Purpose

The Group Presentation is the final of the three assignments in this course. It builds upon and utilizes information gathered and reported in the first two assignments. The purpose of this assignment is two-fold: a) to provide a solution to a clinical problem using the EBP process, and b) to demonstrate presentation skills for a group of peers.

Course outcomes: This assignment enables the student to meet the following course outcomes.

CO 1: Examine the sources of knowledge that contribute to professional nursing practice. (PO 7)

CO 2: Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8) CO 3: Identify ethical issues common to research involving human subjects. (PO 6)

CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence-based practice. (POs 4 and 8)

CO 5: Recognize the role of research findings in evidence-based practice. (POs 7 and 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 240 points

Preparing the assignment (Online Students Only)

1. Follow these guidelines when completing this online assignment. Speak with your faculty member if you have questions.

a. Presentations will give a brief overview of the topic, followed by examples of how the topic influences or assists the nursing profession.

b. Each student will contribute two to three slides for the group presentation.

c. The final presentation will consist of 10–12 PowerPoint slides and may include handouts, if applicable.

Preparing the assignment (Campus Students Only)

1. Follow these guidelines when completing this on-campus assignment. Speak with your faculty member if you have questions.

a. Each group will have 15 minutes to present on their topic.

b. Presentations will give a brief overview of the topic, followed by examples of how the topic influences or assists the nursing profession.

c. Each student will have an opportunity to present (speak).

d. Each student will contribute two to three slides for the group presentation.

e. Students will be prepared to have 10–12 PowerPoint slides and may include handouts, if applicable.

2. Include the following sections: (

a. Content ( [All Students] 125 points/52%)

· Identification of problem and impact on nursing practice.

· Clearly describe the research process, including what went well, barriers encountered, and what is still needed.

· Correlates research findings to identified clinical issue.

· Summarizes validity of qualitative and quantitative evidence.

· Findings are clearly identified.

· Recommends practice change with measurable outcomes and addresses feasibility issues.

· Suggestions for implementation.

· Conclusion of content findings.

b. Delivery (40 points/17%)

(Online Students Only)

· Follows guidelines for a professional PowerPoint presentation. Speak directly with faculty for online Canvas submission process.

· Evidence of participation by all group members.

(Campus Students Only)

· Follows guidelines for a professional PowerPoint presentation.

· Verbal delivery with good volume, pitch, and inflection for all group members.

· Physical delivery with professional dress, good posture, facial expression with eye contact, and enthusiasm is present for all group members.

· All group members effectively use notes and do not read from slides.

· Participation by all group members.

c. Slide Presentation ( [All Students] 60 points/25% distributed as shown)

· Title slide including group members

· Introductory slide with the clinical problem

· Additional slides illustrating key points

· Conclusion slide

· Reference slide in current APA format

· Effective balance of color, graphics, words, and space

· Slide limit: 10–12, inclusive of introduction and references

***Optional handouts may be included to provide information for the audience to keep.

d. Peer Evaluation ( [All Students] 15 points/6%)

· Completed peer evaluation with respectful and constructive feedback.

· Equal work: Did equal share of work.

· Teamwork: Took the initiative in helping get the group organized.

· Communication: Provided ideas for the development of the presentation.

· Team membership skills: Assisted group members.

· Time: Met all deadlines.

For writing assistance, visit the Writing Center.

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module.

NR449 Evidence-Based Practice

RUA: Evidence-Based Practice Change Group Project Guidelines

NR449 Evidence-Based Practice

RUA: Evidence-Based Practice Change Group Project Guidelines

© 2021 Chamberlain University. All Rights Reserved

NR449_RUA_Group_Presentation_V2_JUL22 2

© 2021 Chamberlain University. All Rights Reserved

NR449_RUA_Group_Presentation_V2_JUL22 1

Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of Performance

Section not present in paper

Content

(125 points/52%)

125 points

110 points

100 points

50 points

0 points

Required criteria

1. Identification of problem and impact on nursing practice.

2. Clearly describe the research process, including what went well, barriers encountered, and what is still needed.

3. Correlates research findings to identified clinical issue.

4. Summarizes validity of qualitative and quantitative evidence.

5. Findings are clearly identified.

6. Recommends practice change with measurable outcomes and addresses feasibility issues.

7. Suggestions for implementation.

8. Conclusion of content findings.

Includes 8 requirements for section.

Includes 7 requirements for section.

Includes 6 requirements for section.

Includes 5 or less requirements for section.

No requirements for this section presented.

Delivery

(40 points/17%)

40 points

35 points

25 points

12 points

0 points

Required criteria (Online Students Only)

1. Follows guidelines for a professional PowerPoint presentation. Speak directly with faculty for online Canvas submission process.

