Friday, October 18, 2019
Oil Price Fluctuations Case Study Example | Topics and Well Written Essays - 3000 words
Oil Price Fluctuations - Case Study Example During 2008 world witnessed the growth in the prices of crude oil reaching a new high threatening the world economy at large, thanks the financial crisis, the recession has brought it down again. It may be exaggerated that increase and decrease in the oil price effects the world economy which is makes it necessary to study its impact on the world economy and how it effects the alternative energy resources. OPEC reports that the recent surge in the oil prices occurred at the time when there was absolutely no shortage of oil at all. The price upsurge accompanied with volatility has been recognized in all commodity groups including energy, metal or agricultural products with prices doubled since 2005. OPEC reports that it has increased the supply of crude oil by 4 mb/d since 2003 and further increased it by more 1 mb/d with absolutely no shortage of crude oil in the market. (World Oil Outlook, 2008)1 Many elements have led to this volatility in crude oil prices. Keeping aside the demand and supply elements, fluctuations in the dollar value has been the main cause for increase in the prices of crude oil. ... Some factors that have helped the price upsurge include US occupying Iraq, Saudi Arabia being attacked by terrorist temporarily affecting oil supplies, speculative investments by financial investors.3 Decline in OPEC's Surplus Oil Production Capacity Increases in global demand for the crude oil have forced the oil producing nations to produce more crude oil in order to meet the demands. The above figure shows that there has been drastic decline in the oil production of OPEC countries; this demand/supply factor is the main reason for increase in crude oil price touching $140 per barrel.(Hiromi Kato, 2005)4 As per the BPs Statistical Review of World energy for the year 2007, it is revealed that demand for the world touched 83.7 million barrels/per day or 3.9 billion tons/year which is equal to five times the annual household water consumption. The above figure shows that the increasing demand has led to upsurge in crude oil price which rocket from mid 2005 till 2008. As per the figure, oil price didn't had any upsurge till late 2000 but due to increased demand in Asian countries, the crude oil price escalated. Trends in Oil Prices Roncaglia using Hotelling theory explains that the equilibrium price of the scarce resource net of extraction costs rises over time at the rate that is equal, year after year, to the interest rate.5 It is understood from this statement that price of the scarce commodity increases at the rate year after year with the added interest rate. The crude oil is an important ingredient in the growth of world economy. It is learnt that commodity traders are responsible for oil prices who bid on oil futures contracts by looking into current supply of oil in terms of output, oil
Thursday, October 17, 2019
Domestic holidaying in the USA Essay Example | Topics and Well Written Essays - 250 words
Domestic holidaying in the USA - Essay Example The other top destinations are the famous Walt Disney World in Orlando. There you can enjoy the magical realm of Disney World with its Theme Parks and Water Parks. Portland Oregon is known for it fresh air and is home to the world renowned International Rose Test Garden where you can treat your senses to 7,000 rose plants (Parks & Gardens â⬠¦). There is the White House in Washington, home of the President of the United States. Lake Tahoe borders Nevada and California where you will find the City of San Francisco, known for its famous Golden Gate Bridge and Hollywood with its famous Hollywood hotel and the Sunset Strip which emphasizes its movie stars and mansions. Finally, you can enjoy the Bar Harbor Maine in New England, The Grand Canyon in Arizona and Savannah Georgia in the State of Georgia. Works Cited ââ¬Å"Parks & Gardens in Portland Oregon.â⬠travelportland.com. travelportland. (n.d). Web 9 Feb 2011 ââ¬Å"Ten Must Visit Cities in the United States.â⬠hubpages. com. hubpages. (n.d.). Web 9 Feb 2011 ââ¬Å"The Official Guide.â⬠nycgo.com. nycgo. (n.d.). Web 9 Feb 2011
Analysis of Grounding for the Metaphysics of Morals by Kant Emmanuel Research Paper
