Marking Plan for Virgin Group Ltd Essay Example | Topics and Well Written Essays - 3000 words

Marking Plan for gross(a) Group Ltd - Essay ExampleThe tool such as Porter five-spot Forces Model get out be useful in assessing the faceal environment along with the discussion of the marketing objectives, core strategies, and the implementations of Marketing Mix decisions of the fraternity. The paper will focus upon one sector of the Virgin Groups and for this purpose Virgin Atlantic is the segment which is taken into consideration for the environmental audit. Virgin Group Limited The company, Virgin Group Limited, is a venture capital and a conglomerate under the British brand venture capital. A famous business tycoon, Richard Branson, is the founder of this organization (Bloomberg Business Week, n.d.). The company mainly engages in the fields of tourism, broadband, leisure, music, mobile, finance, travel, health, TV, and radio. The business operations of the organization are carried out primarily in Europe, Asia, Africa, Australia, and North America. The organization withal involves in the provision of other consumer services such as rail services, cruise packages, airlines, vacation and the transportation services of passenger motorbike. Moreover, the organization functions in providing the online gambling casino and slots, gym facilities, balloon flights, and racing teams publishes non-fiction books technical and home IT support, employee health program, provides cord blood stem cell banking, lifestyle and health management, and NHS services and offers corporate sacrifice vouchers, and online gaming and video games, as well as wines online. The headquarters of the Virgin Group is at The School House, 50 Brook Green in the capital of the United Kingdom Borough of Hammersmith and Fulham (Virgin, 2012). Virgin Atlantic or Virgin Atlantic Airways is one of the largest British long haul international airlines, and operates the services of long haul to more than 30 destinations across the world. It is a private airline which is owned for 49% owned by Si ngapore Airlines and the Virgin Group owns it for the rest of 51%. At present, the company manages and operates a fleet of Airbus A340 aircraft and Boeing 747. There are 13 747-400s, 38 aircrafts, and six 19 A340-600s and A340-300s which are operated by Virgin Atlantic. The bases of the airline are at Heathrow airports, Londons Gatwick and the Manchester airport. collar categories of travelling are offered to customers by the Virgin Atlantic and they include premium economy, upper class, and economy all which comprise of the in-flight entertainment as well. Business romance and Mission Every business chalks out a mission that signifies its existence, and the purpose of its functioning. Similarly, the Virgin Groups Limited performs with a vision to make its contribution to the creation of fulfilling and euphoric lives which are sustainable at the same time. The basic objectives of Virgin Atlantic observe that the company will provide services of superior quality to its customers. It would change them to travel to the places where they cannot go easily. Moreover, Virgin Atlantic also keeps its profitability as one of the major motives of its business operations. Environmental Analysis There are deuce types of environments in which a business organization operates. In order to analyze the business environment of the organization, PEST analysis has been utilized as follows Political Factors In order to deal with the

A Gathering of Old Men by Ernest J. Gaines Essay

A Gathering of Old Men by Ernest J. Gaines - Essay ExampleA Gathering of Old Men occurs in Marshall orchard situated in Bayonne Louisiana. The gathering is brought about by the revelations that Beau Baton, the plantations work boss, has been brutally murdered at the initial stages of the novel. As a result, she acts quickly and invites everyone staying at bottom the precincts of the plantation. After Miss Merles arrival, Candy confesses to her that she was the one who had killed Beau. Merle does not believe her, and together, they decide to bring local men together with their shotguns so that they make it difficult for Sherriff Mapes to solve the crime. All the men arrive with their shotguns and are willing to co-operate. As anticipated, Sheriff Mapes arrive to investigate the crime. The first dickens people he summons both confess to have commite the crime. Moving to the next person, the sheriff questions Reverend Jameson. The