2. Evidence of participation by all group members.

(Campus Students Only)

1. Follows guidelines for a professional PowerPoint presentation.

2. Verbal delivery with good volume, pitch, and inflection for all group members.

3. Physical delivery with professional dress, good posture, facial expression with eye contact, and enthusiasm is present for all group members.

4. All group members effectively use notes and do not read from slides.

5. Participation by all group members.

Includes 2 requirements for section. (online)

Includes 5 requirements for section. (campus)

N/A

Includes 4 requirements for section. (campus)

Includes 1 requirement for section. (online)

Includes 3 requirements for section. (campus)

N/A

Includes 2 or less requirements for section. (campus)

No requirements for this section presented. (online)

No requirements for section presented. (campus)

( NR449 Evidence-Based Practice RUA: Evidence-Based Practice Change Group Project Guidelines )

© 2021 Chamberlain University. All Rights Reserved

NR449_RUA_Group_Presentation_V2_JUL22 2

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of Performance

Section not present in paper

Slide Presentation

(60 points/25%)

60 points

53 points

47 points

23 points

0 points

Required criteria

1. Title slide including group members

2. Introductory slide with the clinical problem

3. Additional slides illustrating key points

4. Conclusion slide

5. Reference slide in current APA format

6. Effective balance of color, graphics, words, and space

7. Slide limit: 10–12, inclusive of introduction and references

***Optional handouts may be included to provide information for the audience to keep.

Includes 7 requirements for section.

Includes 6 requirements for section.

Includes 5 requirements for section.

Includes 4 or less requirements for section.

No requirements for this section presented.

Peer Evaluation

(15 points/6%)

15 points

13 points

11 points

6 points

0 points

1. Completed peer evaluation with respectful and constructive feedback.

2. Equal work: Did equal share of work.

3. Teamwork: Took the initiative in helping get the group organized.

4. Communication: Provided ideas for the development of the presentation.

5. Team membership skills: Assisted group members.

6. Time: Met all deadlines.

Includes 6 requirements for section.

Includes 5 requirements for section.

Includes 4 requirements for section.

Includes 3 or less requirements for section.

No requirements for this section presented.

Total Points Possible = 240 points

image1.png

Case Studies Rubrics

Evaluation Dimensions

Performance Rating Score Beginning 1-7

Performance Rating Score Competent 8- 14

Performance Rating Score Accomplished 15-20

Case-Study Component Areas

Identification of Issues

Does not recognize the problems or issues of the case, or identifies problems and issues that are not based on facts of the case; displays little understanding of the issues, key problems, and the company’s present situation and strategic challenges; executive summary does not present a clear overview of the case issues; main points are not outlined, or cannot be understood

With a few exceptions, identifies and outlines the principal problems and issues in the case; demonstrates an acceptable understanding of the company’s issues, current situation, and strategic challenges; executive summary provides an adequate overview of the case issues and problems; summary is missing a few minor points, but meets expectations

Presents accurate and detailed descriptions of the problems and issues central to the case; provides a well- focused diagnosis of strategic issues and key problems that demonstrates an excellent grasp of the company’s present situation and strategic challenges; descriptions are compelling and insightful; provides a thorough and effective executive summary

Connections to Theoretical and Empirical Research

Makes little or no connection between the issues and problems in the case and relevant theoretical and empirical research, or the connections identified are weak or inaccurate in many respects

Identifies and outlines connections between some of the issues and problems in the case and relevant theoretical and empirical research; the connections identified are adequately elucidated

Makes appropriate, insightful, and powerful connections between the issues and problems in the case and relevant theory and empirical data; effectively integrates multiple sources of knowledge with case information

Quantitative and qualitative Analysis and Evaluation

Simply repeats facts identified in the case and does not discuss the relevance of these facts; fails to draw conclusions, or conclusions are not

Provides an acceptable analysis of most of the issues and problems in the case; in most instances, analysis is adequately

Presents a balanced, in-depth, and critical assessment of the facts of the case in light of relevant empirical and theoretical research;

Case Studies Rubrics

Evaluation Dimensions

Performance Rating Score Beginning 1-7

Performance Rating Score Competent 8- 14

Performance Rating Score Accomplished 15-20

justified or supported; does not present relevant research or data; shows no critical examination of case issues

supported by theory and empirical data; appropriate conclusions are outlined and summarized

develops insightful and well-supported conclusions using reasoned, sound, and informed judgments

Action Plans Has difficulty identifying alternatives and appropriate courses of action; few if any alternatives are presented, infeasible actions are proposed, action plans are not supported, or actions do not address the key issues and problems in the case

Outlines and summarizes some alternative courses of action to deal with most of the issues and problems in the case; in most instances, proposed action plans are outlined, are feasible, and based on relatively sound theory and evidence

Effectively weighs and assesses a variety of alternative actions that address the multiple issues central to the case; proposes detailed plans of action; action plans are realistic and contain thorough and well- reasoned justifications

