Australia and China Tade Essay Example for Free

Australia and China Tade Essay China is a country located in East Asia. It is the worlds most populous country, with a population of over 1.35 billion. China is the fourth largest country in the world behind Russia, Canada, and the United States. Australia is a continent and a country in the Southern Hemisphere, lying to the south of Southeast Asia, which divides the Indian and South Pacific Oceans. The population of Australia is 23 million. In 2009 China surpassed Japan to become Australias largest export market, the Australian and Chinese economies are strongly complementary. As a result, our trade and investment relationship is substantial and has developed well beyond its modest beginnings in the 1970s. According to Australian statistics, two-way merchandise trade has grown from $113 million in 1973, just after the establishment of diplomatic relations, to $78.2 billion in 2009. China is Australias largest trading partner, with total trade (goods and services) in 2009 valued at $85.1 billion, an increase of 15.1 per cent over the previous year. Government and/or NGO Roles: The Australian Government established the Australia-China Council (ACC) in 1978 to promote mutual understanding and foster people-to-people relations between Australia and China. The Chairperson is appointed by the Executive Council on the recommendation of the Minister for Foreign Affairs, who also appoints the Board members. The function of the Council is to make recommendations to the Australian Government through the Minister for Foreign Affairs on strengthening the Australia-China relationship in ways that support Australias foreign and trade policy interests. The Australia China Business Council (ACBC) is a membership-based, non-profit, non-governmental organisation comprising of a National Office, six Branches, and more than 1500 representatives from over 700 Australian companies who do business with China. Founded in 1973, ACBC actively promotes two-way trade and investment, and economic cooperation and understanding, between the business communities of Australia and China. ACBC plays an influential role as an advisor to the Australian Government on commercial relations with China. They are a strong supporter of the Free Trade Agreement between Australia and China to foster more competitive business in both nations. Founded in Beijing in 1996, The China-Australia Chamber of Commerces (AustCham Beijing) overriding goal is to advance Australian Business in China. It functions to provide members with the information, resources and contacts they need to succeed in China. The Chamber maintains a good working relationship with the Australian Embassy and with the various Australian government departments in China. AustCham is a non-profit organization, which operates independently from government. It is funded entirely by their membership and Chamber activities. Together with their sister AustChams in Hong Kong, Shanghai, and Guangzhou, they work to promote strong trade and investment links between Australia and China. Treaties and Agreements- formal and/or informal: On the 18th of April 2005, Australia and China agreed to commence negotiations on a Free Trade Agreement (FTA) following consideration of a joint FTA Feasibility Study. The study was completed in March 2005, and concluded that there would be significant economic benefits for both Australia and China through the negotiation of an FTA. From April 2013, WESTPAC and ANZ banks will now be the first to directly trade Australian dollars into Chinese Yuan. Due to this fact, deepening of relationships between China and Australia, it signals deepening of trade connections and great opportunities for future growth. Advantages and Disadvantages to Australia of this link: Advantages: Employment will increase in exporting industries and workers will be displaced as import competing industries fold (close down) in the competitive environment. With free trade many jobs have been created in Australia, especially in manufacturing and service industries Consumers benefit in the domestic economy as they can now obtain a greater variety of goods and services. The increased competitions ensure goods and services, are supplied at the lowest prices. Disadvantages: This can impact upon large numbers of workers, their families and local economies. Often it can be difficult for workers to find employment in growth industries and government assistance is necessary. This means that businesses, employees and consumers are more vulnerable to downturns in the economies of our trading partners. Future Direction of link: Australia and China share a strong and rapidly growing trade and economic relationship. Further strengthening and deepening this relationship is a major priority for both countries, with both governments committed to sustaining the impressive trade and investment performance achieved in the past two decades. In that time, China has become Australia’s largest two-way trading partner and vital to Australia’s future economic prosperity.

