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The nurses felt implementation was hampered by a lack of guideline knowledge, judgment and skills, detachment from the guidelines, and workload pressure.
[2 5] Effective implementation was hampered by denial of the HIV epidemic and weak political leadership but also by uncertainty around the numbers and causes of deaths [6 8].
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There the implementation is hampered primarily by property ownership considerations or conflicting interests of landowners.
The use of such EACS promises substantial benefits but its successful implementation is hampered by the lack of a suitable formalism, particularly where, as is often the case, participants are geographically separated.
The creation of a permanent international criminal court (ICC) has been seen as a desirable objective for a long time, but its implementation is hampered by controversy.
First, effective policy development and implementation are hampered by the lack of financial and human resources at the local level.
Familypac, an intervention to increase parental involvement, has been well-received but its implementation is hampered by parents' illiteracy and their non-attendance to sessions.
According to Dutch providers, self-management support is not (yet) an integral part of daily practice; implementation is hampered by barriers related to, among others, funding, IT and medical culture.
Although significant progress has been made in the enzymatic saccharification of lignocellulosic feedstocks [ 2], full commercial-scale implementation is hampered by a number of factors, including the high cost of the enzymes required for efficient lignocellulose hydrolysis.
The implementation of the study was hampered by a number of logistical challenges which included the difficult terrain, posing problems for local transport for research staff, and continuing administrative difficulties, which led to delays in the implementation of the project.
So I was hampered?
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