Reverend keeps mum and does not answer him eachthing . Overwhelmed by anger, the sheriff punches him so hard that he falls to the ground (Gaines 80). The other men watching the scenario reacts to the sheriffs action and lines up to be slapped too. The sheriff is so amazed by this sense of solidarity and their readiness to confess. He stops questioning them. Charlies absence from the men present in Mathus homestead is noticeable. This is because he was the one working closely with Beau. However, the sheriff does not give birth much attention to his absenteeism since he views him as a weak individual who can not harm any one. His main suspect is Mathu since he has constantly openly demonstrated his hatred towards the local exsanguinouss. Therefore, the sheriff believes that Mathu is the only one who can commit the murder (Gillis). On the contrary, he can not make any arrests since he does not have any evidence that links anyone to the murder. Furthermore, more black men abide by out to confess putting to death Beau. They claim that they were retaliating the killing of their son for a crime he did not commit, raping of their sisters and the killing of their brothers for no reason. Mapes is compelled to stay at the crime scene since he is confident that Fix, a white man known for lynching blacks will come with his men to avenge Beaus death (Bryan). As the sheriff, he is bound to stay to detect law and order. The sheriff strong belief that Mathu could be the murderer prompts him to arrest Mathu. However, before taking him away, Charlie comes to the picture. He confesses that he was the one who killed Beau (Gaines 110). He explains himself that he perpetrate the crime after being threatened by Beau. He also revealed that he had convinced Mathu to take the blame before fleeing. However, he asserts that he had come back to speak the truth and take responsibility of his actions. After revealing his confession, Charlie is arrested by the sheriff. Before they leave Mathus compound to the police station, Luke Will and his root of whites arrive demanding Charlie to be handed over to them for lynching (Attaining manhood). Mapes refuses and they shoot him. On seeing this, the black men immediately withdraw their shot guns and a sick battle ensues. The white men did not expect this retaliation and one of them is slightly injured (Attaining manhood). The primary battle takes place between Luke Will and Charlie. The two men strongly fight to finish one another. Eventually, Charlie shoots Luke Will before he is shot. He dies a hero and everyone in the area pays tribute to his baseless body. On the other hand, all the individuals involved in the shootout are charged in a court of law and given five long time probation each. Analysis The novel, A Gathering of Old Men by Ernest Gaines brings out many themes and various

The global cold war in Latin America Essay Example | Topics and Well Written Essays - 500 words

The global bleak war in Latin America - Essay precedentAnother important factor that helped to protect Latin America was the defeat engineered by Fidel Castro in Cuba. It was of great importance since it helped in determining how the united states would uprise up with policies and how they would be implemented. The policies were concerned with mainly the social and economic welfare of the people. Furthermore, the Defeat by Fidel Castro saw the alienation of American companies in the whole Latin America. This was a drawback to the United States and as he signed pacts and treaties that benefited the economy and military of his country.Cold war in Latin ends with the end in Fidel Castros revolution. At the moment, the Latin America had little or no support from the neighboring nations that is Moscow and United States. Since it became an isolated place, it sized to be the strategic point after the cold war. In the end, it becomes of no value to the two countries, which implied that th ey attained little help in building their political and economic pillars.Rwanda, Somalia, and Yugoslavia are among the many countries that have see instances and situations of mass violence. Many other countries were being affected by mass violence at an alarming rate and this resulted in the emergence of support organizations much(prenominal) as United Nations Conventions for the prevention and punishment of the crime of Genocide.The United Nations had to take action especially after the mass violence genocide in Rwanda and the heathen killings in Yugoslavia.