New Zealand Early Childhood Curriculum Essay -- Education, elementary

Fleer claims â€Å"there are many theoretical voices within Te WhÄ riki,† the New Zealand Early Childhood Curriculum document (Nuttall, 2003, p.254). However two are predominant and stand symbiotically on the pages and in the intent of the curriculum. Bronfenbrenner’s ecological, system’s theory, which emphasises how the quality and setting of the child’s environment influences the child (Ministry of Education, 1996; Paquette, & Ryan, 2001) and Vygotsky’s ‘sociocultural theory,’ which describes learning as a social process originating in society or culture and passed through generations (UNESCO, 2004). Discussed within this essay will be a review of these theoretical perspectives illustrating their explanations for how each influences the child, how the child learns, how development is explained, and how these theories are reflected within Te WhÄ riki. Bronfenbrenner’s ecological, system’s theory describes how the child and their immediate surroundings are in an innermost layer surrounded, embedded and influenced by layers from the larger environment all impacting upon the child (Ministry of Education, 1996; Paquette, & Ryan, 2001). Of particular interest are the effects to the child of two way relationships towards and away from the child, as defined by Bronfenbrenner as bi-directional influences, these are particularly influential in the child’s inner layer. For instance: the impact to the child of attentive or non-attentive parents affects how the child reacts to a given situation, which in turn affects how the parent behaves. Notwithstanding, the impact of bi-directional influences on the child’s world continues into the outer layers, as in the example of a parent’s workplace demanding more input into the workplace, which means... ... social aspects have a huge influence on these surroundings. This is demonstrated when whÄ nau are involved and supportive in a child’s life, sharing the family’s and their culture’s funds of knowledge, resulting in the positive effect to the child’s environment which will have vast social and educational impacts by ensuring connections are made to children’s lives and experiences. Adding to this is the socio-cultural philosophy of peer tutoring and where knowledge is actively constructed through modelling and scaffolding, with teachers facilitating the learning process. While through the building of relationships between the family and the centre, Te WhÄ riki advocates the importance of the involvement of whÄ nau and family, which encourages a learning community which has interchangeable reciprocal advantages in a safe, positive, fun, caring, learning environment.

Introduction to fashion

Diploma in Fashion Design Principles of Fashion Unit 2 unit 2 On successful completion of this unit the learner will be able to: Explain how the elements of fashion appeal influence the purchaser Describe the classification of clothing according to their use and types Explain factors which affect the decision to buy in fashion Describe the process of the product development in fashion industry Explain the main areas of fashion wear production including an understanding of the key terms, concepts, facts and principles, rules and theories of the field, discipline or practice.Fashion Design One of the most important factors which differentiate humans from other animals is their use of clothing. It is used not simply to provide a micro-climate for the wearer's body, but also to conceal the body and reveal its wearer's status and personality to others. To satisfy this concealing and revealing process diverse kinds of clothing are used. One of the most mysterious aspects of clothing is fas hion. Clothing expresses status; social class is apparent in the boss's business suit and the worker's Shares at work, although this difference may disappear at the weekend.Clothing changes when the wearer leaves the cradle, enters primary school, secondary school or university, on starting work, on getting married, on gaining promotion. Even death has a special wardrobe, both for the dead and the mourners. Clothing establishes a person's identity; reflects the wearer's goals and moral principles; communicates self-assurance or the lack of it; and conveys the activity a person is about to engage in. Clothing may also be used as costume, to represent something a person is not; and as a uniform to denote a person's membership of a defined group.Fashion in the narrow sense of the world meaner the changing form of clothing. These originate from peoples need to be adorned and admired but also allow the opportunity to enhance personal style or indicate a position in society. Fashion is no t the only consideration in developing a garment for a market. The overall appearance (style) as well as the utility value (fitness for purpose, aftercare). Creating or styling the appearance of a person with reference to clothing, accessories and beauty in corresponding with the personality of any individual is fashion designing. Fashion Design TermsA fashion designer conceives garment combinations of line, proportion, color, and texture. He or she may or may not know how to sew or make patterns. Formal training is always essential, yet most fashion designers are formally trained (apprenticed) and schooled. A pattern maker drafts the shapes and sizes of a garment's pieces with paper and measuring tools, and, sometimes, an Autocrat computer software programmer, or by draping muslin on a dress form, the original way. The resulting pattern pieces must compose the intended design of the garment and they must fit the intended wearer.Formal training is essential for working as a pattern marker. A tailor makes custom designed garments made to the client's measure; suits (coat and trousers, Jacket and skirt, etc). A textile designer designs fabric weaves and prints for clothes and furnishings. Most textile designers are formally trained as apprentices and in school. A