RE: Paper 2025

Select one public policy that currently is impacting you and your practice. Consider the following: What health care driver was the policy designed to address: cost, quality, access, or a combination? Does the policy appear to be achieving its intended results? On what data are you basing your assumption? What have been the effects (adverse or positive) of this policy on health care cost, quality, and access? How is this policy affecting your nursing practice? Next, select a health care issue—something you see or experience on a daily basis—about which you would like to influence a practice change through the policy process. Review the Learning Resources, focusing on Kingdon’s Model. How would you utilize this model to guide your policy development? By Day 3 Post a brief description of a public policy that is having an impact on your practice; summarize your analysis of the policy using the bulleted list above as a guide. Then, summarize the issue you would like to influence though a change in public policy, and outline how you would utilize Kingdon’s Model to guide your policy development. Part Two will have approximately 3–4 pages of content plus a title page and references. Part Two will address the following: Explain whether your proposed policy could be enacted through a modification of existing law or regulation or the creation of new legislation/regulation. Explain how existing laws or regulations could affect your advocacy efforts. Be sure to cite and reference the laws and regulations using primary sources. Provide an analysis of the methods you could use to influence legislators or other policymakers to support your policy. In particular, explain how you would use the “three legs” of lobbying in your advocacy efforts. Summarize obstacles that could arise in the legislative process and how to overcome these hurdles.

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I only need and outline of this information below Final Paper Preparation Review the instructions for your Final Paper located in Week Six of your online course. As part of your Final Paper, you are asked to research and identify solutions implemented at five other hospitals in the U.S. that were dealing with the same issues. Create an outline illustrating five solutions implemented at five other hospitals, including key details. Use the “Guide to Creating an Outline” for assistance. Your outline must be formatted according to the guidelines as stated in the Ashford Writing Center . Your paper must be two to three double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center . Including the textbook, utilize a minimum of five scholarly and/or peer-reviewed sources from the Ashford University Library published within the last five years. Document all references in APA style as outlined in the Ashford Writing Center APA Checklist . Ashford General Hospital is a 263-bed regional hospital located in California, serving its community for more than 50 years. The hospital maintains the only 24-hour emergency department in the area and an “extended hours” urgent care clinic. Similar to other hospitals in the United States, Ashford General Hospital is encountering a nursing shortage. Sixty-eight percent of the nursing staff is over the age of 45, facing retirement. The retention rate on nurses is 61%, compared to 65% nationwide. Many of the nursing staff find the work too physically demanding and have a feeling of emotional burn-out as well. In the past two years, the hospital has used both per diem nurses and traveling nurses who sign short-term contracts to fill individual shifts and accommodate short-term staffing needs arising from staff vacations or medical leaves. This has not only driven up personnel costs but also resulted in lower scores on patient satisfaction surveys. Ashford General Hospital faces significant challenges in nurse staffing ahead as it grapples with these issues, and the hospital board is very concerned. They know there must be some changes made in order to prevent a major financial and human resources crisis in the future. As the newly hired CEO, you are asked to present a proposal in the next board meeting. For your Final Paper, you will create a 10 to 15 page proposal (excluding title and reference pages) for the Ashford General Hospital Board of Directors. In your proposal, you will: Include an executive summary. Research and describe solutions implemented at five other hospitals in the US that were dealing with these same issues. Based on your research, describe two solutions that are the most viable for Ashford General Hospital to implement within the next two years. Create a total of two stakeholder group analyses for two solutions you select. Each analysis should include at least five stakeholder groups involved (e.g. patients, hospital executive administration, accounting, Human Resources (HR), marketing, third-party payers, etc.). As part of your analysis, address the following questions: Who is impacted? What change processes may be required? What fiscal impact would occur? What are the ethical, legal, and diversity risk factors involved? Based upon the stakeholder group analyses, recommend the best solution for Ashford General Hospital with detailed justification. Explain why you feel it is the most viable and appropriate solution given the financial impact, HR issues, and interpersonal dynamics of hospital personnel, cultural shift, and change management.

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