Analysis of Grounding for the Metaphysics of Morals by Kant Emmanuel and James W Ellington - Research Paper Example Time was of the essence as the womanââ¬â¢s condition continued to deteriorate despite the application of certain remedial measures. According to standard practice, the doctors required the assent of the next of kin in order to perform the dangerous experiment. After several futile attempts to contact the family members, the doctors decided to proceed with the abortion with the intention of rescuing the life of the mother. The operation went on successfully as the fetus was aborted. However, both the woman and her family members expressed their disappointment in the loss of the child and vowed to sue the doctors and the hospitals for what they deemed as professional negligence. Attempts by the hospital administration to explain the difficult situation in which the doctors found themselves failed to calm down the irate family members. According to their culture, abortion is a taboo and should not be performed under all circumstances. The family members implied that they would have p referred the woman to die in her own efforts to give birth rather than performing an abortion. The issue elicited sharp responses on both sides of the abortion debate. Much of the arguments were focused on the moral question of rescuing a mother in danger and the necessity of performing an abortion that led to the death of the child.à In the Grounding of Metaphysics of Morals, Emmanuel Kant expounds on his philosophical perspective on the principles of morality by providing specific frameworks about the nature of morality. Kant makes a significant effort in replacing the cultural assessment of moral principles by his alternative perspective that is grounded in logic (Kant and James 40). He seeks to provide critical tools for use in certifying certain actions as moral by basing them measuring them against consequences and motives. According to his position, actions can only be described as moral if indeed some specific moral laws motivated them.Ã
Wednesday, October 16, 2019
Domestic holidaying in the USA Essay Example | Topics and Well Written Essays - 250 words
Domestic holidaying in the USA - Essay Example The other top destinations are the famous Walt Disney World in Orlando. There you can enjoy the magical realm of Disney World with its Theme Parks and Water Parks. Portland Oregon is known for it fresh air and is home to the world renowned International Rose Test Garden where you can treat your senses to 7,000 rose plants (Parks & Gardens â⬠¦). There is the White House in Washington, home of the President of the United States. Lake Tahoe borders Nevada and California where you will find the City of San Francisco, known for its famous Golden Gate Bridge and Hollywood with its famous Hollywood hotel and the Sunset Strip which emphasizes its movie stars and mansions. Finally, you can enjoy the Bar Harbor Maine in New England, The Grand Canyon in Arizona and Savannah Georgia in the State of Georgia. Works Cited ââ¬Å"Parks & Gardens in Portland Oregon.â⬠travelportland.com. travelportland. (n.d). Web 9 Feb 2011 ââ¬Å"Ten Must Visit Cities in the United States.â⬠hubpages. com. hubpages. (n.d.). Web 9 Feb 2011 ââ¬Å"The Official Guide.â⬠nycgo.com. nycgo. (n.d.). Web 9 Feb 2011
Tuesday, October 15, 2019
Global Warming Essay Example | Topics and Well Written Essays - 1000 words - 6
Global Warming - Essay Example Scientific reports claim that the very origin of global warming was somewhere in mid-20th century. They argue that that during and around 1970s, environmental degradation was on the rise. The rise in degradation resulted in huge concentration of carbon in the atmosphere which eventually rose into a universal issue. With different agencies and organizations such as United Nations Environmental Program and Intergovernmental for Climate Change all scrambling for the publicity brought about by global warming, the issue soon scaled to an international problem. Skeptical science, however, disagrees with this claim, arguing that environmental degradation and global warming are natural and can only be stopped through natural practices.Scientific reports claim that the very origin of global warming was somewhere in mid-20th century. They argue that that during and around 1970s, environmental degradation was on the rise. The rise in degradation resulted in huge concentration of carbon in the a tmosphere which eventually rose into a universal issue. With different agencies and organizations such as United Nations Environmental Program and Intergovernmental for Climate Change all scrambling for the publicity brought about by global warming, the issue soon scaled to an international problem. Skeptical science, however, disagrees with this claim, arguing that environmental degradation and global warming are natural and can only be stopped through natural practices.Ã Media, organizations and agencies use conflicting ideas. The conflicting ideas merge into one to create a problem. Giving different data about the same information all from reputable sources, for instance stirs restlessness. People tend to look for more information in this case. In the midst of the confusion of looking for a new idea, people easily believe whatever is talked more about and that has direct effects on them. For instance, as the IPCC report 2013 claim that global warming reduced amicably, skeptica l science argues that the decade between 2000 to2009 was the hottest. People believed IPCC since the arguments from skeptical science did not directly affect their health.Global warming can just be an avenue through which the whole environmentalists strive to keep standard environmental conditions.Ã