Evaluation of Consequences /risk identification

Displays limited awareness and/or understanding of the consequences of action plans; fails to identify implications and consequences of proposed action plans; identified outcomes do not follow from proposed action plans, or outcomes are not related to issues in the case

Demonstrates acceptable analysis of the results of proposed action plans; adequately outlines and summarizes the implications and consequences resulting from alternative courses of action; with a few minor exceptions, identified consequences of action plans are related to key issues in the case

Objectively and critically reflects upon alternative plans of action; effectively identifies, thoroughly discusses, and insightfully evaluates the implications and consequences resulting from the proposed action plans; identified consequences are tied to the key issues central to the case

Written Communication Skills

Displays inadequate organization and/or development making

Case analysis evidences satisfactory

Effective organization and development contribute to full

Case Studies Rubrics

Evaluation Dimensions

Performance Rating Score Beginning 1-7

Performance Rating Score Competent 8- 14

Performance Rating Score Accomplished 15-20

the case analysis difficult to follow; the written case analysis exhibits multiple errors in grammar, sentence structure, and/or spelling; unacceptable writing skills (e.g., weaknesses in language facility and mechanics) hinder readability and contribute to an ineffective case analysis

organization and development; the case analysis is readable and easy to follow with only a few lapses; uses good language conventions and mechanics with a few minor errors in spelling, grammar, sentence structure, and/or punctuation; case analysis meets expectations in this area

comprehension of written case analysis; readability is enhanced by facility in language use, excellent mechanics, and syntactic variety; uses language conventions effectively (e.g., spelling, punctuation, sentence structure, paragraphing, grammar, etc.)

PPT structure not very organized, didn't cover all areas for the case, format/font not easy to follow

Structure okay to follow, covers most of content areas, format/font is okay to read

Well organized including all parts such as introduction, body, analysis, recommendation and etc. Professionally formatted with size and align. Structured well.

Summary score

Instructions for how to write a business case Your case writing should be your original work, if you need to reference any data from outside resources and

you have to do list as references. Internet search for case solutions will not be allowed. Each case has its own individual aspect and it is unique. Any

plagiarism will lead to fail of the course. What is a 'business case'?

A business case is a scenario that gives you the opportunity to identify business issues, apply theory, analyze problems and recommend course of future action. Business case is based on real life but maybe fictional for some

Situations.

What is your role as an analyst?

In analyzing a case your role is to

• identify the problem(s) in the situation presented in the scenario • analyze the key issues within the context of theory presented in your case • develop and compare alternative solutions to the problems with qualitative and quantitative factors • analyze the advantages and disadvantages of various possible solutions • select the best solution and make recommendations for future action • write up your case analysis in appropriate case analysis report format.

Why are you asked to write case analyses? You are asked to write case analyses to enable you to demonstrate that you can apply conceptual frameworks from your course to real situations and integrate topics in your analysis.

Case analysis also enables you to improve your critical thinking and analytical abilities, your ability to evaluate sources of information and your written communication skills.

Case analyses can also be used in employment interviews to assess:

• how you think • how you structure problems • your ability to analyze, solve and recommend decisions

What are the stages in preparing a case analysis? There are a number of stages in preparing a case analysis. These are:

• understanding the case • identifying the core problem in the case • analyzing the issues in the context of a theoretical framework • exploring alternative solutions • analyze with qualitative and quantitative skills • choosing the best solution with best reasoning • making recommendations for action.

What do you need to do to understand the situation? You first need to identify factors of the case,the following questions can guide you in doing this.

• What is the mission of the company/organization? • Who are the "stakeholders" within the organization? • Who are the "stakeholders" or target groups outside the organization? • What is the formal decision making process in the organization? • What are the informal decision making processes in the organization? • What is the process of production or service delivery? • Who are the competitors? • What external factors impact on the organization? • What is the major problem? • What are subsequent problems and implications? • What is the role of management in relation to the problem? • What is the role of production/service providers in relation to the problem?

As you are reading you will also need to fill in gaps based on your knowledge of theory and of the world and ignore irrelevant details.

What are the steps in identifying the core problems? As you identify the facts of the case, you will begin to think about the problems and to decide which problems are core problems. In doing this you will need to

• distinguish between symptoms of the major problems and the major problems themselves • distinguish between immediate and longer term problems • find evidence to support your decision about what you believe to be the core problems.

What are the steps in analyzing the issues? As you identify the core problem(s), you will begin to analyze the issues underlying these problems. The following steps assist with this.

• Identify any bias in the way the case is described. • Classify the factors that influence the problem as internal or external to the organization. • Reflect on theoretical principles from your course that might explain aspects of the case. • Apply analytical models from your course to further illuminate /reevaluate the situation. • Identify the decisions that need to be made with both qualitative and quantitative supporting factors • Compare benefit/cost for possible solutions • Identify strategic issues. • Identify risk factors. • Identify historical precedents.

