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At Duke, like many organizations, there are plenty of excellent leaders who are not in management positions, who make a large impact on implementation of the mission and vision of Duke University and the Health System.
However, comments made by participants identified a number of key issues and concerns that may impact on implementation of the recommendations.
This finding could be interpreted as indicating that extensive media coverage, often critical of sun protection, had little impact on implementation of the SSAP.
For several of the genes, biological functions have already been elucidated that could have a direct impact on implementation of Cpn infections under the prerequisite of different environmental conditions of the lung and the vasculature.
Whilst the majority of interviewees did not express concerns about symptoms either being masked or exaggerated, this concern may impact on implementation of a screening programme and therefore was included in the list of master themes.
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Because injury surveillance is optional in community sport, personal factors impacting on implementation of the surveillance system were common.
Contextual factors including service improvement pressures and staff perceptions of the necessity for and work required in caregiver training impacted negatively on implementation of the caregiver training intervention.
By conducting an empirical analysis using the instrumental variable method, we cleared the simultaneous problem and estimated the impact of wage cuts on implementation of layoffs.
A before and after study, assessed the impact of clinical supervision on implementation of psychosocial interventions by nursing students who attended a formal psychosocial intervention training course [ 122].
However, Bernhardsson et al. [ 24] have argued that more research is needed into various aspects of the "lack of time" concept before it is possible to reduce the impact of this factor on implementation of EBP.
Furthermore, we assessed the impact of facility strengthening on implementation of essential newborn care interventions among births that occurred in private and public health facilities in rural eastern Uganda.
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