Response to Comments Essay Example | Topics and Well Written Essays - 250 words

Response to Comments - Essay ExampleAll accountants and financial analysts actualize that money losses value over time due to inflation. Back in the 1960s the money these people had was worth twice as a great deal as todays money because our elders had greater buying power due to the fact money had not depreciated like it has in today economy. DQ2 When a company is using the NVP value method a firm should only accept a project if the project has a NPV above cero. In your answer I believe you mentioned that a company could do badly irrelevant of the NPV being above cero. Well this could happen because the NPV compendium is limited to the project that the analysis is evaluating. If a firm has financial troubles that existed irrelevant of the results associated with the NPV of a project then a firm could go down under. The NPV analysis is not a cocksucker that can be use to evaluate the overall standing of a firm. The scope of an NPV analysis is limited to the scope of the project that the financial tool is used for (Besley & Brigham, 2000). The NPV tool can help managers determine the viability of a capital project. References Besley, S., Brigham, E. (2000). Essential of Managerial Finance (12th ed.). Fort Forth The Dryden Press.

Differentiated Instruction Research Paper Example | Topics and Well Written Essays - 2000 words

Differentiated Instruction - Research Paper ExampleThey can, therefore, assist in forming the basis on which professed(prenominal)ism exists, and exit toward benefitting everyone. Many areas in the world today, need professional development. Professional development assists the organizations attain credibility and maintain a stand in the global market. This physical composition will examine one such area, and the implementations that help it get there. Professional development in the learning purlieu is an issue that affects many learning institutions, in present time. instructors are a fundamental aspect in the learning field. They form the basis by which many students and learners get the professional assistance they need. Teacher leaders are often looked for to bring order to the current learning environs. They work toward preparing everyone in and out of this environment on how to better themselves while learning. Their rest home in society dictates that their focus shoul d be placed on both the learner, and their fellow teachers. In terms of educational activity, they are meant to steer the learning environment toward achieving the goals and objectives set (Bista & Glasman, 1998). It is this professionalism that promotes the learning environment into what the world expects to have. ... In order to have these objectives achieved, it is vital to know the task of teacher leaders in society, and the learning environment (Gregory, 2003). Their plans and ideas form the foundation on which interest groups relate with one another, and how well and fast they come together to achieve the common goal. One of the central purposes of the professional development plan is to bring out changes in how things operate. Learners need competent and effective teachers. Through the plan, the manner in which teachers are recruited, evaluated, and compensated will situate if learners get a competent and consistent teacher. This may form the grounds on which education facil itators reach out to their learners, and prepare them for the road ahead. This public sector needs to incorporate the learning environment to involve more people than just the learner and the teacher. By doing this, it is likely to have many other sectors replicate what is being done to better their current situations, and attain higher heights (Gregory, 2003). Another objective is to apply all the recommendations in a systematic manner. To do this, teacher leaders and all stakeholders must form a solid unit (Gonzalez & Lambert, 2001). It is not practical to have issues being implemented from every corner, and without charge to the repercussions. Teacher leaders should be more involved in the decision-making process. They must be present whenever decisions are being implemented. This is to agree or disagree with those that work, or do not work in their favor. If such an objective is achieved, teachers and all stakeholders can take accountability for all the actions that occur in t he learning environment. This is with the decision-making

Assignment Essay Example | Topics and Well Written Essays - 500 words - 67

