Tuesday, August 6, 2019

Religious Free

Religious Freedom Pre 1700s Essay America than in England. Of course this is just a brief explanation compared to the real essay. suggest you fill in the blanks with some support from wherever your source is. but for now i have to go write my own because its due tomorrow and its already very late. so good luck on the essay and hope this generally answered your question. Analyze the extent to which religious freedom existed in the British North America colonies prior to 1700. The New World was first established because many people in England did not agree with their religious and political ways of life. Most people in the northern colonieshad run from England due to having no religious freedom. The Puritans, Quakers, andvarious leaders created outbursts of reform to achieve freedom in New England. Each group had their own philosophy on how life should be lived. The Puritans were a group of English men who disagreed with how the Church of England was ran. The damned were allowed to sit with the saints, and the Puritans did not like this. The extreme Puritans were known as Separatists in England. Finally, these extreme Puritans left for the New World in 1620. The Puritans set up a way of government. It said, the whole purpose of government was to enforce Gods laws. Only the Puritans, the only ones eligible for church membership, could be freemen. The believers and nonbelievers had to pay taxes on the government–supported church. Jews and Atheists were killed because they did not believe in the divinity of Jesus. Chaotic services were how the Quaker sermons went. He didnt hold back his comments and demanded very little. In the South most of the colonies were overwhelme d by the Protestants. They were offensive to the religious and political authorities. The Puritans banished her from the Bay Colony. Anne Hutchinson was another rebel who challenged the authority of the Puritan clergy. Roger Williams was a threat to the Puritan leaders. This included converted and non-converted New Englanders. After many generations, religion was not at the top of the Puritans list. The northern colonies had religious freedom, but the Puritans forced their own religion on everyone else around them. Maryland ultimately guaranteed toleration for all Christians. They set the stage for our religious freedom today. His followers were very liberal, and not accepted.