Mercantilist Relationship Between the American Colonies and the British Government Essay Example for Free
Mercantilist Relationship Between the American Colonies and the British Government Essay Mercantilism is an economic policy and theory where the government has complete control of trade, both foreign and inside boundaries. This policy was dominant during the 16th, 17th, and late 18th centuries, it demanded a positive balance of trade between the countries it was involved with. There were many policies that were within the theory based upon mercantilism including, building a network of overseas colonies and forbidding them to trade with other nations, forbidding trade to be carried in foreign ships, export as a trade barrier using domestic goods and services competitive against imports, and restricting domestic consumption with non-tariff barriers to trade. The British government established a mercantilist relationship with the American colonies that was to its benefit until 1763 and then the relationship no longer was of economic benefit to the British crown. Prior to 1763 the colonists had no choice but to go along with Parliaments right to take actions on their behalf and the predominance of Britains economic benefits over their personal ones. Seven Years War was the war that altered the parliaments actions, had been intended to regulate trade and nothing else, Parliaments arrangements began to conflict with the colonists interests. This caused the colonies to grow and thrive, by the time the British realized this Americans had already established lucrative trade with other countries. Britain became more aware of this growing ââ¬Å"problemâ⬠and began to keep a close eye on the colonies and implemented regulatory policies, the British instituted a series of laws of trade and navigation known as the Navigation Acts. The purposes of these acts were to limit colonial trade to the British only. For this to be accomplished all trading to be done involving the colonists was to be on either English vessels or colonial-built vessels, therefore, if colonists planned to trade with other nations all of their goods had to first be shipped to England. This gave the British the chance to get a hand on the items being traded and to collect revenue from taxation before the products were traded. Another limitation that was set on the colonies was that in order to trade products such as tobacco, sugar, and cotton it had to be done with the British only. When the British would notice the colonies beginning to make profit they would add the product that was causing the increase in revenue to the list of products only to be traded with them. Although there were many restrictions placed upon the colonies, they did not cause as much damage as Britain may have hoped. Benjamin Franklin answered when asked, ââ¬Å"I have never heard any objection to the right of laying duties to regulate commerce; but a right to lay internal taxes was never supposed to be in Parliament, as we are not represented thereâ⬠. There were even some benefits even to having these regulations, such as a built in market for raw products that they had and the British did not rigidly enforce the trading regulations that were set. Following Great Britainââ¬â¢s achievement of French territory in North America after the end of the French and Indian War allotted the Proclamation of 1763 in October of 1763. The purpose of the proclamation was to establish Britainââ¬â¢s new North American Empire and to stabilize associations with Native North Americans through regulation of settlement, trade, and land purchases. The proclamation kept certain lands for the Indians and prevented the colonies from settling inland. The colonies wished to expand their territory inlands but with the Proclamation of 1763 they were unable to do so, causing massive amounts of interest conflicts. The British seemed to be enforcing this proclamation more so than any other laws placed on the colonies before. Troops were stationed along the frontier to give the colonistsââ¬â¢ no control over attempting to expand their population inland. The colonies feared for overpopulation and crowded cities along the coastline. It appeared that the break down of this mercantilist relationship between the United States colonies and Britain along with the split of America from the British Empire was unavoidable. Before the French and Indian war, Britain was having a hard time keeping up with and maintaining regulations that they had placed upon the colonies. The trade laws were inadequately implemented and the colonies were able to go about their own political and economic systems independently. But, with the close of the war Parliament concluded the time of this neglect of enforcement and became more dominate with the colonies in order to reestablish complete control over their