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What barriers and enablers affected the implementation of this role?
However, our findings will be of interest to policymakers in other countries involved in the development and implementation of this role.
It was felt that full implementation of this role had not been realised and this limited the nurse practitioners' ability to work to their full scope of practice.
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In this study we were able to verify that the three concepts influence implementation of the role and the ability of the NP to enact the role.
In turn, the exact implementation of the role for children influences the extent to which children are able to make voluntary decisions as part of the consent process (theme 4).
The study demonstrated the design and implementation of the role-based approach in an online learning environment.
Some studies suggest the implementation of these roles can result in improved medication use and health outcomes and reduced health service use and cost [ 10- 12].
Providing a receptive context and devoting sufficient resources to support effective implementation of work role redesign interventions are considered as key elements [ 8] to bring the AP to fruition and to produce the intended results [ 38– 40].
The insignificant effects of the approach on cognitive and metacognitive aspects of group interaction indicated the need to investigate the strategies for role assignment and implementation of role duties to determine whether and how these issues might affect the effectiveness of the role-based approach.
Additionally, the high costs associated with the implementation of this technology also played a crucial role in its acceptance.
While the perceptions of NPs by medical staff are important to the implementation of the NP role, the greatest threat to the sustainability of the role may be the unmet needs of NPs.
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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