Monday, August 5, 2019

Effectiveness of the Environmental Levy Scheme

Effectiveness of the Environmental Levy Scheme Investigate the effectiveness of the Environmental Levy Scheme on Plastic Shopping Bags and Give suggestions on alternative solutions to saturating landfills within 5 years. I have chosen this topic on the basis that this scheme is the first measure in the Product Eco-Responsibility Scheme, thus by reviewing its effectiveness I can give suggestions regarding successful factors and areas for improvement on further schemes of similar nature. (Part 1) Also, as the controversy on construction bill for an incinerator in Hong Kong is hot these days, it has interested me to evaluate other alternatives to reduce waste production, using the analysis in Part 1. (Part 2) Date of submission: 1st July,2015. Table of contents Introduction Background Literature review Objectives and expected outcomes Focus questions Methodology Findings and analysis Effectiveness of the Levy Scheme on Plastic Shopping Bags Did the PSB scheme succeed in bringing down plastic bag waste production? To what extent? The pros of the PSB scheme and successful factors The cons of the PSB scheme and areas for improvement Implications of the effectiveness of the PSB scheme Recommendations on future waste reduction schemes from the experience of PSB What elements of the PSB scheme can be kept in further schemes of waste reduction? What are the problems in the PSB scheme that further schemes of waste reduction needs to tackle? The direction for future waste reduction schemes and feasible solutions Education and promotion Public attitude reflected from the PSB scheme Conclusion Reflection Bibliography Appendix Introduction 1.1 Background I am interested in the topic Investigate the effectiveness of the Environmental Levy Scheme on Plastic Shopping Bags and Give suggestions on alternative solutions to saturating landfills within 5 years as recently debates on the urgency and essentiality of building an incinerator in Hong Kong are boiling hot in Hong Kong. As an eco-friendly person, I am deeply concerned that all landfills in Hong Kong are estimated to meet saturation by 2019, calculating by the current waste production rate. [i] Coincidentally, the PSB scheme was entering the second phase on 1st April 2015 and is another hot eco topic this year. From analysis on Hong Kong Connection (TV programme produced by RTHK), it inspired me this PSB scheme may provide some insights into how waste reduction works and what the pros and cons are of utilizing financial disincentive. Based on evaluation of the PSB scheme, I can give suggestions on alternate solutions of waste reduction. Environmental Levy Scheme on Plastic Bags is the taxing of plastic bag of $0.5 per bag. It is the first scheme under the Producer Responsibility Scheme under the Environmental Protection Department. In the first phase 7 July 2009 – 31 March 2015, about 3000 retail outlets were covered. In the full implementation phase starting 1 April 2015, all retail outlets (more than 100,000 points of retail sales) in Hong Kong are covered.[ii] 1.3 Objectives and expected outcomes There are two main objectives in this study: 1. To evaluate the successful factors and areas for improvement of the PSB plan and 2. To give recommendations on future waste reduction schemes using the experience learnt from the PSB plan. By data collection and analysis, I expect to gain the following outcomes: the actual results of the PSB scheme, the reasons people support or boycott the scheme, governmental communication with the public regarding waste production, the criteria for a successful eco- scheme in the public’s eyes and the relation of education and promotion to effectiveness. 1.4 Focus Questions The focus questions regarding the topic include: -What is the current situation of Plastic Shopping Bag Levy? How effective is it in reducing plastic waste? -How do citizens evaluate the effectiveness of the PSB Levy? -What are the benefits of the PSB Levy to HK’s environment? -What damage or disharmony will PSB Levy bring to HK? -What can we conclude from the current situation on the effectiveness of the PSB Levy? What elements can thus be used to make future environmental policy more effective? 2. Methodology I have used the following data collection method for primary data: 3. Findings and Analysis 3.1 Effectiveness of the Levy Scheme on Plastic Shopping Bags 3.1.1 Did the PSB scheme succeed in bringing down plastic bag waste production? To what extent? The PSB scheme was to a large extent successful in bringing plastic bag waste production. The distribution of PSB in retail outlets has reduced by 90% since the launch of the PSB scheme in 2009.[iii] It was estimated that 84 million PSB was distributed in 2009, thus it has decreased to 8.4 million approximately uptil now. [iv] From the questionnaire survey, the majority of 80% respondents said they would not use PSB while only a minority of 20% said they would. It shows the effectiveness of the PSB scheme. From the field observation, the PSB distribution is a low 5% per hour.[v] The number of PSB distributed in supermarkets has decreased to 403, according to a survey conducted by Green Action. [vi]The government has attributed the change to the increasing public awareness of Bring Your Own Bag promoted by the PSB scheme. [vii] Therefore, the PSB scheme has succeeded to bring down PSB distribution and raise eco-awareness. 3.1.2 The pros of the PSB scheme and successful factors The PSB scheme is successful in bringing down PSB usage and raising eco-awareness, as mentioned in 3.1.1. According to the questionnaire survey, 57% and 39% of respondents said they choose not to claim PSB because they don’t want to pay the $0.5 charge and that they are eco-friendly. This shows that one of the successful factors of the scheme is the financial disincentive, as Hong Kong people are money-conscious. [viii] This also shows that the PSB scheme has raised public awareness towards their eco attitude. The elements that made the PSB scheme successful can give reference to future waste reduction schemes. Firstly, financial disincentive is effective in discouraging waste production, thus this element should be kept. Also, another successful factor is promoting positive value such as Bring Your Own Bag, as public awareness has been raised in the PSB scheme.[ix] The cons of the PSB scheme and areas for improvement Despite the obvious effectiveness, there is still room for improvements for the PSB scheme. The cons of the PSB scheme include the small amount of levy not being threatening enough and the difficulty in supervision. According to the questionnaire survey, 70% of respondents said they would use PSB as it is convenient and 65% said the levy is affordable. [x] Thus, we see that maybe the levy should be increased to be more effective. Also, according to the field observation, some customers tend to buy prepackaged goods or take many storage bags with no hand-hold to avoid the levy.[xi] Therefore, this shows that ineffective supervision would negatively affect the effectiveness of the measure. The major problem of the PSB scheme right now, concluded from the above, is the deep-rooted public attitude. Hong Kong people are often money-minded and cynical, which may cause them to disregard the PSB scheme for their personal interest, such as avoiding the levy but still using other plastic bags or misusing recycling bags. [xii] The main issue to tackle in order to better future waste production schemes is how to change the public attitude and promote correct values in the long run. Implications of the effectiveness of the PSB scheme The PSB scheme is the first scheme under the Producer Responsibility Scheme, thus is the water tester that indicates whether financial disincentive is effective to reduce waste production. Its success reflected that Hong Kong people are very conscious when something affects their personal interest directly, such as additional financial burden, therefore future waste reduction scheme should still be focused on this weakness of Hong Kong people (financial disincentive). [xiii] One supporting evidence is found in the questionnaire survey. When asked to rank what are the priorities that urge them to support a waste reduction scheme, most respondents ranked economical factor first, then personal factor. Remarkably, they least value environmental factor and sustainability, showing Hong Kong people are generally more money-minded than eco-conscious.[xiv] The implications of this phenomenon are that financial disincentive is most suitable for waste reduction in Hong Kong as financial concern is the greatest motivational power for Hongkongers to change living habits, also that future schemes should focus on delivering positive values such as the importance of eco-protection and sustainability in promotion and public education.[xv] Recommendations on future waste reduction schemes from the experience of PSB 3.2.1 What elements of the PSB scheme can be kept in further schemes of waste reduction? As discussed in 3.1.2, the main elements to be kept in further schemes of waste reduction are financial disincentive and effort to change public attitude in changing lifestyles, also their approaches to waste. [xvi] Based on the questionnaire findings, most respondents are supportive to the PSB scheme and regard it a political and social success. [xvii] This also showed that transparency of government measures and effective downward communication and public consultation is important, and should be continued in future waste reduction schemes.[xviii] 3.2.2 What are the problems in the PSB scheme that further schemes of waste reduction needs to tackle? As discussed in 3.1.3, the main problems of the PSB scheme are the hard-to-change public attitude and thus their living habits, also non-threatening amount of levy and insufficient supervision. Furthermore, most respondents think the crux of the waste production problem are inadequate environmental education, lack of promotion of government eco-schemes and the buy-and-throw habit of the prosperous metropolis.[xix] These are problems that future waste production scheme most urgently face. The direction for future waste reduction schemes and feasible solutions In response to 3.2.2, hereby I would recommend important points for improvement with regard to the above problems. Firstly, when implementing waste reduction schemes, powerful financial disincentive should be enforced to respond to Hong Kong people’s money-conscious mindset and relatively smaller concern for the environment. [xx] It is the only way to receive biggest response from the public and see changes in their daily living. Secondly, to tackle the supervision difficulty, a report system by hotline can be opened to the public to report violation of the policy by either shops or the general public.[xxi] This can make supervision more all-rounded. Thirdly, education and promotion to indoctrinate correct and positive values is also important. As shown in the questionnaire findings, the public value economical concern over environmental concern, which is unhealthy and detrimental to eco-protection. Thus, education and promotion is essential. In order to find out the most supported waste reduction schemes, I have asked respondents to rank policies that they regard as most effective in reducing waste. The survey results show that policies involving separation, recycling and levy are seen as most effective, with the top being Source Separation of Domestic Waste, scoring 1580 in sums.[xxii] This shows that the public would support waste reduction schemes that only require little alterations in daily living, such as household waste separation, or recycling and financial disincentive. This match with the fact that their top concern is economical factor and second is personal factor when responding to a waste reduction scheme.[xxiii] In contrary, public opinion do not support policies involving new landfills and incinerators, the bottom being opening up new landfill in current country parks, scoring only 882 in total.[xxiv] This shows that the public is least likely to support waste reduction scheme that might be detrimental to their living environment and health, or those that may use a large amount of government reserves as it violates economic efficiency. This match with their priority list as they most value economical factor (efficiency, personal burden) and personal factor (impact to living environment and health). This ranking gives us important and clear insights into which directions to go and also how best to suit public concerns and gain public support in waste reduction schemes. Education and promotion à ¥Ã¢â‚¬ ¦Ã‚ ·Ãƒ ©Ã‚ «Ã¢â‚¬  à ©Ã¢â‚¬ ¡Ã‚ Ãƒ ©Ã‚  Ã‚ ­Ãƒ ¦Ã‹â€ Ã‚ ²***** With reference to 3.2.3, we have gained some insights into what values are to be changed for future waste reduction schemes to go smoothly (money over environment) , and also what are most motivational to the general public. 3.2.5 Public attitude reflected from the PSB scheme à ¦Ã…  Ã¢â‚¬Å¾ 4. Conclusion 5.Reflections 6. Bibliography 7.Appendix [i] Environment minister Wong Kam-sing, 2003, Hong Kong issues dire warning on landfills amid protests by residents, South China Morning Post, http://www.scmp.com/news/hong-kong/article/1246229/city-could-drown-trash-environment-minister-warns [ii]Environmental Levy Scheme on Plastic Bags, Environmental Protection Department, http://www.epd.gov.hk/epd/english/environmentinhk/waste/pro_responsibility/env_levy.html [iii] Press Release, 28 Mar 2015, Environmental Protection Department, http://www.info.gov.hk/gia/general/201503/28/P201503270921.htm [iv] Will Hong Kongs city-wide levy on plastic bags really change behaviour?, Time Out Hong Kong, http://www.timeout.com.hk/big-smog/features/71898/will-hong-kongs-city-wide-levy-on-plastic-bags-really-change-behaviour.html [v] Field observation, appendix 3 [vi] Environmental Levy on Plastic Shopping Bags What are the problems?, CSR Asia, http://csr-asia.com/csr-asia-weekly-news-detail.php?id=11753 [vii] Press Release, 28 Mar 2015, Environmental Protection Department, http://www.info.gov.hk/gia/general/201503/28/P201503270921.htm [viii] Plastic society rethinks bags, Macau Business, 26th May 2015, http://www.macaubusiness.com/news/plastic-society-rethinks-bags.html [ix] Press Release, 28 Mar 2015, Environmental Protection Department, http://www.info.gov.hk/gia/general/201503/28/P201503270921.htm [x] Questionnaire survey, Q3, appendix2 [xi] Field observation, appendix 3 [xii] Values Education in Hong Kong – Problems and Possibilities, The Hong Kong Institute of Education, http://www.acsa.edu.au/pages/images/99_fok_values_ed.pdf [xiii] Values Education in Hong Kong – Problems and Possibilities, The Hong Kong Institute of Education, http://www.acsa.edu.au/pages/images/99_fok_values_ed.pdf [xiv] Questionnaire survey, Q8, appendix2 [xv] Values Education in Hong Kong – Problems and Possibilities, The Hong Kong Institute of Education, http://www.acsa.edu.au/pages/images/99_fok_values_ed.pdf [xvi] Waste Reduction Framework Plan, Environmental Protection Department, http://www.epd.gov.hk/epd/english/environmentinhk/waste/prob_solutions/wrfp_summary.html [xvii] Questionnaire survey, Q5 and Q6, appendix2 [xviii] Public Consultation Report on the Proposal on An Environmental Levy on Plastic Shopping Bags , http://www.epd.gov.hk/epd/english/environmentinhk/waste/prob_solutions/files/Consultation_Report_Levy_Eng.pdf. [xix] Questionnaire survey, Q9 , appendix2 [xx] Values Education in Hong Kong – Problems and Possibilities, The Hong Kong Institute of Education, http://www.acsa.edu.au/pages/images/99_fok_values_ed.pdf [xxi] Environmental Levy Scheme on Plastic Shopping Bags, Environmental Protection Scheme, http://www.epd.gov.hk/epd/english/environmentinhk/waste/pro_responsibility/env_levy.html [xxii] Questionnaire survey, Q7 , appendix2 [xxiii] Questionnaire survey, Q8 , appendix2 [xxiv] Questionnaire survey, Q7 , appendix2