trade. Pervious laws that were established to benefit Britain were enforced harshly and new laws were also applied to further benefit the British. This led to animosity between Britain and the colonies because the colonies experienced economic independence for too long a period causing the colonists to have no desire to return to how things used to be. The aggressive application of the Navigation Act to the colonists subdued their manufacturing operations and increased resentment against the British Parliamentary. The severe enforcement of these laws led to inflation and alienation in the colonies, neither of which benefited the British Empire. During this time of strict enforcement there were many more laws and acts placed upon the colonies to restrict their trade and growth. Parliament passed the Sugar and Molasses Act trying to bring the colonies in line with regard to payment of taxes. The Sugar Act reduced the rate of tax on molasses and listed more foreign goods to be taxed including coffee, wines, sugar, and various other goods. The tax on caused the instantaneous deterioration in the rum industry in the colonies. This interrupted the economy in the colonies because it reduced the markets to which the colonies could sell and the amount of currency available to them for the purchase of British manufactured goods. This act, and the Currency Act, set the stage for the revolt at the imposition of the Stamp Act. The Stamp Act of 1765 was a direct tax on documents and articles, this act directly affected all colonists. The law required a stamp to be placed on all printed materials, including legal documents, almanacs, pamphlets, and newspapers. Although this affected all colonists, lawyers, clergymen, and printers felt the wrath of this act the most. Benjamin Franklin stated ââ¬Å"There is not gold and silver enough in the colonies to pay the stamp duty for one year. The before and after of this act set in stone the perceived idea that the mercantilist benefits of the relationship between the colonies and Britain may have run its course. After debate about the collection of taxes due to the Stamp Act was the Quartering Act of 1765. The Quartering Act was part of the intolerable acts; the purpose of this act was only to take back hold of the colonies. The act violated the Bill of Rights, which forbids taxation without representation and the raising or keeping of a standing army without the consent of Parliament; colonies disputed the legality of this Act. In his first speeches in Parliament, Camden said, ââ¬Å"taxation and representation are inseparable; this position is founded on the laws of nature; it is more, it is itself an eternal law of nature; for whatever is a mans own, is absolutely his own; no man has a right to take it from him without his consent, either expressed by himself or representative; whoever attempts to do it, attempts an injury; whoever does it, commits a robbery; he throws down and destroys the distinction between liberty and slavery. Taxation and representation are coeval with and essential to the constitutionâ⬠¦Ã¢â¬ If the soldiers outnumbered the housing available the colonies were expected to pay the cost of housing and feeding the troop, after the arrival of the troops New York refused to pay for supplies causing the troops to have to stay aboard their ships. Even after attempts to revise the Stamp Act, New York still resisted which led to the repeal of this act and the Stamp Act. With no doubt it seemed that violent hostility would prevail even with any effort to change the Acts making it almost impossible for Britain to establish any hope for a beneficial relationship with the colonies. The steady resistance to the Stamp Act led to it being repealed, which cost the British, ââ¬Å"Suppose a military force sent into America; they will find nobody in arms; what are they then to do? They cannot force a man to take stamps who chooses to do without them. They will not find a rebellion; they may indeed make one. â⬠This repeal showed the colonists that their resisting the act worked and would put fire to their future revolts considering this worked for them. The British were losing money now and the colonies did not seem to be hurt as badly as would have been hoped by the British. To down play the win that the colonies had just accomplished Parliament set out another act, the Declaratory Act, to serve as a punishment. The Declaratory Act asserted that Parliament had, hath, and of right ought to have, full power and authority to make laws and statutes of sufficient force and validity to bind the colonies and people of America in all cases whatsoever. In the context and the word choice in which this was written shows that the act was intentionally clear-cut and to the point. Parliament had the upper hand and the absolute power to make laws and changes to the colonial government, in all cases whatsoever. Caught up in attempting to strip the colonies of their freedoms in order to