Assignment - Essay ExampleIt has a clear unity of purpose and each of the members values these objectives. There is corporate participation of the congregation members in the group discussions. There is also freedom of expression of the varied opinions of the members, and they be considered in the decision-making process. The members also value the differences between themselves, and they are managed effectively (Woodcock and Dave 14).An ineffective team presents with the absence of trust between the members that is presented by the perception of vulnerability of some members. There are also conflicts that arise callable to the inability to engage all the aspects of a passionate discussion. There is also a lack of commitment towards the achievement of the goals and the objectives of the group. There is also a want of accountability of the parties towards the achievement of the goals. The members are inattentive to the results, by placing their individual considerations above the objectives.Before the teams come together, the goals of the members must be clearly defined by the allocating personnel. The group will have to meet and familiarize with themselves, and choose a leader for the group. The members should then be open to the suggestion of each of the members in order to fit out all the opinions (Woodcock and Dave 14). The leader is central in enforcing these considerations, because they unite all the members. The team leader provides the guide to the members about the need to achieve the goals of the group. They should motivate the team members, and tell on them understand the essence of the team. In case of conflicts, the leader requires to counsel the members, and reinforce unity. Any miscommunications should be addressed by the leaders, and apologies made where necessary (Woodcock and Dave 14). The members should also be able to listen and understand the greater dimension of their objectives. They should enhance emotional compatibility, in order to

Evidence based practice in antenatal Essay Example for Free

Evidence base of operationsd example in antenatal EssayINTRODUCTIONIn this globalization world, the withstand c beer had become more ch every last(predicate)enges and competence. IOM Report (2003) surname Health Professions Education A Bridge to Quality ready recommended license based pr take onice (EBP) as ane of the integration of core set competencies into health professions education. Now days, EBP is the to the highest degree popular topic to be talk and written intimately in nursing, nationally and internationally. Hitherto, nurses at times dont harbor care what is EBP and some nurses are even called it buzzword. The latter couldnt be further from truth. EBP is here to stay and nurses all important(p) understand it.Sacket et al (2000) described EBP as the integration of the outgo interrogation tell apart with clinical expertise and patients values. Evidence base practice is the application of the stovepipe available empirical evidence, including recent inquiry findings, to clinical practice in order to aid clinical decision making evidence based practice is based on the nonion of rational decision making. Higgs and Jones (2000) have purposed that evidence in evidence-based practice should be considered to be knowledge derived from a variety of line of descent that has been radicaled to test and has found to be credible. Here the nurse selects all research that has been done in area. These research results are analyzed together, synthe size of itd, coming up with a through integrate review. Then, the research put into the context of clinical expertise and the value system of the patient, and particular protocols or best practices are developed.In this paper, the pregnant of EBP exit be explored in relation to antenatal clinic. The objective of the subject field is to assess the put up on obstetric practice and maternal quality import of system easy pregnancy sonography define as owing(p)er than 24 weeks gestation, in women with either unselected or low take chances pregnancy .The Australasian Genetics Resource Book (2007) highlighted ultrasonography is the use of high frequency sound waves to make an image. In pregnancy, an ultrasound gives a picture of the developing pander in the uterus (womb). It is regularly considered part of the rule care for allpregnant women.The ultrasound is utilize as both a cover charge and a diagnostic test either give an indication that the baby is at an increased risk of a problem (a coating test), or it can acknowledge a definite problem in the babys physical development for example, in the heart or the kidneys (a diagnostic test). Mostly, a m some other go out question the nursing staffs working at the antenatal clinic regarding the ultrasound covering whether the process is caoutchoucty of their unhatched baby and themselves.In the rural area of Malaysia, roughly of the antenatal clinics have no facility such(prenominal) as ultrasound machine. As a result, the pregnant women with medically indicated and get referral letter from medical officer or midwife have to go to government hospital in the city to have an ultrasound. In difference, the private hospital per conditioned routine ultrasound cover charge for pregnant women in their late pregnancy.The selected evidence are cited by Bricker L and Neilson J (2000) Routine ultrasound in late pregnancy ( by and by 24 weeks gestation) track down from Cochrane Library. Cochrane Database of Systemic Review , 2007, issues 1,published by John Wiley and Sons,Ltd. This research is done by qualified person be grounds one of two reviewers was Dr Leanne Bricker who was the consultant in fetal and maternal medicine of Liverpool Womens NHS Foundation Trust. It could be argue that the reviewer is eligible to do this research and this made the research the more genuine.WHO Statistic (1999) mentioned that per year 585 000 women die of pregnancy related complications. It is 99% in developin g countries and 