Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.
PICOT Statement
Revise the PICOT statement you wrote in the Topic 1 assignment.
The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).
Research Critiques
In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.
Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.
Proposed Evidence-Based Practice Change
Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

For all assignments assume that you are the administrator of a fictitious organization of your choice.

The organization can be any type of health care organization such as a hospital, nursing home, rehabilitation center, clinic, etc. As the administrator, you are faced with the challenges of declining reimbursements from insurance providers and increasing demands for patient services due to dramatic changes in the external environment. Such changes include those imposed by the Patient Protection and Affordable Care Act.

Your first step in evaluating the position of your organization will be conducting an environmental analysis. The purpose of this is to determine your organizations ability to continue to provide quality care and remain financially solvent in the face of these challenges.

Determine two (2) specific forces in the external environment that will have the most impact on your organization. Provide a rationale for your decision.
Determine two (2) specific internal factors that the organizations leaders need to consider in preparing for the future of health care and the future of the organization. Provide a rationale for your decision.

Discuss the impact of both the identified internal and external forces on the organizations ability to develop a competitive strategy.

Recommend one (1) strategy that involves the organizations managers in implementing and maintaining the momentum of the strategic plan.

Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites to not qualify as academic resources.

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