stylist is the person who co-ordinates the clothes, Jewelry, and accessories used in fashion photography and catwalk presentations of clothes collections. A stylist also is a designer whose designs are based upon extant things, trends, and the collections of other designers.A buyer orders stocks of clothes for shops, chain stores, and other types of stores. Most fashion buyers are trained in business studies. A teacher of fashion design teaches the art and craft of fashion in art schools and in fashion design school. A custom clothier makes custom- made garments to order, for a given customer. A dressmaker specializes in custom- made women's clothes: day, cocktail, and evening dresses, business clothes and suits, trousseau, sports clothes, and lingerie. An illustrator draws and paints clothes for commercial use.A model wears and displays clothes at fashion shows and in photographs. A fashion journalist writes fashion articles describing the garments presented, for magazines or newspapers. An alterations specialist (alterations) adjusts the fit of completed garments, usually ready-tower, and sometimes re-styles them. NOTE: despite tailors altering garments to fit the client, not all alterations are tailors. A wardrobe consultant or fashion advisor recommends styles and colors that are flattering to the client. A photographer photographs the clothes on fashion models for use in magazines, newspapers, or adverts.Fashion Flow Chart Classification of Fashion The duration of fashion's importance is a critical fashion designers or manufactures concern. A fashion can be brief or of long duration. Once having identified this characteristic, a designer is in a position to assess a fashions importance to the retail inventory. Fashion is classified into many types, such as: Style Basic or classic Fad Fashion Forecasting Trends a) Style Style is always constant. It does not change whereas fashion changes. It is the modification of fashion. Style is the basic outline of any garment.When we use a different neckline and different sleeves with some trimming here and there over a Asia garment then the basic garment is modified into a different look or a different outfit, this modification ferment will become fashion, when it is accepted by people. The term style is a popular word in fashion and refers to a sub-division within fashion. By definition, it is that which has certain characteristics that distinguish it from other designs. For example, the fashion could be pleated skirt, yet the style is box pleat. It is a common fallacy to believe that the famous designers create fashions.They create styles which they hope will be accepted. When and if there is consumer support the style then becomes fashion. It is repetitious but important to stress that fashion is synonymous with acceptance. B) Basic or Classics When a fashion is constant or long lasting, such as, T shirt and skirt, it is called Basic or Classic. It is similar to a standard music. The T shirt and skirt are part of fashion scene. A customer has one or more in her wardrobe, to be worn to suit different occasions. In certain times, the basic becomes the most important profitable fashion, but, in or out, they remain as a part of the fashion scene.There are many outfits that fall into this classification, such as, shirt and trousers, plain or pleated skirts and denims, etc. There are general fashions that lasts for years, such as, the skirt, the single breasted men's suit Basics or Classics are the outfits which stays in the fashion scene for a long period of time that is from past to present and even in future it stands When we watch old movies as well as the new movies which are released Just, we can see the skirts, or denims worn in it may be with a slight change or modification accordingly. ) Fad A Fad is something which can either make a designer's life more interesting or tenser. Very often something appears on the fashion scene that captures the imagination, only to fizzle out in short duration. Overall, Fad can be defined as short lived fashion, lasting for a very little time or period, acceptable by only a certain group of people for example, hippies – their clothing, accessories, hairstyles, etc. As Fad is short lived fashion, it stays for a very short period, because they are very costly and every one cannot afford to buy it. D) Fashion Forecasting is a global career that focuses on upcoming trends.A fashion forecaster predicts the colors, fabrics and styles that will be presented on the runway and in the stores for the upcoming seasons. The concept applies to not one, but all levels of the fashion industry including haute couture, ready-to-wear, mass mar ket, and street wear. Trend forecasting is an overall process that focuses on other industries such as automobiles, medicine, food and beverages, literature, and home furnishings. Fashion forecasters are responsible for attracting consumers and helping retail business's and designers sell their brands.Today, fashion industry workers rely on the Internet to retrieve information on new looks, hot colors, celebrity wardrobes, and designer collections. Fashion Forecasting is done through any communicating media, such as, cinema, fashion shows, press, magazines, newspapers and window display. It includes: Market research Consumer research Surveys Consumer focus groups In-store informal interviews Shopping Sales Records Evaluating the collections Fashion Trends Trend for Target Markets e) Trends Fashion trends are the styling ideas that major collections have in common.They indicate the direction in which fashion is moving. Fashion forecasters look for the styles they think are prophetic, ideas that capture the mood of the times and signal a new fashion trend. Several designers may use a similar fashion idea because they eve been inspired by common sources. The trend may appear in a fabrication, a silhouette, or another design element that appears in several collections. Very often, a new trend appears