Sunday, August 4, 2019

A Student Looks at Two Websites on Lasik Surgery (laser surgery) :: Sell Websites Buy Web Sites

A Student Looks at Two Websites on Lasik Surgery (laser surgery) Today there are so many choices in life and a person who wears glasses or contacts might decide to eliminate the need for such medical devices. Lasik (Laser assisted in situ keratomileusis), the most commonly performed type of laser surgery, is an effective treatment that can correct many vision problems by reshaping the cornea. Life without glasses or contact lenses would be easier and more enjoyable for any human being. But can a person’s vision get worse after the procedure? To be free from doubts and questions most people can turn to the Internet to search for needed information. The Internet is growing and is one of the most effective ways for businesses to advertise their products and services to customers. Everywhere one turns it is .com, .gov, .edu, .org, there are many choices. Web sites offer information on topics but they all have limits. Most Web pages on the Lasik topic are directed to the doctor’s office and there are thousands of these advertising sites. One site offers video information from doctors and other professionals. Another home page offers information and personal questions to ask the doctors. It’s very obvious that one Web page alone does not have enough information for the researcher. Two good sites that offer wonderful information on Lasik are www.fda.gov/cdrh/lasik/, www.lasikinstitute.org/. The U.S. Food and Drug Administration through the Department of Health and Human Services has a very informative page www.fda.gov/cdrh/lasik/. Many different links on this page can give a person easy ways to access and understand unbiased information. The first impression about this Web site is the co-ordinate between the title, the links, the graphics and the colors that are used. The title is big enough to get people’s attention and direct them to what they are looking for, not like some web sites which do not have well-balanced compositions. There are no bloated graphics on this site or scaling image problems. The text is not dense but well written with readable font size. The terms used are simple and professional with a provided glossary. An obvious distinction of this site from others is it seems to be very truthful when it shows all the risks that people could face after the surgery. Examples are losing vision, developing debilitating visual symptoms, and patients being under or over treated.

Telescope :: science

Telescope Light and other kinds of electromagnetic radiation coming from the universe outside the Earth must travel enormous distances through space and time to reach observers. Only the brightest and nearest stars can be seen with the unaided eye. To see farther and to clarify and measure what is seen, a telescope is needed. The word telescope is derived from the Greek words tele, "from afar," and skopos, "viewer." Even a simple homemade telescope can clearly show Saturn's rings, Jupiter's bands and red spot, stars, nebulae, and nearby galaxies not visible to the unaided eye. The ability to study the distant planets and other structures in the universe with these powerful yet remarkably simple instruments has revolutionized mankind's understanding of the natural world. All telescopes gather radiation from distant objects over a large area and focus it, thereby increasing the intensity of the radiation and allowing the objects to be magnified. Sophisticated telescopes are used to view radiation in all parts of the electromagnetic spectrum from long-wave radiation and radio waves to infrared radiation and light and much shorter wave radiation, including ultraviolet and X rays. This radiation travels through space at the speed of light in the form of waves of electric and magnetic fields. Because of its basic similarity, all such radiation can be focused by reflecting it off a curved surface or by refracting, or bending, it with glass lenses. The devices that are used to do this, however, vary, depending on the wavelength or type of radiation being studied. Optical Telescopes The first telescope developed, and the one most widely used, is the optical telescope, which gathers visible light radiation. There are three basic types of optical telescopes: refractors that use lenses, reflectors that use mirrors, and catadioptrics that use a combination of both lenses and mirrors. The refracting telescope has a closed tube. At one end of the tube is the object glass, usually made of two or more lenses, that admits light emanating from the object observed. The light rays are refracted by the lenses to a point of focus at the lower end of the tube where the eyepiece is located. The eyepiece acts as a magnifying glass and enlarges the bright image. An observer can view objects through the eyepiece or attach a camera to the telescope to record images. The reflecting telescope focuses light rays with a large curved concave mirror that is generally made of glass covered with a thin coating of aluminum.

Saturday, August 3, 2019

Theme of Change in The Crucible, Sky High, Titanic, and The Colour Purp

The global social systems throughout history and today are a constant movement of change seen in emotional, mental and physical patterns. Changes alter perception and perception can manipulate things to change. â€Å"The Crucible† by Arthur Miller, â€Å"Sky High† by Hannah Roberts, â€Å"Titanic† directed by James Cameron and â€Å"The Colour Purple† by Alice Walker, convey the concept of change in an inevitable occurrence or voluntary decisions throughout all aspects of life. Throughout the four texts, various techniques are used to portray these messages, for instance, anecdote, juxtaposition, music, and film techniques. Miller incorporates the character Reverend John Hale in â€Å"The Crucible† as representation of the whole changing town of Salem. Hale is a paradoxical figure that discovers the absence of evil in the people due to the injustices of court decisions. When Rev. Hale first arrives in Salem in Act one, he is very objective about the whole situation of witchery. He questions Tituba and Abigail about all the events that occurred in the forest such as the girls' dancing, and he believes â€Å"witchery† was involved. The Salem witchcraft trials began as a result. Hale's personal feelings tell him that Abigail and her friends are innocent, but his Puritan background prevents him from questioning the authority of the court. However in Act Three, Hale realizes that John Proctor, the accused, is an honest man when he would willingly ruin his own reputation in the hopes of exposing Abigail as a â€Å"whore†, and denounces the proceedings and left. Ironically, Rev. Hale retur ns to Salem to encourage the accused to lie in order to save their lives. This demonstrates that Hale's beliefs changed dramatically as a result of the injustices of the court. He be... ...e right,† but she says it’s all she has. Eventually, Celie stops thinking of God as she stops thinking of the other men in her life and tells God off, writing, â€Å"You must be sleep.† But after Celie has chased her patriarchal God away and come up with a new concept of God, she writes in her last letter, â€Å"Dear God. Dear stars, dear sky, dear peoples. Dear Everything. Dear God.† This re-imagining of God on her own terms symbolizes Celie’s move from an object of someone else’s care to an independent woman. Walker emphasizes here that the ability to express one’s thoughts and feelings is crucial to developing a sense of self. Individuals and groups are influenced by change that is cataclysmic, whether it would be inevitable or voluntary. As discussed above, change can be seen as acceptance. Once one accepts this change it is adopted but one must live to fulfill it.