1% in developed countries. So, we can summarize that every minute one women dies from a pregnancy related complication. In Malaysia, high rate of prenatal and maternal morbidity and mortality continue to be a major problem in the country. A crucial factor of good obstetrics is the provision of adequate care during the antenatal period. Antenatal care was first-year cut ind to medicine in the first decade of this century. Hence, there no qualm that it has a brought gigantic benefit to women and their children. The main purpose of antenatal care is to ensure an uncomplicated for the mother and the safe delivery of a life and healthy infant. At present, modern technology andinformation technology have beyond more complicated. The equipment such as the ultrasound machine also was greatly up to date. The users of ultrasound as one of the obstetrician armamentarium have been part of the cause to improved antenatal and intra partum care. An ultrasound survey uses high fr equency sound waves in very short pulses.These travel from a transducer, which rests on your skin, and are reflected off different tissues inside you and then legitimate back at the transducer. The transducer passes the signal into a computer that displays an image of your insides on a screen. Usually this image represents a thin 2 dimensional swing of your anatomy. The operator moves the transducer around to get the best views to help diagnosis, whilst watching on the screen for some(prenominal)thing abnormal. They will record several images or short video clips to ornament the contemplate and these are kept in a computer database that is part of your patient record. The operator will use a small amount of jelly on your skin to ensure the transducer contacts your skin effectively. Routine ultrasound can be use in late pregnancy to detect problems which may not otherwise be apparent, such as abnormalities in the placenta in the fluid surrounding the baby, or in the babys growt h.The process of evidence base practice involved critical appraisal as one of the step. Hill Spittlehouse (2001) defined critical appraisal as the process of organizedally examining research evidence to access its validity, results and relevance before use it to inform a decision. Ahead of implementation of critical appraisal it is essential to understand research process chief(prenominal) and being able to recognize a well conceived designed of conducted study. The Critical Appraisal Skills tender us what is the best evidence in order to understand the methods and result of research besides to access the quality of the research. Oxman et al 1994, mentioned that the piece of evidence will be critically appraise for it validity and quality using and appraisal tool named, Critical Appraisal Skills Programme (CASP).The word research means to search again and examine carefully, more specifically, research is a diligent, systematic inquiry or study that validate and refines existin g knowledge and develop new knowledge. In fact,research is determined, hand on, received, understand and accepted by nurse practitioner only, (Brown 1999). Furthermore, the ultimate goal of research is the development of a research form of knowledge for a discipline or profession like nursing. Joppe (2000) highlighted that the dependability of result is the key questions in a research.Brown ,1999Melnyk Fineout- Overholt2005 stated that evidence based practice is the conscientious integration of best research evidence with clinical expertise and patient values and need in the delivery of high quality , cost effective health care. In this research, the reviewer has made the research more reliable by plyd data of all research finding plus a clear precise description of the research methodology.BODYThis title of the research clearly indicates the focus of the study. Above and beyond, the abstract includes the study problem, objectives, search strategy, selected criteria, data colle ction and analysis, significant result and implications of the findings for nursing practice. This research is significance to conduct because all relevant information is presented in a way that captures the attention of the reader. Crosby (1990) point out that a well-written abstract gives readers a good idea of what the study is about, how it was conducted and the findings or recommendations by the author.It is being stated clearly that, the reviewers drew on the search strategy developed for the pregnancy and childbirth as a whole. applicable of trial were identified in the groups specialized registered of control test. The pilot reviewer assessed trial quality and abstract data under supervision of co-reviewer. Moreover, the trial were not assess blinded as the reviewer have the information about the author identification, source of publication and result when making inclusion criteria. In fact, regarding the discord and insufficient data, the reviewer contacted the author pe rsonally above and beyond search in all relevant studies in published and unpublished studies.The publication parti pris is less because all of the studies were in English. The neonatal upshot measures of the research alsoseek advice from professor of perinatal medicine. By the way, any debarred trial was undoubtedly prone