What are the steps in exploring alternative solutions? As you are analyzing the issues, you will begin to think about alternative solutions. You should:

• Consider decisions at individual and organizational levels • consider the long and the short term • define the alternative possible solutions • compare the alternative solutions in regard to *theoretical grounding, *strengths and weaknesses, *risk

factors.

How do you choose the best solution? As you explore the alternative solutions you will begin to decide on the best solution for the organization in solving its problems. It is important at this stage to provide a justification for the solution you choose. There will not be a single best solution, every analyst will recommend their best solution with their justification.

What are the steps in making a recommendation? When you have decided on the best solution, you will be able to make a recommendation or recommendations.

At this stage you should do the following:

• Express your recommendation(s) precisely with your best justifications • Ensure that your recommendations are complementary. • Ensure that it is feasible to implement the recommendations • Ensure to recommend for future action and risk analysis.

How do you present your case analysis?

Present your case in PPT format with the following framework as suggestions:

Title : Case name+ your name Introduction: Describe the situation and identify the main problems Body: Analyze the problem, weakness/strength, SWOT analysis, etc. Calculate/evaluate with theoretical support or quantitative reasoning Compare alternative solutions with risk factors Analyze benefit/cost for each recommendation Conclusion: propose the best solution Advise for future action

What makes a good case analysis? A good case analysis:

• clearly identifies the core problem(s) • provides a justification for the choice of core problem(s) • analyses the issues underlying the problem in terms of the relevant theory • uses appropriate terminology • justifies the alternative solutions in terms of appropriate theory with both qualitative and quantitative skills • justifies the choice of the best solution • presents feasible and complementary recommendations for implementing the best solution • is presented in appropriate report format.

Is there a best answer for a case analysis? There will not be a single best solution, every analyst will recommend their best solution with their justification. As in real life, there is more than one way to solve problems.

Are all case analyses similar? The general principles explained in this handout are relevant for all case analyses. However, there are some differences in requirements from one to the other.

Is the sample case provided perfect?

As we discussed, there is no single solution for any real life case. Case is always open to all possible outcomes. Please read above instructions and follow structure guidelines for each case. The sample case is not perfect and some factors have not been considered, but it will help you build an idea where to start.

Choice of Capital Structure

California Pizza Kitchen

Group#

Porter's Five Force Analysis

Problem Identification

Choice of Capital Structure Theory

Capital Structure Calculation & Analysis

Recommendation

Epilogue

CPK Background

CONTENT

2

Company Background • Company profile • Revenue resources and marketing expenses • Challenges and longer term outlook

CPK Background

l California Pizza Kitchen – Casual dining restaurant chain that specializes in California- style pizza

l Started in 1985 by defense attorneys Larry Flax and Rick Rosenfield ↘

Company Profile

l By 2007: 213 locations in 28 states and 15 international franchises in 6 foreign countries ( while sti l l California-centric, 41% of the US stores in California)

l In July 2007, CPK got --Profit over $ 6 million --Revenue growth with comparable restaurant sales up > 5% -- Conservative finance policy of avoiding debt financing

l Core customers: average household income of > $75,000

4

CPK Background

CPK derived its revenue from 3 resources

• Sales at company owned restaurant (500 units, main revenue resource)

• Royalties form franchised restaurant (Init ial payment of $50,000-$65,000 for each location opened and 5% gross sales)

• Royalties from a partnership with Kraft Foods(sell CPK-branded pizza in grocery stores)

Revenue Resources and Marketing Expenses

Marketing expenses

• 50% spent on menu-development costs

• 50% consumed by typical marketing strategies such as PR, direct mail, outdoor media.

• 1% of sales on advertising , far less than 3%-4% industry average, value word-of-mouth marketing

5

CPK Background

Some chal lenges restaurant industry face:

Increasing commodity prices (high gas prices)

Higher labor costs(minimum wage rate increased to $7.25 per hour from $5.15)

Deteriorating housing wealth

Intense interest in the industry by activist shareholders

CPK royalt ies increased 37% and 21% in Kraft partnership and franchises respectively, food, beverage costs remained constant at roughly 24.5%.

Labor costs of CPK declined from 36.6% to 36.3% of total revenues

CPK’s cl ientele average income is higher than other competitors, so less affected by decreasing housing wealth.

One force to push CPK to adjust i ts capital structure.

Challenges and Longer Term Outlook

Longer term outlook for overall restaurant demand – stronger 💪💪💪 A study by NRA projected customers would increase the percentage of food dollars spent on dining out from 45% to 53% by 2010.