Friday, August 2, 2019

Platforms of Different Party Systems Essay

The Libertarian Platform, as presented by the Libertarian National Committee, Inc. placed a high value on the individual freedom and restricts possible limitations that the government or any authoritarian power might inflict. The sovereignty lies upon the individual and not in the government; meaning the individual has a complete control of their lives. â€Å"Freedom† is defined as not being subjected or forced to do something by anyone else. It is further supplemented that the government exist to protect and respect the individual’s freedom and individual rights. The three basic individual rights that libertarians aim to uphold are the right to life, the right to liberty of speech and action and the right to property. The platform further discussed that Libertarians ‘oppose all interference of the government in the areas of voluntary and contractual relations between individuals’ Furthermore, the government reserves no right to force individuals to do’ sacrifices to benefit other people’. The platform also highlighted that the Libertarian supports ‘free trade and free market’. In a more detailed discussion of Individual Rights, Personal Liberty is defined under the consideration that individual freedom requires the individual to accept any possible consequence that may result to his execution of such freedom. To this end, the Libertarians support the proliferation of ‘full freedom of expression and communication, personal privacy, personal relationships (whatever gender or relationship a person may want to engage in), and abortion’. It also supports to recompense the victim to the fullest extent that is achievable at the cost of the criminal and against any possible cutback of legal safeguards of the accused’. The Libertarian party upholds the ‘common-law right’ of the juries to help or guide them in their judgment, not just of the ‘facts alone, but also justice of law’. In terms of Economic liberty, Libertarians oppose any form of ‘redistribution of wealth or control of trade’ by the government and its representative/s. In specific details, concerning property rights and contracts—the individual may engage and may do anything that he/she wants with and/or within his/her property provided that his/her action/s will not infringe the rights of other people. The Libertarian Party Platform also mentioned that the Libertarians oppose possible ‘violations of liberty of contract, right to private property as well as freedom to trade (not to trade)’. Concerning the environment, Libertarians explained in their platform their belief that the ‘free markets and property rights motivate and encourages individuals and companies as well to protect the environment’. Government- the Libertarian claims holds no responsibility for the damage done to the environment. Also, Government according to the Libertarian platform should not ‘subsidize energy’ thus; government shall have no control on the pricing and regulation of energy and its sources. Another issue under Economic Liberty deals with Government finance and spending. The platform stated that the party ought to ‘call for a repeal of the Income tax’ and that the Libertarians support the ‘Balanced Budget Amendment’ which will cut on governmental expenditures instead of collecting taxes. The Libertarians are also not in favor of incurring debts under the assumption that this will burden the future generation. Other Economic concerns deals with free-market banking, opposing government subsidies to businesses, promotion of employment by repealing laws that ‘possibly impede’ employment and oppose other governmental interference in the labor market, non-interference in the children education, re-establishing a free market health-care system and private-voluntary retirement system. In terms of issues surrounding the Security of Liberty, the Libertarian Platform highlights that providing ‘security’ shall be the only ‘purpose of the government’. In regards to National Defense, the Libertarian platform mentioned that they will support ‘sufficient military’ that shall be able to defend the country from aggressor/s; nonetheless, they do not intend to promote or to continue any form of ‘compulsory national service’. In line with the priority of individual tights, the platform described that intelligence agency should be transparent and open to public scrutiny. The libertarians are also against foreign intervention policies specifically providing any military and economic aid/s. Also the platform mentioned that Libertarians are against bigotry and/or any form/s of discrimination. The Libertarians also promotes a more representative form of government to encourage people from all walks of life to participate in the government. Lastly, the platform mentioned ‘self-determination’ which shall support the people if they want to replace the current government with another which shall further protect the people’s liberty. The Democratic Party The Democratic Party Platform is pushing towards the concept of ‘unity in diversity’ with the primary goal of the people and their way of life while helping to construct a more peaceful, more prosperous, safer and more democratic world. The platform includes security policies that are focused on military and supporting national freedom. The platform also includes several criticisms about the Bush administration and the use of force instead of diplomacy in most situations. The democratic platform also encourages that weapons of mass destruction shall be eliminated since it is a threat to the country. The Democratic Party believes that the promotion of democracy, the rule of law and human rights are all vital to the country’s long-term security. The Democrats according to their platform in 2004 would like to uphold an international standard for ‘treatments of Prisoners’ specifying that ‘torture is unacceptable’. The democratic platform also talked about Iraq’s military and political situation, Africa’s health and human rights issues, Europe nations as America’s Atlantic ‘allies’, Asia’s economy and support, securing Israel in the Middle East, help in establishing and/or maintaining peace in Northern Ireland, cooperating with Russia in terms of proliferation of –democracy, rule of law and human rights, reinforcement of democratic values to the Latin America and the Caribbean. The Democratic Party would like to address with the global health issues which the democrats believed to be a ‘humanitarian obligation and a national security imperative’. The platform also mentioned the promotion of international economic development as an imperative which shall spread ‘peace across the globe’. Another focus of the platform is the ‘strengthening of the military’ by expanding ‘active duty personnel’ with an approximate of more or less 40,000 new soldiers. Another proposed strategy was the creation of the ‘New Total Force’ which will be a group of Special Forces that has double capacity than before. Then the democratic platform also suggests the creation of 21st century weapons which will use the modern-day technology. There is also a mention of the best possible training for soldiers, enactment of ‘Military Family Bill of Rights’ and better use of national guards. Other focus of the platform includes independence in Energy resources by finding a way to create renewable energy, building energy-efficient vehicles, finding other alternatives of producing electricity, moving beyond OPEC, cutting energy used by the federal government and promoting conservation among others. The platform also vows to create more good jobs, supporting the middle class, reforming health care system, improving education by making college more affordable and protecting the environment through acts and government programs.

