Its broader use in treating critically ill patients has been limited, however, because ECMO requires substantial institutional and multidisciplinary commitment for implementation and is typically only available at major medical centers offering cardiovascular surgery.
(15) It is suggested that regional science and technology conferences should be held periodically, before regional ministerial meetings, so that the science and technology voice has its inputs as commitments for the implementation of the regional plan.
In the context of community-based forest management, participants' understanding or perception of the purpose and the implication of the arrangement with respect to their interest and, thus, the attitudes they form influence the willingness and commitment for its implementation (Gellich et al. 2005; Husain and Bhattacharya 2004; Tesfaye et al. 2012).
The C4C project assists by providing advocacy skills to disseminate, popularize and gain stakeholders' commitment for the implementation of the policy guidelines.
However, there is increasing recognition of the importance and commitment for the implementation of innovative MNH approaches [ 154].
The organizations partnering in this research have demonstrated shared commitment for planning, implementation, and evaluation, shared vision and objectives, infrastructure support, stakeholder engagement and buy-in, and strong leadership support in the development of this nurse-led model.
The problem of sustaining political and bureaucratic commitment for the implementation and evolution of policies affects a variety of policy issues (Grindle and Thomas 1991; Buse et al. 2005).
The participating organizations demonstrated shared commitment for planning, implementation, and evaluation; shared vision and objectives; infrastructure support; stakeholder engagement and buy-in; and strong leadership support in the development of this nurse-led model.
Secondly, interviewees described the " non-movement, non-commitment and non-support" for implementation from the central executive.
"If these international processes are to be taken seriously, governments must be held accountable and any future commitments must come with clear plans for implementation and a process to evaluate success or failure".
The summative evaluation will seek to synthesize findings from different elements of the study, and from relevant studies and assessments conducted by others (notably on community preparedness for transition, and government commitment to implementation of NACP III) so as to consider the entire set of links illustrated in the logic model for transition.
