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A number of contextual factors were also identified as impediments to applying the findings, including ongoing organizational changes in government agencies, and limited capacity and resources to implement recommendations among some sectors at various points in time.
Taking into account the factors which were identified as impediments to collaboration, adequate organizational support, perhaps in the form of family practice nurses and nurse practitioners, and financial support are necessary for any new collaborative practice to succeed.
Barriers such as cost, lack of familiarity with university education, time commitment and lack of perceived value by practice management have been identified as impediments to PNs undertaking postgraduate programs [ 22].
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Recurrent seasonal neighborhood flooding and cultural issues were identified as significant impediments to the desired collective vision.
Two papers discussed barriers to testing for Indigenous peoples, with stigma and lack of confidentiality being identified as significant impediments [ 35, 87].
The absence of a stroke strategy and stroke prevalence statistics were identified as significant impediments to service planning, alongside organisational barriers limiting the recruitment of additional allied health professional staff, and lack of sharing of discipline-specific information on patients.
Communication between Aboriginal patients and non-Aboriginal health service providers has been identified as an impediment to good Aboriginal health outcomes.
Expansion of private medical services has been identified as an impediment to ensuring equity in access and fairness in service delivery.
Communication between Indigenousa patients and non-Indigenous health service providers has been identified as an impediment to good Indigenous health outcomes [ 6- 9].
Increasingly, institutions are addressing what is perhaps the single most vexing problem identified by the 2004 CFIR report: promotion criteria, which 15% of provosts and faculty members identified as the top impediment.
The lack of long-term market predictability brought about by the current configuration of forestry grants and regulations and, in particular, the administrative systems for processing grant applications is identified as a major impediment to having a sustainable and competitive supply of home-grown and currently adapted planting stock.
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