PICOT Question and Literature Search The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem. For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments. Use the "Literature Evaluation Table" to complete this assignment. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study). The PICOT question will provide a framework for your capstone project. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Assessment 4: Strategic Plan Objectives and Balanced ScorecardCreate and record a 10-12-slide, executive-level presentation with notes of the SMART objectives corresponding to these elements of an organization:Main strategies.Associated performance indicators and metrics.Strategic plan recommendations.Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.The successful implementation of a strategic plan requires effective communication and a thorough understanding of not only the role of the organization within the greater community, but also the role of leadership within the organization. By effectively engaging stakeholders and understanding the philosophy of strategic management, leaders can mitigate challenges and hurdles that face those directing change.This assessment provides an opportunity for you to create an executive-level presentation explaining how SMART objectives underlying each organizational strategy can help the organization successfully implement its strategic plan. Then, after sharing the key performance indicators you developed from the strategic plan, you will use this balanced scorecard to make recommendations to revise the strategies you developed in Assessment 3.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:Competency 1: Analyze organizational structure, design, culture, and climate in relation to environmental forces.Analyze potential long-term opportunities and operational components in the strategic planning process.Competency 2: Develop a strategic organizational plan that provides human and financial resources to support targeted organizational outcomes.Present operational recommendations and strategic control mechanisms, including goals, objectives, resources, and action steps.Define critical success indicators that allow an organization to measure success in implementing a strategy.Analyze the effect of strategy formulation on human, financial, and technical resources.Competency 3: Recommend an organizational structure and design to optimize a strategic plan.Propose a strategic plan to optimize outcomes and mitigate risks in an organization.Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration.Create a visually pleasing, professional presentation tailored to a specific audience that uses charts and/or images that support the content.Communicate critical content clearly and persuasively in a limited time.Note: Complete the assessments in this course in the order in which they are presented.PreparationUse SMART Objective Setting Guide [DOCX] to complete the assessment.To prepare for the assessment, begin by reviewing your four recommended strategies. Then, using the SMART Objective Setting Guide, create a minimum of three SMART objectives for each strategy. These objectives will become the basis of your presentation and will ultimately help the organization achieve the strategic direction you have recommended.In addition, you may wish to review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.Note: Remember that you can submit all, or a portion, of your draft presentation to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan to use this free service, be mindful that the turnaround time to receive feedback is 24–48 hours.Recording Equipment Setup and TestingCheck that your recording equipment and software is working properly, that your audio recording quality is sufficient, and that you know how to record and upload your presentation. You may use Kaltura or other technology of your choice for your audio recording. You may also add audio directly to your slides, using PowerPoint or other presentation software.If using Kaltura, refer to the Using Kaltura for directions on recording and uploading your video in the courseroom.Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations.ScenarioIn your weekly one-on-one meeting, your manager congratulates you on the comprehensive and well-researched work you have done to date. The CEO has been working with the rest of the organization's leadership team to adopt the overarching strategies for the organization that your manager recommended. However, your manager and CEO are seeking clarification on how to translate these strategies into meaningful benchmarks, or performance measures. They want to know how the organization will measure progress in following these strategies. In previous discussions with your manager, you have been describing the SMART methodology for writing objectives that support the overarching strategies. She has asked you to share the SMART objectives you have written for each strategy with the CEO in a brief presentation.You are ready to begin creating your presentation and the slides that you will use to support your key points and conclusions. Your manager reminds you that the CEO expects a brief, substantive, and concise presentation. You will be lucky to get 15 minutes of the CEO's time. Consequently, she suggests that you include no more than 10–12 slides, or you will run out of time and cautions you about not creating a "death by PowerPoint" experience for the CEO. You already know from experience that your organization expects professional presentations that adhere to the organization's branding standards.RequirementsCreate an executive-level presentation with voice-over of the SMART objectives that correspond to the organization's main strategies, associated performance indicators and metrics, and strategic plan recommendations.Practice your presentation until you are satisfied with it, staying as close as possible to the limited time allotted. Remember that the audience is your organization's CEO. All the work you have done so far in this course has prepared