Costs, including the costs of obtaining the system and the costs of implementation were seen as important, while some authors mentioned the costs of not implementing the system as also being relevant.
Including patients and relatives in care planning and implementation was seen as essential for good care, but was at risk due to budget cuts that imposed shortened hospital stays.
The 'frantic' pace of Lean implementation was seen as both a blessing and a curse for leaders.
Implementation was seen as less problematic if there was a fit with national law, rules and regulations of the construction industry, the OHS' vision and current working procedures, the professionals' task description and capacity building plan.
Although the regulatory guidelines provide a description of what the informed consent process should involve for individual participation, in practice the beliefs, values, trust and power dynamics during clinical trial implementation were seen to influence the consent process in which the volunteers and the research team interacted with each other and with their wider social networks.
For current sanctions and any new penalties to work, better cooperation and stronger implementation from China is seen as key.
Its main objective is delivering Good Environmental Status GESS) of European seas by 2020, in which the implementation of MPAs is seen as an important tool (Christiansen 2009; Dotinga and Trouwborst 2009).
While the focus on generic competences has largely related to definition and standards development, the implementation of these skills is seen as a teaching and learning issue.
"Too often, implementation of international conventions is seen only as a central government responsibility, while major decisions that will impact the daily life of children and youth will be taken at a communal level," explained Jean Benoit Manhe.
It seems irrelevant that our work focused on strengthening Chinese law, because the "crimes" for which he stands accused are meaningless unless the implementation of Chinese law itself is seen as subverting state power.