Thursday, August 1, 2019

Nursing Research

?INTRODUCTION Nursing research is a systematic process by which nurses may used to confirm or refine existing knowledge and to explore new ideas about issues related to nursing practice (Borbasi, Jackson, & Langford, 2008). It falls largely into two areas, namely: Qualitative research and Quantitative research whereby qualitative research is based on the model of phenomenology, grounded theory, and ethnography and examines the experience of those receiving or delivering nursing care. The research methods most commonly used in qualitative research are interviews, case studies, and ethnography. On the other hand, quantitative research is based in the paradigm of logical positivism and is focused upon outcomes for clients that are measurable, generally using statistics gathered from a survey questionnaire method of research (Parahoo, 1997). The objective of this nursing research assignment is to distinguish the identified three pieces of nursing research with a common issue that is relevant to my current clinical experience. The five phases of the research process will be outlined and discussed the findings of the researchers by providing examples from each study. For purposes of this assignment, the research topic which I want to examine is poor hygiene and failure to follow infection control practices, contributing to the spread of nosocomial infections especially those caused by antibiotic-resistant strain of bacteria such as methicillin-resistant Staphylococcus aureus (MRSA) in a clinical setting. The said topic was chosen because it has been observed during my clinical experience, that most of the time doctors, nurses, and other health professionals does not adhere to the implementation of existing guidelines pertinent to infection prevention and control practices maybe due to excessive workload and rapid turnover interval of patients but nonetheless, that is not an excuse. Further, the emergence of antibiotic resistance is primarily due to excessive and often unnecessary use of antibiotics to patients (Gould, 2008). Risk factor for the spread of resistant bacteria in hospitals can be summarized as over-crowding and lapses in hygiene or poor infection control practices (Gopal Rao, 1998). The three identified nursing research articles relates to my current clinical experience wherein a common problem was determined specifically enumerating the factors for the spread of healthcare-associated infections (HCAIs) such as MRSA and providing some remedies to prevent and control the transmission of such infections. Problems identified in relation to my clinical experience. Based on previous studies it was ascertained that the mode of transmission of micro -organisms in a healthcare setting include direct and indirect contact, inhalation or droplet, waterborne or body fluid route, foodborne, and sexual activity (Gould, 2008). The problems related to my clinical experience are poor hygiene and non-adherence to infection control guidelines by nursing staff and other health professionals. Hence, it appears that infection control was not properly managed in a healthcare setting. In my clinical experience it was observed that most of the doctors and nurses do not wear disposable gloves and disposable apron during their visit to different patients especially for those patients who are in isolation room afflicted with different kinds of disease. This observation can be illustrated when a patient was admitted in the ward and lodged in an isolation room because the patient is MRSA positive. The doctor enter into the patient’s room to do some medical assessment and most of the time doctor tend to forget to wear protective gear before conducted clinical assessments, despite the notice or sign posted in front of the patient’s room being an isolated area. Upon conducting the medical assessment on a patient who is MRSA positive, the doctor did not wash his hands instead continued his job by conducting medical check up on the other patients who are not in isolation area. In addition, nurses also tend to forget to follow infection control ractices. They failed to understand the chain of infection control, for example an E. coli, which is considered as an infection agent found in the large intestine of human form the greater part of the normal intestinal flora. Its port of exit is via faeces. The nurse removed the contaminated linen from the bed. The E. coli contaminated the hands of the nurse who then provided care to another patient without hand washing. The sec ond patient has a foley catheter. The nurse manipulated the catheter tubing, the E. oli in the nurse’s hands contaminated the catheter tubing and ascending to the patient’s urinary tract and then into the bladder. The susceptible host, who is the second patient with the foley catheter is an elderly and had a chronic illness necessitating complete bed rest. The foley catheter contaminated by the E. coli organism provided a direct route into the urinary bladder causing the transmission of the infection from one patient to another. The most common mode of transmission of infection is by direct contact, often on the hands of health workers. This is the way that most HCAIs are spread and explains why hand washing is emphasized as the most important way of breaking the chain of infection (Gould, 2008). Moreover, nurses were observed roaming around in the ward corridor wearing the disposable gloves and disposable gowns after providing nursing care to patients who are in isolation room. These actuations probe that nurses should have continuing education on the implementation of infection control practices to avoid cross-infection and transmission of contagious diseases among patients. The essence of public health is taking sensible measures to prevent problems in the future. Good infection control in primary care has the potential to prevent grave consequences for patients. Nurses in primary care should play a crucial role in ensuring cleanliness, infection control practices and adhere to guidelines in this important area (Gould, 2008). Five phases of the research process The nursing research process contains an orderly series of phases or steps that outline the key points of research study. Research article has both qualitative and quantitative research method to develop and answer the issues pertinent to the specific topic (Borbasi, et al. , 2008). The first phase of nursing research is to conceive the study by identifying the issue or problem to be studied relevant to the interest of the researcher that will include the goal of the study, review of literature, development of theoretical framework, and the formulation of research hypothesis (Borbasi, et al. , 2008). Literature review serves to put the current study into the context of what is already known about the phenomenon (Parahoo, 1997). The three identified nursing research were conceived due to the following problems: In article one entitled Plastic apron wear during direct patient care, the researchers stated the problem as inconsistent practice in apron use by nurses in healthcare setting (Candlin & Stark, 2005). In this study an expansion of the general themes and concentration of the main report is given and the reader is able to make choice about the relevance of the article for the purpose. The identified problem in article two entitled controlling the risk of MRSA infection: screening and isolating patients stated that there is a need to minimize the spread of antibiotic resistant infection through screening and isolating patients (Bissett, 2005). For article three, entitled bed occupancy, turnover interval and MRSA rates in Northern Ireland, the researchers identified the problem as the increasing rate of MRSA infection in the healthcare setting. Relative thereto, the aim of the study is to ascertain the relationship between bed percentage occupancy and MRSA patient episode rates (Cunningham, kernohan & Rush, 2006). In the review of literature, the researchers of the three articles analyses the literatures from different sources such as Cinahl, Medline and Pubmed (Bissett, 2005), to help in the development of theoretical framework to explain or predict study outcomes (Borbasi, et al. , 2008). In article three the researchers develop theoretical framework to explain their findings by using the collected data from different sources. The second phase of nursing research is to design the study whereby the methodology for the conduct of research was identified (Borbasi, et al. , 2008). It includes the process of data collection, whereby article three is an example of quantitative method of research wherein the researchers gathered the needed data from annual reports and hospital statistics. In article one, the researchers collected the information and data needed in their study from 15 journal articles which are relevant to their topic that contribute to the credibility of the outcome of the study and this is a representation of a qualitative method of research as the researchers analyses previous case studies relevant to their topic (Candlin & Stark, 2005). Further, article two was identified as a quantitative study and clearly outlined the research question to be answered (Bissett, 2005). The conduct of the study is the third phase of nursing research and ethics is part of phase 3 of the nursing process. It is an important part of nursing research and it is an area in which the health professional is involved daily particularly in providing care to patients. Issues relating to the study, design, recruitment of participants, feedback and data collection methods are subject to scrutiny of a departmental ethics committee and approval should be obtained. Consent was secured from the target participants by the researchers in support to their study (Borbasi, et al. , 2008). Phase 3 includes the actual data collection pertinent to the study. In article one, the researchers evaluated and analyses the information and data gathered from the documents. They separated the data into three categories in order to accurately determine and