prevent them from creating a profit, the British were losing money and quite frankly, running out of it. In one final attempt to gain back control of the colonies and make their relationship work Parliament passed the Townshend Act. A colonist identified as Brutus argued against that assumption, stating, ââ¬Å"Nothing can be more flagrantly wrong than the Assertion of some of our mercantile Dons. John Hancock adds, ââ¬Å"Taxes equally detrimental to the commercial interests of the Parent country and the colonies are imposed upon the People, without their consent; Taxes designed for the Support of the Civil Government in the Colonies, in a Manner clearly unconstitutional, and contrary to that, in which till of late, Government has been supported, by the free Gift of the People in the American Assemblies or Parliaments; as also for the Maintenance of a large Standing Army; not for the Defiance of the newly acquired Territories, but for the old Colonies, and in a Time of Peace. This testimony written in a letter was tremendously effective in the efforts to abolish this act placed upon the colonies; there were also the Letters from a Farmer in Pennsylvania, which had its influence on the topic as well. There were twelve letters that were widely read and reprinted throughout the thirteen colonies, and were a major factor in attempting to unit the colonists against the Townshend Acts. Dickenson, the farmer, acknowledged the great power that the Parliament had in concern for the whole British Empire but argued that the taxes that were given to the colonies were for purpose of their own personal gain in revenue rather then what was stated in the books of the acts being for purpose of trade only. Dickinson foresees the possibility of future conflict between the colonies and Great Britain, but urges against the use of violence, ââ¬Å"If at length it becomes undoubted that an inveterate resolution is formed to annihilate the liberties of the governed, the English history affords frequent examples of resistance by force. What particular circumstances will in any future case justify such resistance can never be ascertained till they happen. Perhaps it may be allowable to say generally, that it never can be justifiable until the people are fully convinced that any further submission will be destructive to their happiness. â⬠The colonies boycotted this idea, their boycott, although it failed, gave them the strength to continue to not follow the acts that the Parliament required of them. The British had no way to enforce the collection of taxes so Britain had no choice but to repeal the Townshend Act. Britain was completely unstable and given this, the mercantilist relationship was coming to an end between the United States colonies and the British; the Tea Act would create the breaking point for this relationship. ââ¬Å"An act to allow a drawback of the duties of customs on the exportation of tea to any of his Majestys colonies or plantations in America; to increase the deposit on bohea tea to be sold at the India Companys sales; and to empower the commissioners of the treasury to grant licenses to the East India Company to export tea duty-free. The Tea Act of 1773 caused in turn the Boston Tea Party, which aggravated the British so greatly that they delivered a punishment act. The punishment acts were called the Coercive Acts and also, along with other acts, became part of the intolerable acts the British had placed upon the colonies. The Boston Port Act, The Massachusetts Government Act, The Administration of Justice Act, The Quartering Act, and the Quebec Act were all placed in order for Britain to again attempt to take control over the colonies. The restrictions placed on the colonies by these acts included the closing of the port of Boston, limited the meetings to one meeting per year, allowed the governor to move trails, and attempted to house the British solders. This out lash of over bearing authority over the colonies became known as the main reason that the mercantilist relationship could not continue. Britainââ¬â¢s attempts of harsh leadership and the lack of economic opportunities became great enough to continuously push the colonies away and gave them reason to revolt and not comply. As years passed the interests of the colonies and British began to not be similar in any ways, causing conflicts. The colonists educated themselves in ways that the British had not expected, giving the colonies the upper hand in knowing what they deserved and what was being taken from them. There were no longer any benefits to having a relationship with Britain and the colonists were well educated on this fact and showed their feelings on this aspect in many ways. The mercantilist relationship was no longer making a profit for the British Crown or bringing benefits to anyone; it was causing them to lose money. This loss was apparent after the downfall of both the economic systems after the French and Indian War in 1763.
