom tool. Library Research Guide You may choose other resources to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The NHS-FP6004 – Health Care Law and Policy library guide can help direct your research. Assessment Instructions Record a slide presentation, with audio voiceover, for one of the stakeholder groups you identified in your Assessment 2 Policy Proposal. Inform the group of current performance shortfalls, introduce the proposed policy, explain why the policy is needed, and present policy-driven practice guidelines to resolve the performance issue. You must also obtain buy-in from the group by explaining the positive effects of the policy and practice guidelines on their work. Note: Remember that you can submit all, or a portion of, your draft presentation to Smarthinking for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Requirements The presentation requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for presentation format and length and for supporting evidence. Summarize your proposed organizational policy and practice guidelines. Identify applicable local, state, or federal health care policy or law that prescribes relevant performance benchmarks that your policy proposal addresses. Keep your audience in mind when creating this summary. Interpret, for stakeholders, the relevant benchmark metrics that illustrate the need for the proposed policy and practice guidelines. Make sure this is a brief review of the evaluation you completed in your Assessment 1 Dashboard Metrics Evaluation. Make sure you are interpreting the dashboard metrics in a way that is understandable and meaningful to the stakeholders to whom you are presenting. Explain how your proposed policy and practice guidelines will affect how the stakeholder group does its work. How might your proposal alter certain tasks or how the stakeholder group performs them? How might your proposal affect the stakeholder group's workload? How might your proposal alter the responsibilities of the stakeholder group? How might your proposal improve working conditions for the stakeholder group? Explain how your proposed policy and practice guidelines will improve quality and outcomes for the stakeholder group. How are your proposed changes going to improve the quality of the stakeholder group's work? How will these improvements enable the stakeholder group to be more successful? What evidence supports your conclusions or presents alternative perspectives? Present strategies for collaborating with the stakeholder group to implement your proposed policy and practice guidelines. What role will the stakeholder group play in implementing your proposal? Why is the stakeholder group and their collaboration important for successful implementation? Deliver a persuasive, coherent, and effective audiovisual presentation. Address the anticipated needs and concerns of your audience. Stay focused on key policy provisions and the impact of practice guidelines on the group. Adhere to presentation best practices. Proofread your presentation slides to minimize errors that could distract the audience and make it more difficult for them to focus on the substance of your proposed policy and practice guidelines.