interpret their findings (Candlin & Stark, 2005). Records show that the researchers of the three identified nursing research sought the approval of an institutional ethics committee prior to the conduct of their respective studies. However, such approval was not acknowledged in the content of their studies. The three nursing research studies encountered some limitations, which affect the validity of the outcome of their studies. For example, in article one and three, the researchers identified their method of data analysis as their limitation in the conduct of their studies. Candlin & Stark (2005) stressed that the documentary analysis in their study have limited available data, which are incomplete, inaccurate and has inherent biases, while the researcher in article two explained that by using survey questionnaire in the data collection does not guarantee that the target participants will provide honest and accurate answers to the questions (Bissett, 205). The analysis of the study, which includes the interpretation of the gathered data is the fourth phase of the nursing research process. The findings in article two, reveal that nursing staff doesn’t understand the proper implementation of infection control practices and the potential transmission of infections from one patient to another (Candlin & Stark, 2005). The findings in article one and three as presented were brief, concise and accurate which are easy to understand. In article three, the researchers presented the results of the study in tables and graphs, which were used as reference to explain the findings of the study. The phase five of nursing research is use the study that completes the research process and ensures that results or findings of the study are shared with the target consumers (Borbasi, et al. 2008). This phase includes recommendations whether further study is needed to strengthen the findings of the study and conclusions, which are being used as reference to reinforce the outcome of the research study. It may include the evaluation of the study and a summary of the findings together with the relevance and importance of the study in nursing practice. The researchers of the three articles presented their respective conclusions in a brief and concise manner. The researchers in article one outlined their conclusion as brief as possible and stated the implication of the study in relation to nursing practice. Nurses should adhere to the existing policies and guidelines pertinent to infection control practices such as use of disposable apron during direct patient care and nurses should have understanding on the said policies, to promote good practice and reduce risk of cross-infection, an area that cannot be ignored (Candlin & Stark, 2005). The researcher in article two emphasized that health worker should follow and observe the existing guidelines on infection control and MRSA screening should be done to all patients who are subject for admission to minimize the risk of MRSA infections (Bissett, 2005). Finally, in article three, as part of the findings of the study, the researchers were able to establish the link between high bed occupancy, patient turnovers interval and MRSA rates considering that nurses do not have enough time to implement effective infection control practices (Cunningham, Kernohan & Rush, 2006). Influence of the research study to the identified issue The study conducted in article one was able to identify the factors that influence the nurses to use plastic apron when providing direct patient care such as nurses’ uniforms are not considered as protective clothing. It promotes good practice for health workers as plastic apron protect themselves and other people in a healthcare setting from contagious diseases and other infections. The use of plastic apron will reduce the risk of cross-contamination and prevent the spread of micro-organisms. This research study could influence the identified problem by calling the attention of the health service managers to ensure that a policy from apron use is implemented. The management shall make sure that nurses and other health professionals will have adequate access to disposable apron to protect themselves from contamination, and to guarantee the safety of the patients and staff member in a healthcare setting (Candlin & Stark, 2005). Article two is considered as an educational in nursing practice. It provides information and data that described nosocomial infections caused by antibiotic-resistant strain of bacteria such as MRSA (Bissett, 2005). Likewise, the study enumerated some infection control strategy that can be applied in my clinical experience such as surveillance of infection, education and training production, review and dissemination of written policies and guidelines, etc. that will provide a safe environment in the clinical setting by protecting the clients and other staff members. These infection control strategies will ensure safe and good nursing practice that will lead to proper management of infection control practices. It is interesting to note in this article, the findings of the researchers would serve as reference in combating healthcare-associated infections. It would educate the nursing staff as far as infection control practices that form part as an update of the existing policies and guidelines. It reminds the nurses and other healthcare workers of the grave consequences for patients if there will be an outbreak of the infection in the clinical setting. Likewise, the author of the article suggested some infection control strategies that will be of help in reducing the risk of cross-contamination and preventing the spread or transmission of infections. Bissett (2005) stressed that isolation of patient who is MRSA positive is the most ideal precautionary measure to prevent the spread of infections coupled with hygiene and cleanliness within the hospital premises. The data presented in article three are prevalent in my clinical experience and the findings of the study is evident in every healthcare setting that when there is a rapid turnover interval of patients meaning admission of patients is greater than the discharge it will caused high bed occupancy resulting to increase in the MRSA rate due to overcrowding and work overload of nurses and other healthcare workers in a hospital setting. Such limitations will put the nurses and medical staff working under pressure and may tend to forget to follow hygiene procedures and infection control practices (Wenzel, 1993). This article may influence the identified problem in my clinical experience by introducing equitable distribution of workload among nurses and medical staff that will include the number of patients to be taken care of by each nurse or medical staff. In this case, nurses could concentrate on the activities and care plan to be introduced to the patient including the promotion of proper hygiene and observance of infection control practices. Conclusion In conclusion, the main recommendations arising from this study suggest that nurses must be knowledgeable to the current policies and guidelines relative to proper hygiene and infection control practices. This recommendation relates to the competencies of nurses to promote an environment that enables client safety, independence, quality of life, and health. Likewise, nurses must also be responsible for their own professional development (Weber & Kelly, 2003). All qualified nurses must develop competency critical evaluation of research. According to Borbasi, et. al. (2008), it must be evident that nursing care provided to clients if possible, is based on quality research – based evidence. Assessing critical evaluation skills takes time and practice. Working along with other nurses (senior staff) can make the process more effective. This will ensure that the highest possible standard for evidence-based practice is provided for patients. Relative to the three pieces of nursing research, it appears that poor hygiene and failure to follow infection control practices by nurses and other healthcare workers are contributory to rapid transmission of nosocomial infections such as MRSA in a clinical setting (Bissett, 2005). To effectively address this issue existing policies and guidelines on infection control and prevention should be updated and strictly implemented in a clinical setting. An audit tool to monitor compliance of nurses and other health professionals to the said guidelines and policies should be initiated as part of the strategies on how to minimize if cannot eradicate the spread of infections. This study can be considered as a wake up call for nurses, doctors, and other healthcare workers for them to religiously observe proper hygiene within the hospital setting and strictly follow the standards provided by the government to stop the spread of infections in a clinical setting as well as in community setting through effective information, and education campaign. REFERENCES Bissett, L. (2005). Controlling the risk of MRSA infection: screening and isolating patients. British journal of Nursing, 14 (7), 396-390. Borbasi, S. , Jackson, D. , & Langford, R. (2008). Navigating the maze of nursing research 2e: An interactive learning adventure. Sydney, Australia: Elsevier Mosby. Candlin, J. , Stark, S. (2005). Plastic apron wear during direct patient care. Nursing Standard. 20, (2), 41-46. Cunningham, J. , Kernohan, W. , & Rush, T. (2006). Bed occupancy, turnover internal and MRSA rates in Northern Ireland. British Journal of Nursing, 15 (6), 324-328. Gopal Rao, G. (1998). Risk factors for the spread of antibiotic-resistant bacteria. Department of Microbiology, University Hospital: Lewisham, London Gould, D. (2008). Isolation precaution to prevent the spread of contagious diseases. Nursing Standard. 