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To validate these metrics, we define Efforts Deviation Index that captures the difficulty level of the change implementation process.
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The evaluation, acceptance and ultimate implementation of those principles departs from the traditional (United States) culture of education, as it applies new instructional design processes, change implementation processes, and feedback/assessment models.
Second, they suggested that the evidence-informed nature of the program (i.e., BPG content and change implementation processes) had continued to be valued by nursing department members.
Further research might also build on our findings to test more specific relationships between large-scale change implementation processes and intermediate and final outcomes.
Employees feel that their suggestions and wishes for professional development should be taken into account more; they also wish to be actively involved in the change-implementation process at the hospital.
In hospitals where only leaders participated in training and education programmes, employees tended to rate their leadership with lower mean scores than they did in other hospitals, emphasizing the fact that employees, too, require the knowledge and skills to understand their leaders' instructions, to participate in teamwork, and to understand the change-implementation process.
Employees will not support change-implementation processes in their working environment unless they play an active role in these processes.
Employee participation in change-implementation processes was low, as was awareness of the importance of employee development.
There was little employee participation in change-implementation processes, or awareness of the importance of employee development.
Managers at the participating hospitals were reluctant to include employees in the decision-making and change-implementation processes.
These results have shown low levels of employee participation in change-implementation processes, resulting in moderate employee satisfaction with status and role at the hospital.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com