a reasonable accused and all the information of follow up was stated in the references. The participants included all women in late pregnancy (after 24 weeks gestation) in both unselected population and the sample size of the trial wide-ranging. The type of intervention used was routine ultrasound examine in late pregnancy (after 24 weeks gestation) to assess one/some/all of the conclusion measure on fetal size amniotic fluid volumes placental demolishing fetal structural anatomy fetal presentation. In relation to Crombie (1996), when choosing a study design, many factors must be taken into account because different types of studies are subject to different typ es of bias.It claimed that in this study there is no mention about hold and participants were kept in murkiness about the study. Almost certainly, it is great to mull over in the ethical aspect. It could be quarrel that the participants have been treated purely as a source of data. Theoretically, the ethical considerations in all research are the same the safety and protection of human rights. These rights are mainly could be achieved by informed consent. While no inform consent was taken even so confidentially has maintained. On no account mention any involvement of ethical committee it is a poor locomote as explaining the study design is the core of understanding the methodology. Olsen (2003) put in plain words that they are three elements of ethical research to firmly practice.In this review, all results were presented clearly and were similar from study to study. The reviewers have assessed the quality of all(prenominal) study and include all RCTs of routine ultrasound in lat e pregnancy after (24 weeks) in the research. Quasi-randomized trials were regard as for inclusion due to scarcity of RCTs. The study was good in view of the fact that the limitations of the research and the reason for any variation in the result were discussed in particular by reviewers. The ultrasound selection were differed among trials some offering routine scans to all participant earlier in the pregnancy (before 24 weeks gestation), some offering no routine scan at anytime in pregnancy to the control group and some offering scan at all stages of the trial, only if only revealing results of latepregnancy ultrasound (after 24 weeks gestation) for the study group.Furthermore, the rationale for routine ultrasound scan after 24 weeks gestation differed among trials as it is difficult to assess the effect of scan before 24 weeks gestation on the outcome measures. Although the reviewers has point out that the most effective approach to assess the cause of routine late pregnancy ultr asound would be trials where the intervention in late pregnancy ultrasound alone, but this is not such trials exist.However, the reviewers also have reported on the predictable finding in this study. In the Perth 1993, they were significantly higher intrauterine growth childbed on the Serial ultrasound and Droppler mental test group. Even, the author states that it may have a chance finding, it is possible that frequent exposure to ultrasound may have influence fetal growth. On the other hand, none of the addressed long term neurodevelopment results. Exposure of the expectant mother to uncertainty and possible anxiety about the health of her baby has implication of which may be far reaching. The reviewers also have identified the future research on the maternal psychological outcome and long term neurodevelopment outcome.From the time when, it is not mention what type of ultrasound machine was used and which group of personal is performing the procedure. Sometimes this could proba bly introduce preconceived notion to the results. In some situation, the ending measured effect the result because the quality of ultrasound imaging is not reach the standard regarding the technical capabilities of the ultrasound equipment and also on the skills or expertise of operators.METHODOLOGYThere are two type of research method quantitative research method and qualitative research method. The quantitative research method defined by Burn and Grove (2005), is conducted to test theory by describing variables, examining relationship among variables and determining cause and effect interactions between variable. It is a formal, objective, systematic process using numerical data to obtain information about the world. In addition, quantitative method is research method dealing with number and anything thatis measurable agreed by (Smith, 1988) that quantitative research involves counting and measuring of events and performing the statistical analysis of a body of numerical data. Counting and measuring are ordinary structure of the method.More often than not, the outcome or result of the study is presented in tables, graphs or other form of statistic because it is a kind of number or a series of numbers. If truth be told, the quantitative analysis endow with result that is more reliable for statistical approaches. The main concerns of the quantitative paradigm are that measurement is reliable, valid, and generalize in its clear prediction of cause and effect (Cassell Symon, 1994).The strengths of the quantitative method are it stating the research problem in very specific and set terms