23, (22), 47-55. Parahoo, K. (1997). Nursing Research: Principles, processes and issues. Macmillan. ISB No. 337-69918-1. Weber, J. & Kelly, J. , (2003). Health assessment in nursing. Lippincott Williams & Wilkins. Wenzel, RP. (1993). Prevention and control of nosocomial infections, (2nd ed. ). Lippincott Williams & Wilkins. Nursing Research ?INTRODUCTION Nursing research is a systematic process by which nurses may used to confirm or refine existing knowledge and to explore new ideas about issues related to nursing practice (Borbasi, Jackson, & Langford, 2008). It falls largely into two areas, namely: Qualitative research and Quantitative research whereby qualitative research is based on the model of phenomenology, grounded theory, and ethnography and examines the experience of those receiving or delivering nursing care. The research methods most commonly used in qualitative research are interviews, case studies, and ethnography. On the other hand, quantitative research is based in the paradigm of logical positivism and is focused upon outcomes for clients that are measurable, generally using statistics gathered from a survey questionnaire method of research (Parahoo, 1997). The objective of this nursing research assignment is to distinguish the identified three pieces of nursing research with a common issue that is relevant to my current clinical experience. The five phases of the research process will be outlined and discussed the findings of the researchers by providing examples from each study. For purposes of this assignment, the research topic which I want to examine is poor hygiene and failure to follow infection control practices, contributing to the spread of nosocomial infections especially those caused by antibiotic-resistant strain of bacteria such as methicillin-resistant Staphylococcus aureus (MRSA) in a clinical setting. The said topic was chosen because it has been observed during my clinical experience, that most of the time doctors, nurses, and other health professionals does not adhere to the implementation of existing guidelines pertinent to infection prevention and control practices maybe due to excessive workload and rapid turnover interval of patients but nonetheless, that is not an excuse. Further, the emergence of antibiotic resistance is primarily due to excessive and often unnecessary use of antibiotics to patients (Gould, 2008). Risk factor for the spread of resistant bacteria in hospitals can be summarized as over-crowding and lapses in hygiene or poor infection control practices (Gopal Rao, 1998). The three identified nursing research articles relates to my current clinical experience wherein a common problem was determined specifically enumerating the factors for the spread of healthcare-associated infections (HCAIs) such as MRSA and providing some remedies to prevent and control the transmission of such infections. Problems identified in relation to my clinical experience. Based on previous studies it was ascertained that the mode of transmission of micro -organisms in a healthcare setting include direct and indirect contact, inhalation or droplet, waterborne or body fluid route, foodborne, and sexual activity (Gould, 2008). The problems related to my clinical experience are poor hygiene and non-adherence to infection control guidelines by nursing staff and other health professionals. Hence, it appears that infection control was not properly managed in a healthcare setting. In my clinical experience it was observed that most of the doctors and nurses do not wear disposable gloves and disposable apron during their visit to different patients especially for those patients who are in isolation room afflicted with different kinds of disease. This observation can be illustrated when a patient was admitted in the ward and lodged in an isolation room because the patient is MRSA positive. The doctor enter into the patient’s room to do some medical assessment and most of the time doctor tend to forget to wear protective gear before conducted clinical assessments, despite the notice or sign posted in front of the patient’s room being an isolated area. Upon conducting the medical assessment on a patient who is MRSA positive, the doctor did not wash his hands instead continued his job by conducting medical check up on the other patients who are not in isolation area. In addition, nurses also tend to forget to follow infection control ractices. They failed to understand the chain of infection control, for example an E. coli, which is considered as an infection agent found in the large intestine of human form the greater part of the normal intestinal flora. Its port of exit is via faeces. The nurse removed the contaminated linen from the bed. The E. coli contaminated the hands of the nurse who then provided care to another patient without hand washing. The sec ond patient has a foley catheter. The nurse manipulated the catheter tubing, the E. oli in the nurse’s hands contaminated the catheter tubing and ascending to the patient’s urinary tract and then into the bladder. The susceptible host, who is the second patient with the foley catheter is an elderly and had a chronic illness necessitating complete bed rest. The foley catheter contaminated by the E. coli organism provided a direct route into the urinary bladder causing the transmission of the infection from one patient to another. The most common mode of transmission of infection is by direct contact, often on the hands of health workers. This is the way that most HCAIs are spread and explains why hand washing is emphasized as the most important way of breaking the chain of infection (Gould, 2008). Moreover, nurses were observed roaming around in the ward corridor wearing the disposable gloves and disposable gowns after providing nursing care to patients who are in isolation room. These actuations probe that nurses should have continuing education on the implementation of infection control practices to avoid cross-infection and transmission of contagious diseases among patients. The essence of public health is taking sensible measures to prevent problems in the future. Good infection control in primary care has the potential to prevent grave consequences for patients. Nurses in primary care should play a crucial role in ensuring cleanliness, infection control practices and adhere to guidelines in this important area (Gould, 2008). Five phases of the research process The nursing research process contains an orderly series of phases or steps that outline the key points of research study. Research article has both qualitative and quantitative research method to develop and answer the issues pertinent to the specific topic (Borbasi, et al. , 2008). The first phase of nursing research is to conceive the study by identifying the issue or problem to be studied relevant to the interest of the researcher that will include the goal of the study, review of literature, development of theoretical framework, and the formulation of research hypothesis (Borbasi, et al. , 2008). Literature review serves to put the current study into the context of what is already known about the phenomenon (Parahoo, 1997). The three identified nursing research were conceived due to the following problems: In article one entitled Plastic apron wear during direct patient care, the researchers stated the problem as inconsistent practice in apron use by nurses in healthcare setting (Candlin & Stark, 2005). In this study an expansion of the general themes and concentration of the main report is given and the reader is able to make choice about the relevance of the article for the purpose. The identified problem in article two entitled controlling the risk of MRSA infection: screening and isolating patients stated that there is a need to minimize the spread of antibiotic resistant infection through screening and isolating patients (Bissett, 2005). For article three, entitled bed occupancy, turnover interval and MRSA rates in Northern Ireland, the researchers identified the problem as the increasing rate of MRSA infection in the healthcare setting. Relative thereto, the aim of the study is to ascertain the relationship between bed percentage occupancy and MRSA patient episode rates (Cunningham, kernohan & Rush, 2006). In the review of literature, the researchers of the three articles analyses the literatures from different sources such as Cinahl, Medline and Pubmed (Bissett, 2005), to help in the development of theoretical framework to explain or predict study outcomes (Borbasi, et al. , 2008). In article three the researchers develop theoretical framework to explain their findings by using the collected data from different sources. The second phase of nursing research is to design the study whereby the methodology for the conduct of research was identified (Borbasi, et al. , 2008). It includes the process of data collection, whereby article three is an example of quantitative method of research wherein the researchers gathered the needed data from annual reports and hospital statistics. In article one, the researchers collected the information and data needed in their study from 15 journal articles which are relevant to their topic that contribute to the credibility of the outcome of the study and this is a representation of a qualitative method of research as the researchers analyses previous case studies relevant to their topic (Candlin & Stark, 2005). Further, article two was identified as a quantitative study and clearly outlined the research question to be answered (Bissett, 2005). The conduct of the study is the third phase of nursing research and ethics is part of phase 3 of the nursing process. It is an important part of nursing research and it is an area in which the health professional is involved daily particularly in providing care to patients. Issues relating to the study, design, recruitment of participants, feedback and data collection methods are subject to scrutiny of a departmental ethics committee and approval should be obtained. Consent was secured from the target participants by the researchers in support to their study (Borbasi, et al. , 2008). Phase 3 includes the actual data collection pertinent to the study. In article one, the researchers evaluated and analyses the information and data gathered from the documents. They separated the data into three categories in order to accurately determine and interpret