you for this briefing, but you are ready.Presentation RequirementsThe requirements, outlined below, correspond to the grading criteria in the Strategic Plan Objectives and Balanced Scorecard Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.Present your operational recommendations and strategic control mechanisms.Include goals, objectives, resources, and action steps for reconfiguring and aligning the organization's structure, systems, shared values, management style, staff, and skills.Define critical success indicators that enable an organization to measure success in implementing the strategy.Propose a strategic plan to optimize outcomes and mitigate risks in the organization.Analyze potential long-term opportunities and operational components in the strategic planning process.Analyze the effect of strategy formulation on human, financial, and technical resources.Weigh factors of measurement against current organizational benchmarks.Create a visually pleasing, professional presentation tailored to a specific audience.Use charts and images that support the content.Communicate critical content clearly and persuasively in a limited time.Presentation Format and LengthYour presentation should consist of 10–12 slides and be 10–15 minutes in length. Use the notes portion of each slide to write your script. (The notes section is required).You may use the structure below as a guide for organizing and timing your presentation. You do not need to place your slides in this specific order.Slide 1: Title slide (15 seconds).Slide 2: Revised/updated vision, mission, and values from Assessment 3. (30 seconds).Slide 3: Gap analysis: desired versus actual position (1 minute).Slide 4: Recommend Overarching Strategy One with three objectives (2 minutes).Slide 5: Recommend Overarching Strategy Two with three objectives (2 minutes).Slide 6: Recommend Overarching Strategy Three with three objectives (2 minutes).Slide 7: Recommend Overarching Strategy Four with three objectives (2 minutes).Slide 8: Visual: Balanced scorecard table with 1–3 performance indicators and associated metrics (1 minute).Slide 9: Analysis (1 minute).Slide 10: Recommendation of new strategic plan strategies based on the balanced scorecard (1 minute).Slide 11: Overall recommendations/conclusions (1 minute).Slide 12: References.Include all relevant supporting details, such as data, charts, and graphs, as an addendum to the presentation. Indicate the slide associated with the relevant data set. In addition, include all relevant data and narrative in the notes section of each slide.Supporting EvidenceCite a minimum of six current scholarly and authoritative sources to support your presentation. Format your citations and references according to APA style and formatting guidelines.Additional RequirementsProofread your slides and addendum before you submit them to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your presentation.Portfolio Prompt: You may choose to save your presentation to your ePortfolio.esources: Key Performance Indicators (KPIs)Key Performance Indicators (KPIs)Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2018). Strategic management of health care organizations (8th ed.). Hoboken, NJ: Wiley. Chapter 9, “Value-Adding Support Strategies,” pages 359–398.Chapter 10, “Communicating the Strategy and Developing Action Plans,” pages 401–428.Balanced Scorecard Institute. (n.d.). Creating organizational strategic alignment. Retrieved from https://balancedscorecard.org/Resources/Cascading-...Balanced Scorecard Institute. (n.d.). What is strategic planning? Retrieved from https://balancedscorecard.org/Resources/Strategic-...Resources: Effective PresentationsEffective PresentationsThe following resources will help you create and deliver an effective presentation.Conquering Death by PowerPoint: The Seven Rules of Proper Visual Design.A video primer on presentation design.Approximate run time: 45:00.Creating a Presentation: A Guide to Writing and Speaking.This video 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.Microsoft Office Software.This site includes tip sheets and tutorials for Microsoft PowerPoint.Microsoft. (n.d.). Record a slide show with narration and slide timings. Retrieved from https://support.office.com/en-us/article/Record-a-...PowerPoint Presentations Library Guide.This library guide provides links to PowerPoint and other presentation software resources.SoNHS Professional Presentation Guidelines [PPTX].This presentation, designed especially for the School of Nursing and Health Sciences, offers valuable tips and links to create a presentation. In addition, the presentation serves as a PowerPoint template that can help you work in the program.Resources: Balanced ScorecardBalanced ScorecardGinter, P. M., Duncan, W. J., & Swayne, L. E. (2018). Strategic management of health care organizations (8th ed.). Hoboken, NJ: Wiley. Chapter 6, “Identifying Strategic Alternatives,” pages 205–258.Burton, D. A. (2015). 6 predictions for health care and population health. Healthcare Financial Management, 69(4), 58–63.Clarke, S. F. (2017). Strategic operational planning: Why healthcare organizations need to adopt this dual approach under population health management. The Journal of Medical Practice Management, 33(1), 15–18.Fry, A., & Baum, N. (2016). A roadmap for strategic planning in the healthcare practice. The Journal of Medical Practice Management, 32(2), 146–149.Hegwer, L. R. (2014). Digging deeper into data. Healthcare Financial Management, 68(2), 80–84.Malenko, N. (2014). Communication and decision-making in corporate boards. Review of Financial Studies, 27(5), 1486–1532.Meyer, C. K., Clapham, S. E., & Lemke, A. (2014). Strategic planning at UnityTrust Hospital. Journal of Business and Behavioral Sciences, 26(3), 112–126.Activity: Develop SMART ObjectivesDEVELOP SMART OBJECTIVESClick the linked Develop SMART Objectives title above to analyze a series of strategic organizational objectives and determine whether they meet the SMART criteria. This practice will serve you well as you complete Assessment 4.