Evidence-based practice has be assisting in simplifying this process. Communication strategy include these 9 steps to effective strategic planning: map the present situation; talk to key stakeholders; future state vision; prioritize vision elements; develop actionable objectives; develop and prioritize potential strategies and tactics; define metrics; timelines and responsibilities; develop strategic and tactical plans; and finally execute the plans into action ( Melcrum Smarter Internal Communication, n.d.). Nurses can influence access to appropriate, efficient, and effective quality care as well as assist in managing healthcare cost, access, and quality care outcomes based on the fact that nurses have the clinical experiences from real life examples to illustrate the needs of patients and outcomes of public policy on patient morbidity and mortality (Maryland & Gonzalez, 2012). Collaboration is an extensive part of the relationship between the nurses and the rest of the medical team. Mccomas (2012) further emphasized health professionals working collaboratively as integrated teams draw on individual and collective skills and experience across