Sunday, October 13, 2019
Challenges and Opportunities for Evidence Based Practice
Challenges and Opportunities for Evidence Based Practice Introduction In recent years Evidence-based practice (EBP) has been advocating in nursing profession, however until now there still encounter many difficulties, conflict impact on evidence-based practice development. In this essay will be discussed the challenges and opportunities of future direction of evidence-based practice in nursing. EBP is a decision making approach introduction in 1992. Sackett et al. (1996) state that EBP is a best evidence method of health care decision making which means to integrate sources from research findings, clinical expertise and consideration of client preferences, clinical setting and other external factors such as cost. (as cited in Hewitt-Taylor, 2002). EBP is a scientific and systematic process rather than traditional approach such as customs, rituals and authority from transmission to improve quality and efficiency of patient outcome (Shaneyfelt et al. 2006). Challenges can be defined as barriers, difficulty during apply the evidence-based practice in nursing. Actually, there are many challenges of EBP development, in the article will try to divide into four types to discuss: Challenge of the nurse, Challenge of the clinical environment, Challenge of the research and Challenge of the organization. The part of opportunities is to analysis how to improve or diminish the gap between research evidence and clinical practice, and discuss the factors that help for the future direction of EBP in nursing. Challenges Challenge of the nurse, Challenge of the nurse relate to the nurses beliefs or attitude to EBP, lack of understanding, knowledge and skills of EBP. A recent study (Oranta, Routasalo Hupli, 2002) indicated nurses have divergence the value between research and practice; some nurses have conservative ideas that do not welcome change the nursing practice. The result reflect nurses have misunderstanding or negative attitude about evidence based care which may create wrong belief i.e. indifference or ignore the value of EBP. Nurse unawareness of research, are not familiar with EBP, and no sense improve the knowledge, not to mention to implement it in clinical care. (Hutchinson Johnston, 2004; Wang, Jiang, Wang, Wang Bai, 2013). Attitudes affect behavior, if nurse attitude remain unchanged, would increase degree of difficulty to carry out EBP in the future. Lack of skills implementation of EBP also a big challenge facing by nursing (Majid et al. 2010; Hutchinson Johnston, 2004). There are multiple components of EBP include asking suitable questions, selecting the best pertinent information, evaluating the evidence and integration of patient preference, research evidence etc in clinical decision making (Shaneyfelt et al. 2006). Nurse requests ability of integration and critical appraisal research skills i.e. information seeking, understand statistical terms, implementation to run through the EBP process. Provide education and training for EBP should be an important concern in the future for nurse. Challenge of the research Next challenge point related to research. Nurses always complain articles from journal are not readily available (Chau, Lopez Thompson, 2008; Gale Schaffer 2009; Wang et al. 2013). Actually findings from different research may not always have high level of reliability and validly, methodologies and presentation inadequacies or misconception may exist. Nurses probably feel confused and difficult to appraisal quality of findings, research reports are lengthy, include many academic, jargon terms and statistical analyses cause difficult to comprehension (Oranta, Routasalo Hupli, 2002). Furthermore, research finding usually not publishes fast enough and lack of guideline to implement in the clinical practice. Develop the research disseminate type to improve clinical utilization is a main direction in future, otherwise presentation of researches increase barrier to use finding in patient care, eventually obstruct EBP implementation. Challenge of the clinical environment Clinical environment seem to be a big challenge which absolute restrict nurse implementing EBP (Lee, 2003). Most studies (Hutchinson Johnston, 2004; Gale Schaffer 2009; Wang et al. 2013) stated that nurses have lack of time and heavy workload influences on utilization of research in practice setting. Take Hong Kong as an example, according to the survey conducted by Association of Hong Kong Nursing Staff at 2013, the average of nurse-patient ratio1:17 (normal: 1:4-6) in public hospitals, the bed occupancy rate is 92.9%. Nurses not only have daily heavy workload, also facing a serious shortage problem. Time and labour restrict and clinical safety concerns, nurse tend to use traditional practices and cannot keep frequently follow update journals during working (Hutchinson Johnston, 2004). The working environment resistant changing tried and definitely threats EBP utilization in future. Challenge of the organization EBP is a complex and multifaceted process, cannot apply by individual, administrative support is very important. However lack of organization support is the common complaint by nurses. According to Chau et al. (2008) and Hutchinson Johnston, (2004) the most important challenge of research utilization are lack of authority and no time to implement new ideas or involve research activity. These concerns related to the organization which include the setting barriers and