in small doses until it spreads to other collections. As the press notices similarities between collections and highlights them, the media exposure also helps establish the trends.Evaluating the collections becomes one way a designer, working for a mainstream manufacturer, can research fashion direction. As designers are not invited to the shows, they must evaluate by shopping in major fashion vitals or u s I n g design services, magazines, and newspapers. For retail buyers, it is becoming a huge challenge to figure out which trends will become fashion basics, like Capri's, and which are only fads, such as pony prints. Buyers have to become very flexible in their buyi ng patterns and cautious about inventory management.If the market becomes flooded with a new trend, consumers may react negatively to the overexposure. Empowered by the Internet and television, global trends are moving at an accelerating pace. The life-span of a trend is now about five months instead of a year. For the Junior market, the span is only three months. Chic Chic is a French word, established in English since at least the sass, that has come to mean smart or stylish. Over the years â€Å"chic† has been applied to, among other things, social events, situations, individuals, and modes or styles of dress.Recurring generic terms included designer chic (associated with the styles of particular couturiers – the sass became known as the â€Å"designer decade†) and retro-chic (adopting elements of fashion from the past: e. G. â€Å"Victorian chic†, â€Å"sixties chic†, â€Å"Georgian chic†, â€Å"sass Riviera chic† Collection Each season, the design and merchandising departments of each division are expansible for creating a new line, the seasonal collection that the manufacturer will sell to retail store buyers. The terms are synonymous: the term ‘collection' is used primarily in Europe and for high-period apparel in the United States. Line' is used more often in the United States for moderately and popularly priced fashion. Fashion shows Fashion shows are special events that communicate a fashion story. The selection and organization of the fashions and model bookings may be done by the fashion office, whereas invitations and other arrangements may be handled by the special events department. There are four possible ways to organize these presentations: formal shows, department shows, designer trunk shows, or informal modeling. ) Formal Fashion Shows Formal fashion shows take a great deal of advance planning involving booking models and fittings and arranging for a runway, scenery, lighting, microphon es, music, seating, and assistants. Clothes are generally grouped according to styling, color, or other visual criteria. Models and music are selected to complement the clothes and set a mood. B) Designer Trunk Shows Designer trunk shows are done in cooperation with a single vendor and are a popular ay to sell expensive collections.Invitations are sent to the best customers according to records kept by sales associates. The designer or a representative travels from store to store with the collection, which is usually shown on models in the designer collections department. Customers get to see the entire collection unedited by a buyer and may order from the samples in their size. Although some designers and retailers do 50 percent of their total business through trunk shows, others find them time-consuming, exhausting work, and have given them up. C) Department Fashion ShowsDepartment fashion shows, on a much smaller scale, are produced in store to generate immediate sales. Usually, a platform is set up directly in the department that carries the clothes. D) Informal Fashion Shows Informal fashion shows are the easiest to produce. A few models walk through the store showing the fashions that they are wearing to customers who are shopping or having lunch in the store's restaurant. The models can take their time, and customers enjoy asking them questions. This is often done in conjunction with a trunk show or special promotion. Criteria Consumers Use in Fashion SelectionTo determine the acceptability of fashion, both manufacturers and consumers should consider the criteria used for its selection. Elements of fashion appeal draw the consumer's attention to a fashion. There are also practical considerations, including quality and price that the consumer usually evaluates before making a purchase. Elements of Fashion Appeal The elements of fashion appeal are basically the same as the elements of design, but here they are viewed by the purchaser rather than the creat or: a) Color Usually the first aspect of a garment or accessory to which consumers respond is, color.People relate very personally to color, usually selecting or rejecting a fashion because the color does or does not appeal to them or flatter their own coloring. Texture: The surface interest in the fabric of a garment or accessory is called texture. Consumers relate to texture because of its sensuous appeal. B) Style The elements that define a style include line, silhouette, and details. A garment's appearance is also affected by hanger appeal. Depending on the consumers' level of fashion consciousness, their Judgment will be conditioned by their opinion of what is currently fashionable.Practical Considerations a) Price Price is probably the most important practical consideration for the average consumer. The consumer evaluates the total worth of all the fashion appeal aspects of the garment or accessory and their relationship to its retail price. B) Fit The try-on is a crucial step in the consumer's selection of a garment because sizing is not a guarantee of fit. The Department of Commerce has tried to set sizing standards, but each company tends to vary somewhat. Each company tries its sample garments on models that are typical of the company's customers.However, it is difficult to set size ranges and grading rules to fit every figure. The fitting room try-on further enables the customer to