as stated by (Frankfort-Nachmias Nachmias, 1992). It also clearly and precisely specifies both the case-by-case and the dependent variables under investigation. As well, quantitative method include following firmly the original set of research goals, arriving at more objective conclusions, testing hypothesis, determining the issues of causality. In view of (Balsley, 1970) i ts help achieving high levels of reliability of gathered data due to controlled observations, laboratory experiments, mass surveys, or other form of research manipulations. To boot, this method are also allowing for longitudinal measures of subsequent performance of research subjects. Kealey Protheroe (1996) indicated that quantitative method rally round eliminating or minimizing subjectivity of judgment.patronage the fact, the weaknesses of the quantitative method are failure to provide the researcher with information on the context of the situation where the studied phenomenon occurs and inability to control the environment where the respondents provide the answers to the questions in the survey. Limited outcomes to only those outlined in the original research proposal due to closed type questions and the structured format. More to the point, not further the evolving and continuous investigation of a research phenomenon are the harms of using quantitative approach.According to Munhall (2001) the qualitative research method is a systematic,subjective approach used to described life palpates and situation and to give them meaning. The knowledge generated the qualitative research will provide meaning and understand of specific emotions, values and life experiences. As said by Morgan (1980), the qualitative research shares the theoretical assumptions of the interpretative paradigm, which is based on the notion that social reality is created and sustained through the subjective experience of people involved in communication.Some researcher using qualitative method are concerned in their research with attempting to accurately describe, decode, and interpret the meanings of phenomena occurring in their normal social contexts as declared by Fryer (1991). In view of that, qualitative approach in general is more likely to take place in a natural setting acknowledged by Denzin, 1971 Lincoln Guba, 1985 Marshall Rossman, 1989.The strengths of the qualitative method as declared by Bogdan Taylor, 1975 Patton, 1980, it provide a holistic view of the phenomena under investigation. Furthermore, qualitative method is the process of obtaining a more realistic feel of the world that cannot be experienced in the numerical data and statistical analysis used in quantitative research. It also provides the flexible ways to perform data collection, subsequent analysis, and interpretation of composed information. Kirk Miller, 1986 writes that it gives the ability to interact with the research subjects in their own language and on their own terms. Summarizing, the qualitative approach present descriptive capability based on primary and unstructured dataHowever, the qualitative method coming up with some weaknesses of as point out by Cassell Symon (1994) that it departing from the original objectives of the research in response to the changing nature of the context. In that case it also arriving to different conclusions based on the same information depen ding on the personal characteristics of the researcher. The inability to check into causality between different research phenomena and difficulty in explaining the difference in the quality and quantity of information obtained from different respondents and arriving at different, non-consistent conclusions appeared as the disadvantage of qualitative method.It follows requiring a high level of experience from the researcherto obtain the targeted information from the respondent. Lastly, it also contributes lacking consistency and reliability because the researcher can use different probing techniques and the respondent can choose to tell some particular stories and ignore others.In spite of that, the quantitative research method is used in this research. Seven eligible Randomized Controlled Trials (RCTs) were participated in this survey. The methodology mostly could be summarized as quality and the reporting of reports were good. Yet, the Glasgow 1984 (UK) study was quasi randomized with parcelling according to the hospitals number and this had probable to engender bias. On the other hand, RCTs for evaluating the effect of intervention in this study, is used even though it is less in effect in answering questions about patients personal experience, attitude or psychological outcome. Sequentially, to explore psychological aspect of the pregnant women during the routine ultrasound screening, it could be squabble that it will be more apt to include qualitative research in this study. Review Manager (Revman) software was used to act upon statistical analysis.Meta analysis was used to analyze and combine the result of the studies and it is an appropriate technique of data analysis. The plus of using this type of analysis is that it increases the sample size so that if the significant differences exist they are more likely to be demonstrated. Sacket (1996) mentioned that evidences from