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Nevertheless, since introduction of these pathway components had to be fully accomplished by the Orthopedic Surgery Department "at its own costs", the authors decided to retain the Department's perspective for the overall cost effectiveness consideration of implementing the clincal pathway.
One reason for this is the genesis of the major, having come into being in response to a perceived need, so there was little consideration of implementing active recruitment strategies.
Midwifery management should take into consideration, of implementing team building events and workshops towards improving interpersonal relationships and team work.
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Training should continue to emphasize skin-to-skin care and initiation of breastfeeding within the first hour of life, with consideration for implementing UNICEF Baby-Friendly Hospital Initiative [ 32].
Systematic reviews are valuable because they can provide robust information about the level of evidence for the effect of interventions, help policymakers clarify policy problems, aid in the identification of possible strategies to address these problems, and highlight a number of considerations for implementing them, including costs, resources, and other constraints [ 44].
Another important consideration is the cost of implementing interventions.
The selection of strategies was based on consideration of the feasibility of implementing the proposed change and the impact that this change would have on the provision of EN.
Therefore, TMB research design and results interpretation should include careful consideration of the limitations of implementing results from study designs that do not reflect the very complex reality of clinical practice.
Future developments within the ethics of global health research undertaken in resource poor settings will most likely benefit from further reflection on the broader ethical principles and from consideration of the practical realities of implementing these principles in real world context.
The survey used in this study was developed by the authors with consideration of previously implemented instruments that examined practice patterns among chiropractors [ 21- 24].
The criteria represent the relevant considerations in assessing the impact of implementing any of the different alternatives.
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