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(3) All types of policy instruments face challenges in design and implementation: understanding the selection impact of the chosen instruments, implementing increasing stringency levels, committing to an appropriate scale, and safeguarding policy stability.
In addition to better understanding provider barriers and facilitators to guideline implementation, understanding patient knowledge, attitudes and behavioral intentions regarding COPD diagnosis and management is crucial.
The responses can be categorised into four themes namely documentation of programme outcomes, implementation, understanding of the teaching & learning methods, and alignment of assessment and programme outcomes.
It's a high-demand environment that requires full implementation understanding.
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8 10 Implementation barriers were lack of complete understanding from the staff, too little training during and after implementation, and lack of time for implementation and understanding.
Process evaluation remains essential for examining the quality and extent of program implementation and understanding the effects of interventions [ 48].
The new implementation science research agenda must focus on understanding implementation in context which requires new context-specific evaluation tools like time-series analysis, statistical process control or adaptive clinical trials.
While the CFIR is relatively new, it is considered a useful tool not only for understanding implementation itself, but also for ensuring more effective implementations [ 20].
In this study, a systematic literature review is conducted related to understanding implementation of PSS business models and five sets of tactical practices.
There is evidence to suggest that certain individuals, collectively termed 'intermediaries', can contribute to implementation processes, but understanding exactly what happens and how intermediaries promote best practice is unclear.
Including context in understanding implementation and in improvement theory can advance improvement science and practice.
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