Judge if fashion-appeal elements are suitable to his or her figure type or general appearance. C) Appropriateness It is important that a fashion item be suitable or acceptable for a specific occasion or for the needs of the consumer's life-style. For example, life in a large city requires more formality in clothing than life in the country. Impulse shoppers do not consider appropriateness and therefore purchase any items that do not fit into their wardrobe. ) Brand Brands are a manufacturer's meaner of product identification. Some consumers buy n the basis of a particular brand's reputation, often as result of heavy advertising. Consumer Demand a) Fabric Performance and Care The durability of a garment or accessory and the ease or difficulty of caring for it, are often factors in selection. Most consumers prefer easy-care, wash-and-wear fabrics, although designer and contemporary customers may not mind paying for dry- cleaning the more delicate fabrics they prefer. Easy care and durability are of special concern in children's wear and work clothes.Government regulations now require fiber-content and care-instruction labels to be sewn into apparel. B) Workmanship This term refers to the quality of construction, stitching, and finishing. Quality standards have fallen as labor costs rise and managements favor more profitable balance sheets. Unfortunately, many consumers cannot and do not bother to evaluate workmanship. The generation born and raised since World War II has not been exposed to fine workmanship and therefore does not demand it. The Junior customer cares little about quality; she is likely to throw away a garment before it wears out.The designer, contemporary, or missy customer, on the other hand, generally considers clothing an investment and may not mind spending more for the assisting qualities of fine detailing and workmanship. Meeting Consumer Demand To meet consumer demand and changes in consumer life-styles, manufacturers and retailers have developed various size and price ranges as well as categories for styling and clothing a) Size Ranges Each size range caters to a different figure type. The Junior customer, sizes 3 to 15, has a less developed figure and a shorter back-waist length (a higher waistline) than the missy figure.The missy figure, sizes 6 to 16 (or 4 to 14, or 8 to 18), is fully developed. In missy separates, some blouses and sweaters are sized 30 to 36 (8 to 14), or small, medium, ND large. Sizing 30 to 36 was originally inches, but sizes have grown over the years. Petite sizes come in both Juni or and missy. Junior petite is meant for shorter Junior figures; petite sizes in missy (2 and up) are for smaller proportioned missy figures. Large or women's sizes, used for sportswear, are 36 to 52 for uppers Jackets and shirts) and 30 to 40 for lowers (pants and skirts). There is a current void of half-size sportswear. ) It is difficult to compare sizes from country to country. Particularly in France, the sizing is not always standard. Men's suits range in size from 36 to 44 (with additional rage sizes to 50), based on chest measurements. Lengths are designated after the size number: R for regular, S for short, and L for long. European sizes are 46 to 54 Oust add 10 to each American size). Young men's sizes, equivalent to Junior sizes for women, have a narrower fit in the Jacket and hip and a shorter rise in the trouser than regular men's sizes.Dress shirts are sized by collar measurement (inches in America and centimeters in Europe) and sleeve length. Sport shirts are sized in s mall, medium, and large. Trousers are sized by waist and inseam measurements. Children's wear is sized by age group. Infant sizes are based on age in months, usually 3, 6, 9, 12, and 18. However, since development varies so much from child to child, many manufacturers are now also identifying weight ranges on their labels. B) Price Ranges A garment should give good value for its price. There are many price ranges, each with a different level of customer expectations.As the price goes up, the customer expects higher quality in fashion, fabric, fit, and finish. Designer garments are becoming so expensive that the group of people who can afford them is shrinking. Therefore, many designers are adding less expensive lines. On the other hand, many retail stores are trading up. That is, stores with low-end (inexpensive) merchandise are now trying to give themselves a fashionable image. Each garment manufacturer generally specializes in one price range. The designer and merchandiser must co nsider the cost of every fabric trim or construction detail that goes into a garment.Costs must fit into a specific price range. In turn, each retail store has various departments, from budget to designer, again classified by price range. C) Style Ranges Both women's dresses and women's sportswear currently come in style ranges as well as size ranges. Some of the terms overlap because style ranges grew out of age groups. However, many women today cross the boundaries, dressing to fit their figure and personality rather than their age needs. Designer: Formerly, couture would have been the classification for better, more expensive fashion.The decline in the couture business, however, gave rise to the general classification of designer clothes. Today even some of the designer ready to- wear is as expensive as couture used to be. Missy: These are more conservative adaptations of proven or accepted designer looks; they utilize less expensive fabrics and less extreme silhouettes. Contempo rary or updated: This is a sophisticated approach to styling based on the directions set by French, Italian, English, Japanese, and American ready-to-wear. Designers of expensive clothes are also marketing less expensive lines for contemporary departments.Designer and contemporary styling has carried over to men's wear, although designer clothes for men tend to be more classic than those for women. Sportswear or related separates for men have