1

2 3

4

↘ ↘

6

Porter's Five Force Analysis of Pizza Industry • General Industry information • Interpret CPK in each situation

Threat of New Entrants : Moderate • Low asset requirement; Lots of suppliers in this industry • Rising prices of food, the economies of scale, heavy competition • This puts CPK under constant pressure to differentiate over competitors

Threat of Substitute products: High • A lot of other fast food restaurants • CPK offers variety of foods in their menu and competitively price their food,

reduces the threat from substitutes.

Bargaining power of suppliers: Low • Most of the products supplied to the

restaurant are standardized • But in this case CPK requires higher

standard and special menus for different countries, CPK does not hold much power but it can still influence how suppliers operate.

Bargaining power of buyers: High • Consumers are very much

fragmented • Easy to switch

Rivalry: High

• Large numbers of firms in this industry, most firms compete for the same market.

• But CPK differentiated strategy and higher income core customers make its sales increase at a steady rate

Porter's Five Force Analysis of Pizza Industry

Problem Identification • Main task right now • Restrictions on the task

Problem Identification

l CPK’s stock had declined 10% to $22.1 per share. Is this an ideal time to repurchase shares?

l CPK plans to open 16 to 18 new locations in 2017. Funding CPK’s 2007 growth plan was anticipated to require $85 million. How to balance the funding of the expansion and recapitalization?

10

Choice of Capital Structure Theory • Trade Off Theory • Windows of Opportunity • Signaling Theory

Choice of Capital Structure Theory Trade Off Theory: Balance benefits and cost of leveraging

• Value of firm rises and WACC is reduced until BENEFITS >COSTS

• Benefits from tax shield VS cost of agency and financial distress

Currently: WACC= Re Taking leverage: WACC=Re*We + Rd*Wd*(1-T)

This is how we build our capital structure in different scenarios. 12

Choice of Capital Structure Theory Windows of Opportunity

• Managers try to time the market

• They issue debt when the stock market is low and when interest rate is low

• Investment opportunity set and reserve borrowing capacity

In this case, we want to time the market if our stock is undervalued and we also should maintain borrowing capacity when we have our expanding plan .

13

Choice of Capital Structure Theory Signaling Theory

MM assumed symmetry information, Signaling theory is about asymmetry information: Managers often have better information than outside investors

Issuing Debt ( Initial Signal) Not enough cash Taking debt because they are confident that future is positive Positive signal

Repurchase Stock: Stock is underpriced Positive signal

This is the signal we want to send by restructuring our capital. 14

Capital structure calculation & Analysis • Why we need to recapitalize ? • Method of calculation • Calculation process • Positive impacts • Negative impacts

Capital Structure Calculation & Analysis Why we need to adjust CPK capital structure?

Based on the 3 theories we are using in this case, we should take advantage of tax benefits by issuing debt to repurchase our stocks.

Our stock is undervalued. Our tax rate is 32.5%, tax benefits are important. CPK has growing sales. Borrowing capacity is $75 million under a low interest rate.

It sends good signals to the market. Please activist shareholders.

16

Capital Structure Calculation & Analysis Calculation Method in Exhibit 9

In Exhibit 9, the 10%, 20%, 30% is debt/ book value of capital, Debt is set first, and calculate the interest expense, get the NI. The market value of capital is calculated by current market value+tax shield-Debt, and then they get the market value of capital And then if we follow this method, we should calculate under different debt ratio, its price per share, which equals to current per share price + interest expenses/ current shares outstanding. And using debt/ new price per share, we get the numbers of shares repurchased. And leveraged beta , cost of equity, WACC will be calculated at last.

17

Capital Structure Calculation & Analysis Our way of calculation is based on the textbook, debt ratio is debt/ market value of capital, we calculate WACC first, estimate growth rate, determine the Corp value, calculate debt, shares repurchased and finally get the new stock price.

Currently is all-equity financed Current num. of shares outstanding: $29.13million Current per share price: $22.1 Current market value: $643.773 million Tax rate : 32.5% Unleveraged Beta: 0.85 Risk-free rate: 5.2% (30-year U.S. Treasury bonds in 2007)

Market return: 12.30% Risk premium: 7.1% g= 5.5% Rd=interest rate= LABOR plus 0.8%=6.16% (in the line of credit of 75 million) 18

Capital Structure Calculation & Analysis

Cost of equity

• Hamada’s Equation: leveraged beta = unleveraged beta*(1+(1-T)/(D/S))

