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Among these factors, 23 factors were indicated as changeable (median ≥ 6) and one factor was perceived as unchangeable (i.e., financial resources for the introduction process).
Third, using the top-10 ranking of factors as a cut-off point to define most important factors for each stage might be an arbitrary choice, since factors rated 11th, 12th, and so on, could also be important for the introduction process.
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Median scores were calculated as indicators of factors' importance for each stage of the introduction process.
In the first round, 44 experts scored factors on their importance for each stage of the introduction process, as well as on their changeability.
The items and results are shown in Additional file 1. Table 1 shows the most important factors for the different stages of the introduction process and their changeability.
When asked to give an evaluation of the introduction process for the new technology, half of the nursing staff perceived the introduction process as good or even very good (table 1).
The first round was conducted to facilitate consensus among experts on the importance of factors for the specific stages of the introduction process, i.e., adoption, implementation, and continuation, and on their changeability.
The perceived (potential) relevance of the new technology for the patient was mentioned as playing a role in the success of 11.9% of the introduction processes, either as facilitating or as impeding its introduction.
A good way to start the introduction process is to first email the people and ask them for permission.
(2) Support a lead organization to drive the introduction process.
For instance, a short time has elapsed since the introduction of A. ervi in Chile, so the potential loss of genetic variation during the introduction process could have delayed the adaptive process.
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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