followed almost the same trends as women's sportswear in the last ten years, especially since many designers are doing both. Small children's styling is the only styling not aimed at the consumer who will wear the garment. The consumer in this case is a parent, grandparent, or other adult. Children's clothes of the past tended to be fussy, but now they are more functional.Older children today have more definite opinions on what they want to wear, partly because of advertising and television exposure and peer-group pressures. This development ha s had an effect on styling. Areas of Fashion Design Many professional fashion designers start off by specializing in a particular area of fashion. The smaller and the more specific the market, the more likely a company is o get the right look and feel to their clothes. It is also easier to establish oneself in the fashion industry if a company is known for one type of product, rather than several products.Once a fashion company becomes established (that is, has regular buyers and is well-known by both the trade and the public), it may decide to expand into a new area. It is usually safest for a company to expand into an area similar to the one it already knows. For example, a designer of women's sportswear might expand into men's sportswear. A) Women's Wear Women's clothes have many classifications: lingerie, dresses, evening clothes, suits, outerwear, and sportswear. There are also specialty categories, such as bridal gowns and maternity clothes.In addition, there is a huge array o f accessories within the general categories of wraps, head coverings, handbags, and footwear. B) Lingerie Lingerie includes undergarments, sleepwear, and lounger. Interest in designing lingerie is increasing because women again desire pretty things and will spend the money to have them. C) Dresses Dresses range from the very tailored with crisp lines for wearing on the Job, to the very softest with gathers and ruffles for dressy occasions. D) Evening clothes Evening clothes run the gamut from party pajamas through long and short cocktail dresses to opulent gowns. ) Suits are Jackets and skirts Suits are Jackets and skirts (or pants) sold together as units. Suits also range from the soft â€Å"dressmaker† suit to the strictly tailored. F) Outerwear Outerwear has primarily a protective function: it covers us and keeps us warm or dry. Outerwear includes coats, capes, and heavy Jackets. Its warmth may come from traditional wool or quilting; rainwater receives a water-repellent tr eatment. G) Sportswear Sportswear is the category that has grown the most over the years, as leisure time ND discretionary income have increased.Sportswear can be classified as active or spectator. H) Spectator Spectator sportswear was intended for watching sports events, although the term now includes sportswear worn for day-to-day activities. I) Active sportswear Active sportswear is created for movement and worn for participation in sports. Sportswear lines are organized in two different ways: in separates such as skirts, pants, blouses, shirts, sweaters, and tops; or as coordinate sportswear, pieces intended to be mixed and matched but priced separately. J) Men's WearMen's Wear: There are now almost as many categories available to men as to women. Stores use elaborate promotions to lure their increasingly fashion-wise male customers. K) Tailored clothing Tailored clothing for men includes suits, overcoats, topcoats, sport coats, and separate trousers for both day and evening wea r. L) Furnishings include shirts, necklace, sweaters, tops, underwear, socks, robes, and pajamas m) Sportswear is made up of related separates that fill the demand for more leisure and casual wear. N) Active sportswear includes windbreakers, ski Jackets, Jogging suits, tennis shorts, and the like.

Work related stress in healthcare - Free Essay Example

Sample details Pages: 10 Words: 2944 Downloads: 10 Date added: 2017/06/26 Category Medicine Essay Type Essay any type Level High school Did you like this example? Stress may be defined as the physical and emotional response to excessive levels of mental or emotional pressure, which may arise from issues in both the working and personal life. Stress may cause emotional symptoms such as anxiety, depression, irritability or low self-esteem, or even manifest as physical symptoms including insomnia, headaches, loss of appetite and difficulties concentrating. Individuals experiencing high levels of stress may experience difficulty in controlling emotions such as anger, and may be more likely to experience illness or consume increased quantities of alcohol (NHS Choices, 2015). Don’t waste time! Our writers will create an original "Work related stress in healthcare" essay for you Create order In the UK a survey undertaken by the Health and Safety Executive (HSE) has estimated that in the year 2013-2014, 487,000 of work related illnesses (39%) could be attributed to work-related stress, anxiety or depression (HSE, 2014). Additionally the survey found that as many as 11.3 million working days were lost in the year 2013-2014 as the direct result of work-related stress (HSE, 2014). Studies have shown that healthcare professionals, particularly nurses and paramedics, are at an increased risk of work-related stress compared with other professionals (Sharma et al., 2014). This is likely to be due to the innate long hours and high pressure of maintaining quality care standards in the job, as well as pressures caused by staff shortages, high levels of patient demand, a lack of adequate managerial support as well as the risk of aggression or violence towards nurses from patients, relatives or even other staff (Royal College of Nursing (RCN), 2009). Indeed, a 2014 survey of nursi ng staff by the RCN showed that up to 71% of staff surveyed worked up to 4 hours more than their contracted hours a week, 80% felt that work-related stress lowered morale, and that 72% reported that understaffing occurred frequently