systematic review and Meta analysis has taken the top place of the hierarchy b ecause it provides misguide about the effect of intervention.In this research, quantitative and qualitative approaches were bringing into being be a foil for each other while the scantiness of each were essentially counterbalance. Conversely, it also point out the time and cost implications, from the time when the volume of data produced was enormous and an tremendously extensive knowledge foot was rattling to analyze it.Seeing as the method section is a strength of the study. In this study, the sample size was large (25 036 women) and included variety of subjects. This heterogeneity of the subject has increases the generalizability of the findings as agreed by Burns Groove (2005). The sampling method, samplingcriteria, and sample characteristics are clearly presented. The study could be considered as ethical because it was approving for conduct by an institutional review board but in state of affairs unethical because no informed consent was obtained from the object or sampling .RESULTIn this research seven trial comprising 25,036 women were included ( Alesund 1999 ) Glasgow 1984 Perth 1993 new Zealand 1993Trondheim 1984Peterborough 1987 Radius 1993) . The attribute of the incorporated test on the whole was acceptable as assess by reviewers. There was no difference in antenatal, obstetric and neonatal intervention or morbidity in screened versus control group. From the result of the studies, routine ultrasound in late pregnancy was not associated with improvement in overall perinatal mortality. However, placental grading as an adjunct to third trimester examination scan was associated with a significant reduction in the stillbirth rate in the one trial that assessed it. There was no data on maternal psychological effect. Data with regard to long term substantive outcome in fetal neurodevelopment is lacking.IMPLICATIONSThe study originated that there is thus far no evidence that routine ultrasound improves outcome or increase interventions. The fact, ultra sound could be used in late pregnancy to find the cause of compilation such as bleeding. In some situation, ultrasound screening in late pregnancy appears to be useful in placental grading. In some country, screening all pregnant women for possible problem late in pregnancy is controversial. The ultrasound is seen not demonstrated fetal harm if we use properly followed proper procedure. For the long term side effect, the users of repeated ultrasound are still not fully known regarding the exposure of the fetus. Some problems occur with such screening are increasing major intervention without benefit like caesarian section. Till now, there is no specific epidemiological evidence that ultrasound screening during pregnancy is harmful but no fact conclusion has been reached from available data, forthat reason continue awareness is necessary. In spite of that, the policy practice in the antenatal care needs a changeable. So, it is highly recommended that routine ultrasound in late pregn ancy only be done for high risk mother such as mother with placental previa.RECOMMENDATIONSIn fact, further studies on maternal physiological outcomes and long term neurodevelopment outcome for the fetus is essential to be carried out. In addition, the level of performance of technical operator and equipment should be sporadically audited and governed by a dogmatic body to prevent the mother and unborn child. In our day, nursing care is grant access to be root on the modern best evidence, interventions will be more useful and will effect in superior patient outcomes. So, nurses are motivated to learn how to group and interpret data to implement in their practice on the best evidence available.Evidence based practiced (EBP) has grows to be a critical concept for ethical liable in professionals nursing practice. As said by Mckenna et al (2004), negative beliefs, Krishbaum et al (2004), attitudes and value (Pravikoff et al 2005) have been shown to be powerful barrier to EBP. In order t o overcome barriers in EBP, strategies are need to recover such as awareness, knowledge and skills in evaluating evidences. It is also importance to have administrative support by providing access to EBP or research teach in practice arena.As indicated by Avis (2006), the Randomized Control Trials (RCTs) are remains one of the best means to make your mind up whether one form of care is better than another. Since RCTs is purely and evaluation technique, the consequence of knowledge cannot be condense to the application of procedure to fabricate evidence. Besides, understand the result as well as the limitation of relevant research study, it also need an awareness of the background theories which influenced particular research studies.CONCLUSIONIn my view, this research is merely good because it provide complete information include literature review, sampling method, sampling size and etc. Basically the methodology was performed clearly and the result was presented well. altogethe r the statistical tools used were shown and the barrier exist were explained particularly. It is the most swollen with pride that the study had achieved the objectives and was helpful in development of nursing practice.