• CAPM: r = rRF + (rM - rRF) * β

WACC= WdRd*(1-Tax) + We*Re

We set our debt ratio from 5% to 12%

Wd D/E Leveraged Beta Rd Re WACC

0% 0.00 0.85 6.16% 11.24% 11.24% 5% 0.05 0.88 6.16% 11.45% 11.18% 6% 0.06 0.89 6.16% 11.50% 11.17% 7% 0.08 0.89 6.16% 11.54% 11.16% 8% 0.09 0.90 6.16% 11.59% 11.15% 9% 0.10 0.91 6.16% 11.64% 11.14% 10% 0.11 0.91 6.16% 11.69% 11.13% 11% 0.12 0.92 6.16% 11.74% 11.12% 12% 0.14 0.93 6.16% 11.79% 11.11%

19

Capital Structure Calculation & Analysis

Wd D/E Leveraged Beta Rd Re WACC FCF(1+g) Corp.Value Debt $ Shares

Repurchased Stock Price $

0% 0% 0.85 6.16% 11.24% 11.24% 36920382 643773000 0 0 22.1

5% 5% 0.88 6.16% 11.45% 11.08% 36920382 661083215.4 33054160.77 1495663.383 23.92

6% 6% 0.89 6.16% 11.50% 11.05% 36920382 664657568.5 39879454.11 1804500.186 24.32

7% 8% 0.89 6.16% 11.54% 11.02% 36920382 668270783.5 46778954.85 2116694.789 24.74

8% 9% 0.90 6.16% 11.59% 10.99% 36920382 671923497.6 53753879.81 2432302.254 25.17

9% 10% 0.91 6.16% 11.64% 10.96% 36920382 675616362 60805472.58 2751378.85 25.61

10% 11% 0.91 6.16% 11.69% 10.93% 36920382 679350042.4 67935004.24 3073982.092 26.07

11% 12% 0.92 6.16% 11.74% 10.90% 36920382 683125219.3 75143774.12 3400170.775 26.55

12% 14% 0.93 6.16% 11.79% 10.87% 36920382 686942588.2 82433110.59 3730005.004 27.05

Debt ———————— current share price

(FCF(1+g)) ————— (WACC-g)

The debt is out of our line credit $75milion

Corp.value ———————— shares outstanding after repurchase20

Capital Structure Calculation & Analysis ROE measures a corporation’s profitability By revealing how much profit a company generates with the money shareholders have invested.

Debt/Market value of capital 0% 6% 8% 10% Formula

Interest rate 6.16% 6.16% 6.16% 6.16% Libour(5.36%)+0.8% Tax rate 32.5% 32.5% 32.5% 32.5%

Earnings before income taxes and interest 30,054 30,054 30,054 30,054 EBIT

Interest expense 0 2,457 3,311 4,185 Interest rate * Debt Earnings before taxes 30,054 27,597 26,743 25,869

Income taxes 9,755 8,958 8,680 8,397 Net income 20,299 18,640 18,063 17,473

Book value: Debt 0 39,879 53,754 67,935

Equity 225,888 186,009 172,134 157,953 Total capital - Debt

Total capital 225,888 225,888 225,888 225,888

Return on equity ( ROE) 8.99% 10.02% 10.49% 11.06% Net income/ Equity Return on capital ( ROC) 8.99% 8.25% 8.00% 7.74% Net income/Capital

Market value: Debt 0 39,879 53,754 67,935

Equity 643,773 39,531 30,159 20,581

Market value of capital 643,773 66,466 67,192 67,935

Price per share $22.10 $24.32 $25.17 $26.07 Shares repurchased ( thousands) 0 1804.5 2432.3 3074 Shares outstanding ( thousands) 29130 27325.5 26697.7 26056

Earnings per share (EPS) 0.70 0.68 0.68 0.67 Price to earning ratio 31.71 35.66 37.20 38.88 Price/ EPS

P/E ratio shows what the market is willing to pay today for a stock based on its past or future earnings. A low P/E might indicate that the current stock price is low relative to earnings which is undervalued.

21

Capital Structure Calculation & Analysis Positive impacts:

Huge tax shield from interests paid (10%, 1.36million)

Investors review the obligation that debt creates as a benefit. Debt is a disciplining force because it would motivate CPK to take fewer risks and focus on generating earnings to meet existing obligations.

Investors review CPK repurchasing stock as good signals.

Interest rates are currently low but projected to increase, so if we are going to borrow now is the right time.