in their workplace. As a result of these issues, 66% of respondents in the survey considered leaving the NHS or the nursing profession altogether (RCN, 2014b). A separate report by the RCN suggested that over 30% of absence due to illness was due to stress, which was estimated to cost the NHS up to  £400 million every year (RCN, 2014a). In addition to the physical and emotional symptoms of stress previously discussed, studies in this area have shown that nurses experiencing high levels of work-related stress were more likely to be obese and have low levels of physical exercise, factors which increased the likelihood of non-communicable diseases and co-morbidities such as hypertension and type 2 diabetes (Phiri et al., 2014). Stress and staff absence Chronic stress has been linked to burnout(Khamisa et al., 2015; Dalmolin et al., 2014), or a state of emotional exhaustion under extreme stress related to reduced professional fulfilment (Dalmolin et al., 2014) and compassion fatigue, where staff have experienced so many upsetting situations that they find it difficult to continue empathising with their patients (Wilkinson, 2014). As previously discussed, reducing staffing levels contribute to stress in nursing staff, and in this way chronic stress within the workplace launches a self-perpetuating cycle of understaffing; increased stress leads to increased illness, more staff absence and increased understaffing. In turn, these negative emotions also reduce job satisfaction and prompt many staff to consider leaving the nursing profession, further reducing staffing availability for services (Fitzpatrick and Wallace, 2011). Reasons for work-related stress amongst healthcare professionals Studies amongst nursing staff have also reported stress occurring as the result of poor and unsupportive management, poor communication skills amongst team members, institutional and organisational issues (e.g. outdated or restrictive hospital policies) or bullying and harassment (RCN, 2009). Even seemingly minor issues have been reported as exacerbating stress amongst nursing staff, for example a lack of common areas to take breaks in, changing shift patterns, and even difficulty and expense of car parking (Happell et al., 2013). Work related stress can particularly affect student or newly qualified nurses, who often report higher expectations of job satisfaction from working in the profession, they have worked hard and aspired to join, and are therefore particularly prone to experiencing disappointment on discovering that they do not experience the job satisfaction that they presumed they would do whilst training. Student and newly qualified nurses may also have clear ideas fr om their recent training on how healthcare organisations should be run and how teams should be managed, and may then be disillusioned when they discover that the reality is that many departments could in fact benefit from improvements and further training for more experienced staff in these areas (Wojtowicz et al., 2014; Stanley and Matchett, 2014). Nursing staff are also likely to, on occasion, find themselves in a clinical situation that they feel unprepared for, or do not have the necessary knowledge to provide the best possible care for patients, and this may cause stress and anxiety (RCN, 2009). They may also be exposed to upsetting and traumatic situations, particularly in fields such as emergency or intensive care medicine (Wilkinson, 2014). Moral distress can also cause strong feelings of stress amongst healthcare professionals. This psychological state occurs when a discrepancy occurs between the action that an individual takes, and the action that an individual feels th ey should have taken (Fitzpatrick and Wallace, 2011). This may occur if a nurse feels that a patient should receive an intervention in order to experience best possible care, but is unable to deliver it, for example due to organisational policy constraints, or a lack of support from other members of staff (Wojtowicz et al., 2014). For example, a nurse may be providing end of life care to a patient who has recently had an unplanned admission onto a general ward but is expected to die shortly. The nurse may feel that this patient would benefit from having a member of staff sitting with them until they died. However, due to a lack of available staffing this does not happen as the nurse must attend to other patients in urgent need of care. If the patient dies without someone with them, the nurse may experiences stress, anger, guilt and unhappiness over the situation as they made the moral judgement that the dying patient should have had a member of staff with them, but were unable to pr ovide this without risking compromising the safety of other patients on the ward (Stanley and Matchett, 2014). One large scale questionnaire based study in the USA on moral distress amongst healthcare professionals has shown that moral distress is more common amongst nurses than other staff such as physicians or healthcare assistants. The authors suggested that this may be due to a discrepancy between the level of autonomy that a nurse has in making care decisions, (especially following disagreement with a doctor, who has a high level of autonomy), while experiencing a higher sense of responsibility for patient wellbeing than healthcare assistants, who were more likely to consider themselves to be following the instructions of the nurses than personally responsible for patient outcomes (Whitehead et al., 2015). Recommendations for policies to address work related stress It is acknowledged that many individuals find that being asked to perform tasks that they have not been adequately trained or prepared for can be very stressful. As such management teams should also try to ensure as far as possible that individuals are only assigned roles for which they have adequate training and abilities, and support employees with training to improve skills where necessary (RCN, 2009). Surveys have frequently reported