Discuss PEST analysis. What does the acronym PEST stand for? Is it used for internal or external analysis during strategic planning? Imagine you are doing strategic planning on behalf of a $120-$bed nursing home that is certified for Medicare and Medicaid, has reasonably good survey results from the state licensing oversight agency, and about average turnover but facing staffing shortages, especially in the nursing and nurse aide staff. Name four trends $-$ one example each of a trend that illustrates each of the letters of the PEST analysis $-$ and state why it is important to strategic planning and how it might impact this organization.