22

Capital Structure Calculation & Analysis Financial leverage and financial risk

EBIT * 1.3 Debt/Market value of capital 0% 6% 8% 10%

Interest rate 6.16% 6.16% 6.16% 6.16% Tax rate 32.5% 32.5% 32.5% 32.5%

Earnings before income taxes and interest 39,070 39,070 39,070 39,070

Interest expense 0 2,457 3,311 4,185 Earnings before taxes 39,070 36,614 35,759 34,885

Income taxes 9,755 11,899 11,622 11,338 Net income 29,315 24,714 24,137 23,548

Book value: Debt 0 39,879 53,754 67,935

Equity 225,888 186,009 172,134 157,953 Total capital 225,888 225,888 225,888 225,888

Return on equity ( ROE) 12.98% 13.29% 14.02% 14.91%

EBIT * - 1 Debt/Market value of capital 0% 6% 8% 10%

Interest rate 6.16% 6.16% 6.16% 6.16% Tax rate 32.50% 32.50% 32.50% 32.50%

Earnings before income taxes and interest -30,054 -30,054 -30,054 -30,054

Interest expense 0 2,457 3,311 4,185 Earnings before taxes -30,054 -32,511 -33,365 -34,239

Income taxes 9,755 10,552 10,830 11,113 Net income -39,809 -43,063 -44,195 -45,352

Book value: Debt 0 39,879 53,754 67,935

Equity 225,888 186,009 172,134 157,953 Total capital 225,888 225,888 225,888 225,888

Return on equity ( ROE) -17.62% -23.15% -25.67% -28.71%

Negative impacts: Leverage comes with additional risk 23

Capital Structure Calculation & Analysis Negative impacts: Less financial flexibility

l CPK has a tradition of conservative financial policy based on its concern for maintaining staying power. Senior management may be leery of the benefits of leverage and tax-shield gains when contrasted with the cost of using up borrowing capacity for the future.

l By using debt capacity to repurchase shares, management restricts the funding of business growth to the level generated by the operations of the business, ROC. When debt ratio is 10%, ROC is 7.74%. The growth in new stores for 2007 was estimated at 16-18 on a base of 213 stores, representing a 7.5% to 8.5% expected growth rate. The 2007 capital expenditure was expected to be $85 million; Depreciation was estimated to be 36 million ( based on the three month in 2007 data in Exhibit 3).

l This means a $49 million increase in NPE ( net property and equipment ) on a book capital base of 225.9 million represents a 22% growth rate in total capital.

l The internally generated funding for growth will be adversely affected if the industry’ s economics deteriorate further and reduce ROC.

24

Recommendation

Recommendation for CPK l We recommend to lever up the business, not only pleasing influential

shareholders, it has more to do with the tax savings and the disciplining effects of taking on debt. We have already proven to the market that this business has a differentiating strategy, better performance than competitors during the challenging economic conditions, disciplined approach to growth, the strong cash flows and general stability of business situation from historical data shouldn’t hold us back from levering for a share repurchase.

l It’s reasonable to take on an additional 10% of debt which yield us a tax saving $1.36 million and boost our ROE to 11.06%. The debt will be around $68 million, still in the range of our credit of $75 million, and leave some room for future expanding business.

l We also recommend to re-evaluate the $85 million investment more carefully, though we are doing a good job now, the challenges of external factors still pose a threat and our recapitalization restraints on our financial flexibility.

26

Recommendation for CPK (Con't) l The whole industry is challenged by higher commodity prices, rising minimum

wage, higher energy prices, and eroding consumer discretionary income, but the long term prospects of our business look much better. To make sure that we are careful enough, maintain flexibility in the interim, we recommend them to check their debt structure on a quarterly basis once they make the decision to lever up. This will allow CPK to avoid a situation where they can’t invest in positive NPV projects, or get themselves into a situation facing the risk of bankruptcy.

l If they are to act on this idea, we believe they should act now. Access to low interest rates are not going to last much longer and they should lock rates in now before the market deteriorates further.

27

Epilogue • What happened in reality about CPK

recapitalization ? • CEO statement

Epilogue for case CPK February 01, 2008 08:55 AM Eastern Standard Time

LOS ANGELES--(BUSINESS WIRE)--California Pizza Kitchen, Inc. (NASDAQ:CPKI) today announced that it has entered into an agreement with Bank of America, N.A. to repurchase $46.3 million of its common stock in an accelerated stock repurchase program (“ASR”). The repurchase agreement is under the Company’s previously announced $50 million stock repurchase program authorized by its Board of Directors in August 2007. The Company currently has 28.9 million shares of common stock outstanding.

Rick Rosenfield and Larry Flax, co-CEOs of CPK stated: "Management and our Board are confident about the strength and long-term growth prospects of our Company. The ASR, in conjunction with our expanded credit facility, is an effective way for us to return capital to stockholders, leverage our balance sheet and reduce our overall cost of capital.” 29

Thank you.

30

Nurse Burnout

NR 449

Evidence Based Practice - March 2023

Professor Evelyn Burton

Identification of problem and impact on nursing practice.

Clearly describe the research process, including what went well, barriers encountered, and what is still needed.

Aaliyah Ward () - Aaliyah

Correlates research findings to identified clinical issue

Evidence suggests that nurse burnout programs can be effective in addressing nurse burnout:

Providing support systems, offering training programs to enhance coping skills, addressing the root causes of stress, and promoting work-life balance, can prevent nurse burnout (Cherovsky, 2020).

