At the organizational level, attributes that affect the adoption and implementation of innovations include the availability of the necessary staff, financial and other resources [ 5, 7, 8, 12], and agency size and culture [ 5, 7- 12] 12].
Working condition was scored below the international benchmark demonstrating: negativity towards level of staffing, training of new personnel, availability of necessary information for therapeutic decision and supervision of trainees.
Accurate assessment of interval cancer rates is often hampered by the poor availability of necessary data.
This may be the result of a multiple factors, like diminished numbers of and expertise of staff available, reduced access to diagnostic tests and procedures, a lower degree of supervision of residents, long-duration shifts and tiredness of personnel, no in-house obstetricians, anaesthesiologists and paediatricians, delays in availability of necessary personnel in case of emergency.
Budget constraints impacted negatively on the availability of necessary investigations and other healthcare resources.
This can be easily explained by the low availability of necessary equipment.
"Availability of skilled staff is a huge factor to consider in terms of location," says Ian Smyth, lecturer at Ulster Business School.
Meanwhile, the availability of permanent staff fell markedly in December, particularly in engineering.
Indeed, the Guidelines for Essential Trauma Care published by the World Health Organization (WHO) consider ultrasound availability desirable as long as there is availability of skilled staff [2].
Most frequent were comments on availability of specialist staff.