their findings (Candlin & Stark, 2005). Records show that the researchers of the three identified nursing research sought the approval of an institutional ethics committee prior to the conduct of their respective studies. However, such approval was not acknowledged in the content of their studies. The three nursing research studies encountered some limitations, which affect the validity of the outcome of their studies. For example, in article one and three, the researchers identified their method of data analysis as their limitation in the conduct of their studies. Candlin & Stark (2005) stressed that the documentary analysis in their study have limited available data, which are incomplete, inaccurate and has inherent biases, while the researcher in article two explained that by using survey questionnaire in the data collection does not guarantee that the target participants will provide honest and accurate answers to the questions (Bissett, 205). The analysis of the study, which includes the interpretation of the gathered data is the fourth phase of the nursing research process. The findings in article two, reveal that nursing staff doesn’t understand the proper implementation of infection control practices and the potential transmission of infections from one patient to another (Candlin & Stark, 2005). The findings in article one and three as presented were brief, concise and accurate which are easy to understand. In article three, the researchers presented the results of the study in tables and graphs, which were used as reference to explain the findings of the study. The phase five of nursing research is use the study that completes the research process and ensures that results or findings of the study are shared with the target consumers (Borbasi, et al. 2008). This phase includes recommendations whether further study is needed to strengthen the findings of the study and conclusions, which are being used as reference to reinforce the outcome of the research study. It may include the evaluation of the study and a summary of the findings together with the relevance and importance of the study in nursing practice. The researchers of the three articles presented their respective conclusions in a brief and concise manner. The researchers in article one outlined their conclusion as brief as possible and stated the implication of the study in relation to nursing practice. Nurses should adhere to the existing policies and guidelines pertinent to infection control practices such as use of disposable apron during direct patient care and nurses should have understanding on the said policies, to promote good practice and reduce risk of cross-infection, an area that cannot be ignored (Candlin & Stark, 2005). The researcher in article two emphasized that health worker should follow and observe the existing guidelines on infection control and MRSA screening should be done to all patients who are subject for admission to minimize the risk of MRSA infections (Bissett, 2005). Finally, in article three, as part of the findings of the study, the researchers were able to establish the link between high bed occupancy, patient turnovers interval and MRSA rates considering that nurses do not have enough time to implement effective infection control practices (Cunningham, Kernohan & Rush, 2006). Influence of the research study to the identified issue The study conducted in article one was able to identify the factors that influence the nurses to use plastic apron when providing direct patient care such as nurses’ uniforms are not considered as protective clothing. It promotes good practice for health workers as plastic apron protect themselves and other people in a healthcare setting from contagious diseases and other infections. The use of plastic apron will reduce the risk of cross-contamination and prevent the spread of micro-organisms. This research study could influence the identified problem by calling the attention of the health service managers to ensure that a policy from apron use is implemented. The management shall make sure that nurses and other health professionals will have adequate access to disposable apron to protect themselves from contamination, and to guarantee the safety of the patients and staff member in a healthcare setting (Candlin & Stark, 2005). Article two is considered as an educational in nursing practice. It provides information and data that described nosocomial infections caused by antibiotic-resistant strain of bacteria such as MRSA (Bissett, 2005). Likewise, the study enumerated some infection control strategy that can be applied in my clinical experience such as surveillance of infection, education and training production, review and dissemination of written policies and guidelines, etc. that will provide a safe environment in the clinical setting by protecting the clients and other staff members. These infection control strategies will ensure safe and good nursing practice that will lead to proper management of infection control practices. It is interesting to note in this article, the findings of the researchers would serve as reference in combating healthcare-associated infections. It would educate the nursing staff as far as infection control practices that form part as an update of the existing policies and guidelines. It reminds the nurses and other healthcare workers of the grave consequences for patients if there will be an outbreak of the infection in the clinical setting. Likewise, the author of the article suggested some infection control strategies that will be of help in reducing the risk of cross-contamination and preventing the spread or transmission of infections. Bissett (2005) stressed that isolation of patient who is MRSA positive is the most ideal precautionary measure to prevent the spread of infections coupled with hygiene and cleanliness within the hospital premises. The data presented in article three are prevalent in my clinical experience and the findings of the study is evident in every healthcare setting that when there is a rapid turnover interval of patients meaning admission of patients is greater than the discharge it will caused high bed occupancy resulting to increase in the MRSA rate due to overcrowding and work overload of nurses and other healthcare workers in a hospital setting. Such limitations will put the nurses and medical staff working under pressure and may tend to forget to follow hygiene procedures and infection control practices (Wenzel, 1993). This article may influence the identified problem in my clinical experience by introducing equitable distribution of workload among nurses and medical staff that will include the number of patients to be taken care of by each nurse or medical staff. In this case, nurses could concentrate on the activities and care plan to be introduced to the patient including the promotion of proper hygiene and observance of infection control practices. Conclusion In conclusion, the main recommendations arising from this study suggest that nurses must be knowledgeable to the current policies and guidelines relative to proper hygiene and infection control practices. This recommendation relates to the competencies of nurses to promote an environment that enables client safety, independence, quality of life, and health. Likewise, nurses must also be responsible for their own professional development (Weber & Kelly, 2003). All qualified nurses must develop competency critical evaluation of research. According to Borbasi, et. al. (2008), it must be evident that nursing care provided to clients if possible, is based on quality research – based evidence. Assessing critical evaluation skills takes time and practice. Working along with other nurses (senior staff) can make the process more effective. This will ensure that the highest possible standard for evidence-based practice is provided for patients. Relative to the three pieces of nursing research, it appears that poor hygiene and failure to follow infection control practices by nurses and other healthcare workers are contributory to rapid transmission of nosocomial infections such as MRSA in a clinical setting (Bissett, 2005). To effectively address this issue existing policies and guidelines on infection control and prevention should be updated and strictly implemented in a clinical setting. An audit tool to monitor compliance of nurses and other health professionals to the said guidelines and policies should be initiated as part of the strategies on how to minimize if cannot eradicate the spread of infections. This study can be considered as a wake up call for nurses, doctors, and other healthcare workers for them to religiously observe proper hygiene within the hospital setting and strictly follow the standards provided by the government to stop the spread of infections in a clinical setting as well as in community setting through effective information, and education campaign. REFERENCES Bissett, L. (2005). Controlling the risk of MRSA infection: screening and isolating patients. British journal of Nursing, 14 (7), 396-390. Borbasi, S. , Jackson, D. , & Langford, R. (2008). Navigating the maze of nursing research 2e: An interactive learning adventure. Sydney, Australia: Elsevier Mosby. Candlin, J. , Stark, S. (2005). Plastic apron wear during direct patient care. Nursing Standard. 20, (2), 41-46. Cunningham, J. , Kernohan, W. , & Rush, T. (2006). Bed occupancy, turnover internal and MRSA rates in Northern Ireland. British Journal of Nursing, 15 (6), 324-328. Gopal Rao, G. (1998). Risk factors for the spread of antibiotic-resistant bacteria. Department of Microbiology, University Hospital: Lewisham, London Gould, D. (2008). Isolation precaution to prevent the spread of contagious diseases. Nursing Standard. 23, (22), 47-55. Parahoo, K. (1997). Nursing Research: Principles, processes and issues. Macmillan. ISB No. 337-69918-1. Weber, J. & Kelly, J. , (2003). Health assessment in nursing. Lippincott Williams & Wilkins. Wenzel, RP. (1993). Prevention and control of nosocomial infections, (2nd ed. ). Lippincott Williams & Wilkins.