The results indicate, among other things, that CM implementation seems to be more successful if top management initiates the CM project, and if employees are cross-trained to run various machines and read blue prints.
Despite attempts to introduce changes in the curriculum [2, 3, 4], as will be noted below, the impact of implementation seems to be marginal (see especially [2]), particularly when contrasted with the enormous changes in all spheres of life along with constant new explosions of knowledge.
Still, this cramped, controlled environment didn't seem like the most realistic of circumstances to hear Atmos in action, especially when the question of implementation seems to be such a vital one for this project.
The level of implementation seems to be related to many programme outcomes [ 12].
Despite the limited but promising results of SDM widespread implementation seems to be lagging behind [ 2, 14– 16], while generally patients prefer greater participation than they are offered [ 13, 17, 18].
Besides, Tooher [ 55], reaches the conclusion that with regard to guidelines on pressure ulcers, the more comprehensive the implementation strategies are (that is, the greater the variety and breadth of the strategies) the more effective their implementation seems to be in the long term.
The ARS implementation seemed to be going well during the first few weeks: classroom observations captured an increasing rate of student involvement and interest in the ARS activities, and several team members expressed satisfaction with the overall regularity of student participation they had observed in the classroom.
From the qualitative data we also learned that both the perceived status of the role by change agents themselves and the feedback received on the achieved degree of implementation seem to be affecting the success of a change agent in motivating and stimulating their colleagues to work according to the new guideline.
To achieve this, the use of cold-formed steel structures, allowing for cost saving in materials and flexibility in the implementation method, seems to be highly suitable for reconstructing the damaged areas.
Even though there are examples of successful implementations,, it seems to be difficult to reorient health care toward health promotion.