that organisational issues such as a lack of intuitive work patterns, overloading of workloads and an unpleasant working environment can all contribute to work related stress. Organisations can reduce the impact of these by developing programmes of working hours with working staff and adhering to them, making any necessary improvements to the environment (e.g. ensuring that malfunctioning air conditioning is fixed), and that incidents of understaffing are reduced as much as possible (RCN, 2009). Issues such as insomnia and difficulty in adapting to changing shift patterns can also be assisted by occupational health, for example by encouraging healthy eating and exercise (Blau, 2011; RCN, 2005). For example, in 2005 the RCN published an information booklet for nursing staff explaining the symptoms of stress, ways in which it can be managed e.g. relaxation through exercise or alternative therapies, and when help for dealing with stress should be sought (RCN, 2005). More recently, internet based resources are available from the NHS to help staff identify if they need assistance, and how and why it is important to access it (NHS Employers, 2015). Witnessing or experiencing traumatic or upsetting events is an unavoidable aspect of nursing, and can even result in post-traumatic stress disorder (PTSD). However, there are ways in which staff can be encouraged by their management teams and organisations to deal with the emotions that these circumstances produce, limiting the negative and stressful consequences of these events. T his may include measures such as counselling or even peer support programmes through the occupational health departments (Wilkinson, 2014). Staff should also be encouraged to use personal support networks e.g. family, as this can be an important and effective source of support, however studies have shown that support within the work place is most beneficial, particularly if this can be combined with a culture where healthcare professionals are encouraged to express their feelings (Lowery and Stokes, 2005). One commonly cited reason for work related stress amongst nurses is the incompetence or unethical behaviours of colleagues, and a lack of opportunity to report dangerous or unethical practice without fear of reprisal. Therefore it is important that institutions and management teams ensure that there is an adequate care quality monitoring programme in place, and a culture where concerns can be reported for further investigation without fear of reprisal, particularly with respect to senior staff or doctors (Stanley and Matchett, 2014). It has been reported that in the year 2012-2013, 1,458 assaults were reported against NHS staff (NHS Business Service Authority, 2013). Violence and abusive behaviour towards nursing staff is an acknowledged cause of stress and even PTSD, and staff have a right to provide care without fear (Nursing Standard News, 2015; Itzhaki et al., 2015). Institutions therefore have a responsibility towards their staff to provide security measures such as security staff, workplace design (e.g. locations of automatically locking doors) and policies for the treatment of potentially violent patients e.g. those with a history of violence or substance abuse issues (Gillespie et al., 2013). As previously discussed, nurses are more likely than other healthcare professionals to experience moral distress as the result of a discrepancy between the actions they believe are correct and the actions they are able to perform (Whitehead et al., 2015 ). However there are policies that can be introduced into healthcare organisations to reduce its occurrence, and the severity with which it can affect nursing staff. Studies have shown that nurses who were encouraged to acknowledge and explore feelings of moral distress were able to process and overcome these in a less damaging manner than those who did not (Matzo and Sherman, 2009; Deady and McCarthy, 2010). Additionally, it is thought that moral distress is less frequent in institutions and teams that encourage staff to discuss ethical issues with a positive attitude (Whitehead et al., 2015). For example, institutions could employ a designated contact person for staff to discuss stressful ethical issues with, or set up the facility for informal and anonymous group discussion, for example on a restricted access internet-based discussion board (Matzo and Sherman, 2009) Conclusion Work related stress is responsible for significant costs to the NHS in terms of staffing availability and financial loss from staff absence from stress itself or co-morbidities that can be exacerbated by stress (RCN, 2009), for example hypertension and diabetes (Phiri et al., 2014; RCN, 2009, 2014a). The loss of valuable and qualified staff from the profession is also a significant cost to health services, and of course exacerbates the situation by increasing understaffing further, which in turn increases stress for the remaining staff (Hyrkas and Morton, 2013). It can also exert a significant cost to healthcare professionals who experience it, in terms of their ability to work, their personal health, effects on personal relationships (Augusto Landa et al., 2008) and job satisfaction (Fitzpatrick and Wallace, 2011). However, organisations can implement recommendations to reduce work related stress, for example by encouraging a positive and supportive culture for staff by offering i nterventions such as counselling (Wilkinson, 2014; RCN, 2005). Furthermore, interventions such as encouraging the reporting of unsafe or unethical practice a commonly cited source of stress amongst nurses (RCN, 2009; Stanley and Matchett, 2014) may also contribute to improving the quality of patient care. References Augusto Landa, J. M., LÃÆ' ³pez-Zafra, E., Berrios Martos, M. P. and Aguilar-LuzÃÆ' ³n, M. D. C. (2008). The relationship between emotional intelligence, occupational stress and health in nurses: a questionnaire survey. 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