limitations; e.g. time, resources, support and mentoring. Besides, conservative attitude of organization such as lack of intention in changes or welcome new ideas must influences EBP utilization (Gale Schaffer, 2009). It would limit the development of clinical practice to implement EBP and reduce the health care qualities. In addition, nurse indicated that corporation with other professionals also a barrier of EBP implementation (Oranta, Routasalo Hupli, 2002). Health care is a team working which involve many different professionals, such as physician, physiotherapist etc. during co-operation may cause differences of decision making. In traditional doctor has the most authority in clinical decision making, nurse advice may cause conflict or challenges by doctor. Therefore relationship between medical and nursing is also an organization related challenge of EBP utilization. Although there are many challenges of EBP in clinical utilization, challenges creates opportunities, the following part would analysis how to overcome some barriers between research evidence and clinical practice, and talk about the factors that relate to the future direction of EBP in nursing. Opportunities Firstly, upgrading of nursing education curriculum improve nursesââ¬â¢ professional status and research knowledge. Nursing students learn of EBP show more potential of ability on clinical decision making (Brown et al. 2010). Although the nursing programme in universities already include research skills teaching to implement evidence-based practice, transferring finding into clinical practice still a big problem for novice nurses. The curriculum should be included how to connect the EBP to the utilization, not just focus the part of research skills training. Besides, base on shortage of nurse, there are different kind of organizations provide nursing training such as nursing school, hospital nurse training courses, these courses more focus on clinical practice, but not include teaching EBP. At least the basic concept and skills of EBP should be educated in those courses which to improve knowledge of apply EBP into clinical practice. Second, solidarity and cooperation is also an opportunity to future direction of EBP. No matter clusters, hospitals or ward in Hong Kong tend to working independently and lack of co-ordinate with other. To provide EBP should include cooperate and sharing. The hospitals or clusters can form some research groups from different hospitals or wards; include senior and junior nurses to conduct research-related work. This kind of workshop would improve the stuffs ability to identify the clinical issues, review researches, analysis, promote to implement research finding or conduct research etc. eventually improve the quality of nursing care. Third relate to organization, the inferiors imitate the superiors; if the organization have positive attitude to motivate and reward EBP can raise the awareness to the staffs pay attention to EBP (Gale Schaffer, 2009). To improve future develop of EBP, organizational should be modified the nurse ratios. Provide more time and facilities to encourage nurse for discussing and applying research finding in clinical (Lee, 2003). Fourth, facing of decreasing birth rate, the elderly increasing inevitable, aging population already became a international problem, elderly care must pay more attention in nursing. Community services would be a big tendency and increase outreach services and day care services nursing care. Communitiesââ¬â¢ services for example community nurse and Nursing Clinic also help to relive the treatment cost, reduce stress and workload of front line nurse and bed occupancy rate. This situation closely relate to EBP because the role of nurses become more arduous and specialization, the case nurse provide professional health care services with integration, multifunction should have both evidence and knowledge to support the practice and patient outcome. The phenomenon provides opportunity to EBP to walk out the hospitals and integrate into the communities. Fifth, in the future nurses implement EBP may not just focus on Western medicine, also include Chinese medicine. In current years, popularity of Chinese medicine increasing in Hong Kong, most elderly tend to use Chinese treatment such as acupuncture, qigong diet regimen. Chinese medicine research and the utilization on clinical should be part of concern in EBP when making decision. As favorable condition of geography and culture in Hong Kong, combine Chinese and Western medicine would be a tendency, as a nurse should have the knowledge integration and application in clinical care. In conclude EBP utilization provide a more scientific method to the clinical decision making lead to improve and maintain health care quality, it is definitely the general direction in nursing future development. Base on the restrictive of policies and environment, working environment and organization seems to be two bigger challenges of EBP utilization. Although there are many challenges of EBP, different limitations from nursing and the external environment such as aging population, Chinese medication become more popularity etc provide some opportunities to indicate the future direction of EBP. Nursing profession need to sensitive to those factors, then appropriate to develop or improve, probably reduce the gap between clinical practice and EBP, also may provide a new direction for EBP in nursing utilization.
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