Summarizes validity of qualitative and quantitative evidence.

Qualitative & quantitative evidence assisted with the solution for Nurse Burnout research

Qualitative gathered the perspectives through discussion and identifying themes and patterns

Could be used for implementing nurse burnout program based on subjective information.

Though qualitative analysis was felt to be the best approach to address burnout, quantitative analysis could be used to implement a nurse burnout program based on objective data, such as:

Standardized assessments

Surveys

Health records of nurses experiencing burnout vs. nurses who do not experience burnout.

Findings are clearly identified.

Nurse burnout has been prevalent in the healthcare profession. This outcome has been identified through cross-sectional studies utilizing Maslach Burnout Scale (Dall’Ora et al.,2020). The results suggested increase workload, inadequate staffing, poor work climate, and low rewards were some of the indicators mentioned in the study.

With these results, nurses demonstrate a decrease in job performance, inadequate decision making skills, delivered poor quality of care to patients, medication errors, infections and reduced patient safety (Dall’Ora et al., 2020). Poor leadership and negative nurse-physician relationships are other effects associated with nurse burnout.

There are many other findings associated with nurse burnout. This condition has been recognized as a real concern for the healthcare community. Nurse burnout causes negative outcomes related to depression, emotional exhaustion, and compassion fatigue (Dall’Ora et al., 2020). It is imperative for nurses to receive the care they require psychologically, so that they are able to provide adequate care to clients.

Recommends practice change with measurable outcomes and addresses feasibility issues.

Managers must control the resources required for nurses to complete their job efficiently on a daily basis (Dall’Ora, et al., 2020).

Rewards is an incentive employers can offer to their employees on a quarterly basis (Dall’Ora, et al., 2020).

Administrators and managers must determine a workload that is practical for nurses to provide adequate care to clients within a sufficient time, usually a week prior to assess adequate staffing (Dall’Ora, et al., 2020).

Weekly staff meetings with employees to address concerns by nurses should be conducted to discuss emotional concerns leading to implications associated with nurse burnout, during this time nurses must be provided with resources to assist with emotional exhaustion.

Quarterly funding should be allocated by the organization for nurses and managers to access for psychological assistance and recreational activities for motivational support.

According to Dall’Ora et al., (2020), six dimensions that affect nurses work performance associated with nurse burnout must be addressed to improve workload, control over resources, reward, community involvement from other nurses, fairness, and values are leading causes of emotional exhaustion. The feasibility for nurses to access the resources required to provide adequate care to patients is essential, and should be readily accessible from the organizational policies and regulations which need to state beneficial information on staffing and managing requirements. Nurse burnout develops in a few ways, excessive job demands and limited resources leading to both exhaustion and disengagement with employees (Dall’Ora et al., 2020).

Suggestions for implementation.

One must raise concerns about fatigue before patient safety is endangered

Need to evaluate the decision to work if insufficiently rested

When working extended schedules, nurses are required to notify their supervisors

Have an ethical obligation to practice safely and must uphold their obligation to arrive at work well-rested and prepared to provide patient care (Dorrian et al., 2006)

Should evaluate the impact of multiple workloads and work environments on fatigue levels and limit the number of overtime hours they agree to work (Carayon, P., & Gurses, A., 2008)

Should identify and work the schedule that is most compatible with their circadian rhythm

Needs to develop support networks (Jennings, 2008)

Discuss with coworkers methods to deal with the difficulties of shift work

Assist colleagues by monitoring for symptoms of drowsiness

Apply new techniques that promote sufficient time for relaxation away from work between shifts

Conclusion of content findings.

References

Cherovsky, E. (2020). Nursing burnout – mitigating the impact and creating a resilient

nursing workforce. California State University, Sacramento. Retrieved from

https://www.proquest.com/openview/69a276eba53b29a6abba13a8581d01d8/1?pqorigsite=

gscholar&cbl=18750&diss=y

Dall'Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Human resources for health, 18(1), 41. https://doi.org/10.1186/s12960-020-00469-9

Dorrian, J., Lamond, N., Van Den Heuval, C., Pincombe, J., Rogers, A. E., & Dawson, D. (2006). A pilot study of the safety implications of Australian nurses’ sleep and work hours. PubMed. https://doi.org/10.1080/07420520601059615

Carayon, P., & Gurses, A. (2008). Nursing Workload and Patient Safety—A Human Factors Engineering Perspective. PubMed. https://pubmed.ncbi.nlm.nih.gov/21328758/

Jennings, B. M. (2008, April 1). Work Stress and Burnout Among Nurses: Role of the Work Environment and Working Conditions - Patient Safety and Quality - NCBI Bookshelf. Work Stress and Burnout Among Nurses: Role of the Work Environment and Working Conditions - Patient Safety and Quality - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK2668/

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